TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JEROME CANNY...................................................................... CHAIR	2.00 .................	X	X	0	0	0
(2) MICHAEL SCULLARD...................................................................... IMMEDIATE PAST CHAIR	2.00 .................	X	X	0	0	0
(3) BRUCE BOWLING MD...................................................................... 1ST VICE CHAIR	2.00 .................	X	X	0	0	0
(4) MATTHEW SALANGER...................................................................... FACHE, 2ND VICE CHR, CEO	30.00 ................. 27.00	X	X	622,617	622,619	39,095
(5) SUSAN MISTRETTAESQ...................................................................... SECRETARY	2.00 .................	X	X	0	0	0
(6) DIANA BENDZ...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(7) LINDA BEST...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(8) SEAN BRADY...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(9) HORATIO DENSON...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(10) STEPHEN FEEHAN...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(11) FRANK FLOYD MD...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(12) ROY GILL MD...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(13) JULIA MILLER MD...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(14) JOANN NAVARRO...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(15) JUDITH PECKHAM...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(16) GARY VANNOSTRAND...................................................................... TRUSTEE	2.00 .................	X		0	0	0
(17) JAMES VANVOORST...................................................................... TRUSTEE	2.00 .................	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) CAROL MILLER MD........................................................................ TRUSTEE	2.00 .......................	X			0	0	0
(19) RAJESH DAVE MD........................................................................ CHIEF MEDICAL OFFICER	44.00 .......................11.00		X		479,177	119,794	33,584
(20) JOHN CARRIGG........................................................................ CHIEF OPERATING OFFICER	28.00 .......................27.00		X		262,205	262,205	33,429
(21) DAVE MACDOUGALL........................................................................ SR VP OF FINANCE AND SYS	33.00 .......................22.00		X		298,829	199,218	38,519
(22) KAY BOLAND........................................................................ VP PATIENT CARE SERVICES	28.00 .......................27.00		X		165,554	165,555	27,502
(23) MICHAEL MCNALLY........................................................................ VP HUMAN RESOURCES	55.00 .......................		X		288,719	0	26,871
(24) ROBERT MCCARTHY........................................................................ VP FINANCIAL OPERATIONS	28.00 .......................27.00		X		110,784	110,783	16,350
(25) CHRISTINA BOYD........................................................................ VP COMMUNITY RELATIONS	28.00 .......................27.00		X		110,333	110,334	34,157
(26) NANCY RONGO........................................................................ VP CARE MANAGEMENT	55.00 .......................		X		216,230	0	28,253
(27) VIVIEN FONGUE DO........................................................................ ORTHOPEDIC SURGEON	55.00 .......................			X	581,330	0	36,613
(28) ISKANDAR KASSIS MD........................................................................ DIRECTOR OF OBGYN	55.00 .......................			X	525,579	0	35,448
(29) VARUN REDDY MD........................................................................ NEURO INTERVENTION SURGEON	55.00 .......................			X	473,920	0	25,716
(30) PETER RONAN MD........................................................................ ASSISTANT MEDICAL DIRECTOR	55.00 .......................			X	300,663	0	28,104
(31) JOHN R CUNNINGHAM MD........................................................................ PHYSICIAN	55.00 .......................			X	275,566	0	32,659

(A) Name and business address	(B) Description of services	(C) Compensation
LABORATORY CORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON,NC27216	LAB SERVICES	6,085,665
BROOME ONCOLOGY 30 HARRISON ST SUITE 100 JOHNSON CITY,NY13790	ONCOLOGY SERVICES	4,901,382
CERNER HEALTH SERVICES INC PO BOX 959167 ST LOUIS,MO63195	SOFTWARE MAINTENANCE	3,728,985
MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO,IL60693	SOFTWARE MAINTENANCE	3,204,784
PRISM HEALTHCARE PARTNERS LTD 190 SOUTH LA SALLE STREET SUITE 29 CHICAGO,IL60603	CONSULTING	3,082,401
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 101

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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 ....................... right arrow

33 1/3% support test—2014. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
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.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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 ....... right arrow

33 1/3% support tests—2014. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization UNITED HEALTH SERVICES HOSPITALS INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization UNITED HEALTH SERVICES HOSPITALS INC		Employer identification number 16-1165049

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization UNITED HEALTH SERVICES HOSPITALS INC			Employer identification number 16-1165049
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

31,413

Total. Add lines 1c through 1i ....................................................................................................

31,413

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	14,962,766	14,647,262	13,878,428	13,359,085	12,743,624
b	Contributions ...
c	Net investment earnings, gains, and losses	-596,985	444,838	897,569	662,753	743,722
d	Grants or scholarships ...	120,000	120,000	120,000	135,053	120,083
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	16,062	9,334	8,735	8,357	8,178
g	End of year balance ......	14,229,719	14,962,766	14,647,262	13,878,428	13,359,085

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

3.670 %

Permanent endowment SchDMd Bullet

28.810 %

Temporarily restricted endowment SchDMd Bullet

67.520 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	11,685,097		11,685,097
b	Buildings	268,922,335	173,934,489	94,987,846
c	Leasehold improvements	13,041,003	6,747,887	6,293,116
d	Equipment ...	228,188,150	192,831,412	35,356,738
e	Other ...	22,016,631		22,016,631
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				170,339,428

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)MUTUAL FUNDS @ FMV	3,433,179	F
(2)FUNDED DEPREC INVESTMENTS	17,977,720	F
(3)ENDOWMENT INVESTMENT	2,385,056	F
(4)INVESTMENT-UHS FOUNDATION	11,781,734	F
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	35,577,689

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED PENSION LIABILITY	79,733,161
DEFERRED COMPENSATION PAYABLE	3,433,179
OTHER LIABILITIES	27,045,667
DUE TO AFFILIATES	3,744,099
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	113,956,106
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	606,689,409
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b	181,906
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	181,906
3	Subtract line 2e from line 1..................			3	606,507,503
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	164,859
c	Add lines 4a and 4b....................			4c	164,859
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	606,672,362

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	592,114,281
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	592,114,281
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	164,859
c	Add lines 4a and 4b.....................			4c	164,859
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	592,279,140

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES. (I.E. PEDIATRIC PROGRAMS AND CARDIAC PROGRAMS)
PART X, LINE 2:	PART X, LINE 2 : UHSH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2015 AND 2014, THE HOSPITALS DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES ARE 2012 THROUGH 2015.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	UHS FOUNDATION GRANT RENTAL EXPENSES
PART XII, LINE 4B - OTHER ADJUSTMENTS:	UHS FOUNDATION GRANT RENTAL EXPENSES

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .
b	Medicaid (from Worksheet 3, column a) . . . . .		99,491,738	73,308,931	26,182,807	4.660 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .		5,106,282	487,705	4,618,577	0.820 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		104,598,020	73,796,636	30,801,384	5.480 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .		8,190,247	6,958,553	1,231,694	0.220 %
g	Subsidized health services (from Worksheet 6) . . . .		242,288,072	211,922,450	30,365,622	5.400 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	54,909	2,092,741	146,181	1,946,560	0.350 %
j	Total. Other Benefits . .	54,909	252,571,060	219,027,184	33,543,876	5.970 %
k	Total. Add lines 7d and 7j .	54,909	357,169,080	292,823,820	64,345,260	11.450 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building		41,510	41,510	0.010 %
7	Community health improvement advocacy	103	7,062	7,062	0 %
8	Workforce development	61	337,577	337,577	0.060 %
9	Other
10	Total	164	386,149	386,149	0.070 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

10,507,981

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,611,275

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

110,209,359

Enter Medicare allowable costs of care relating to payments on line 5.....

113,793,156

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,583,797

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (Describe)	Facility reporting group
1	WILSON MEMORIAL REGIONAL MEDICAL CENTER 33-57 HARRISON ST JOHNSON CITY,NY13790 WWW.UHS.NET 0303001H	X	X	X	X	OUTLYING CLINICS	A
2	BINGHAMTON GENERAL HOSPITAL 10-42 MITCHELL AVE BINGHAMTON,NY13903 WWW.UHS.NET 0303001H	X	X	X	X	OUTLYING CLINICS	A

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.UHS.NET

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.UHS.NET

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.UHS.NET

The FAP application form was widely available on a website (list url):

HTTP://WWW.UHS.NET

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.UHS.NET

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: WILSON MEMORIAL REGIONAL MEDICAL CENTER, - FACILITY 2: BINGHAMTON GENERAL HOSPITAL
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5:	THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UHS HOSPITALSROBIN KINSLOW-EVANS- UHS HOSPITALSPAT WILLIAMS- UHS HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A:	CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B:	COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICESOUTHERN TIER HEALTH LINKAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETYCOMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11:	THREE YEAR PLAN OF ACTIONPREVENT CHRONIC DISEASE:1. REDUCE RATE OF HOSPITALIZATION FOR DIABETESSTRATEGY OBJECTIVE: BY YEAR END 2015, INCREASE THE ACCESS TO DIABETES PREVENTIVE CARE AND IDENTIFY THE PRE-DIABETIC POPULATION AND DEVELOP CASE MANAGEMENT PLAN OF ACTION SPECIFIC TO POPULATION NEED.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROMOTE AND EXPAND THE NEED OF DIABETES SELF-MANAGEMENT PRACTICES SUCH AS SELF-BLOOD GLUCOSE MONITORING AND SELF-FOOT EXAMS.-INCREASE OUTPATIENT DIABETES MANAGEMENT BY HEALTH CARE PROVIDERS SUCH AS A1C, FOOT EXAMS AND EYE EXAMS.-IN CONJUNCTION WITH THE UHS DIABETES CENTER, SUPPORT EDUCATION TO ALL COMMUNITY MEMBERS REGARDING ALL ASPECTS OF DIABETES FROM DIETARY EDUCATION TO LIFESTYLE MODIFICATIONS.GOALS AND PERFORMANCE MEASURES-TRACK THE RATE OF HOSPITALIZATION FOR DIABETIC CONDITIONS SUCH AS ACUTE KETOACIDOSIS, HYPEROSMOLARITY, COMA AND CHRONIC RENAL, EYE, NEUROLOGICAL, CIRCULATORY.-TRACK THE HEMOGLOBIN A1C TESTS PERFORMED FOR READINGS OF 6.5 OR BELOW.2015 PROGRESS REPORT-CERTIFIED DIABETES NURSE EDUCATORS PROVIDED INDIVIDUAL AND GROUP COUNSELING TO 1,000 PATIENTS. THIS INCLUDES INDIVIDUAL SESSIONS, MEAL PLANNING, METER CLASS, AND INCORPORATING NUTRITIONAL MANAGEMENT INTO LIFESTYLE.-THE ON-GOING DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WHICH IS SCHEDULED ONCE A MONTH PROVIDES EDUCATION ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS; AND LIVING WITH DIABETES.-STAY HEALTHY NURSES MADE 204 OUTREACHES TO PATIENTS IN OUR POPULATION MANAGEMENT DIABETES PROGRAM.2. REDUCE THE READMISSION RATE FOR PATIENTS WITH CONGESTIVE HEART FAILURE (CHF)STRATEGY OBJECTIVE: BY YEAR END 2015, REDUCE THE 30 DAY READMISSION RATE TO THE HOSPITAL FOR PATIENTS WITH CHF.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROVIDE TELEPHONIC EDUCATION TO ALL CHF DISEASE MANAGEMENT PATIENTS FROM UHSH FACILITIES.-FOLLOW ALL CHF DISCHARGE PATIENTS FOR THREE MONTHS TO ENSURE COMPLIANCE TO ALL PROVIDER POST-DISCHARGE INSTRUCTIONS.GOALS AND PERFORMANCE MEASURES-UHS STAY HEALTHY NURSES TO CONTACT PATIENTS WITH CHF TO PROVIDE ASSISTANCE IN DIETARY NEEDS, MEDICATION EDUCATION, PROVIDER FOLLOW-UP APPOINTMENT REMINDERS AND A RESOURCE FOR FURTHER COMMUNICATION.-REVIEW THE OVERALL 30-DAY READMISSION RATE FOR CHF.2015 PROGRESS REPORT -CARDIAC NAVIGATOR AND STAY HEALTHY NURSES COMPLETED 1,656 INTERACTIONS, (CALLS, HOSPITAL VISITS, AND/OR HOME VISITS) TO PATIENTS TO REVIEW PATIENT'S UNDERSTANDING OF DIET, EXERCISE PLAN, SYMPTOMS, MEDICATIONS, ETC. 3. INCREASE ACCESS TO A COMPREHENSIVE ARRAY OF CANCER CARE SERVICESSTRATEGY OBJECTIVE: PROVIDE HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO PREVENT CANCER.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROVIDE ACCESS TO STATE-OF-THE-ART EQUIPMENT AND A FULL RANGE OF CANCER SERVICES.-IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY'S ROAD TO RECOVERY PROGRAM, COORDINATE FREE RIDES FOR PATIENTS TO AND FROM TREATMENT SERVICES.-PROVIDE EDUCATION PROGRAMS SUCH AS TEA WITH RUTH, MUGS FOR MEN AND SUPPORT GROUPS SUCH AS LYMPHEDEMA SUPPORT GROUP AND BREAST CANCER SUPPORT GROUP.-EDUCATE THE COMMUNITY ABOUT THE ARRAY OF COMPLEX MEDICAL TREATMENT OPTIONS AND THE BROAD RANGE OF SERVICES FOR CANCER CARE.GOALS AND PERFORMANCE MEASURES-ENROLLMENT IN VARIOUS ON-GOING PROGRAMS AND SUPPORT GROUPS.-TRACK THE NUMBER OF SCREENINGS (BREAST, CERVICAL, PROSTATE ETC)2015 PROGRESS REPORT -UHS CANCER NURSE NAVIGATOR WORKS WITH CANCER CARE TEAM, WHICH INCLUDES A PHYSICAL THERAPIST, SOCIAL WORKER AND DIETICIAN TO OFFER PATIENTS UNDERGOING TREATMENT A FULL OPTION OF SERVICES TO HELP THEM NAVIGATE THROUGH THE CARE PROCESS AND INTO SURVIVORSHIP. OVER 3,386 CALLS WERE MADE TO PATIENTS DURING 2015 BY OUR CANCER NURSE NAVIGATOR AND STAY HEALTHY NURSES. -THE EXISTING SUPPORT GROUPS (LYMPHEDEMA, TEA WITH RUTH, MUGS FOR MEN, BEST BITES, A LA CARTE, AND BREAST CANCER) CONTINUED THROUGHOUT 2015. WE HAD 283 PATIENTS REGISTERED IN 2015. UHS CONTINUES TO COLLABORATE WITH THE COMMUNITY AND HEALTH PLANS ON WAYS TO PROMOTE SCREENING AND PREVENTION MEASURES VIA HEALTH FAIRS AND THE MEDIA. -WORKED WITH RURAL HEALTH NETWORK TO HELP ARRANGE RIDES FOR PATIENTS RECEIVING TREATMENT.SEE SCHEDULE O FOR CONTINUATION
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE.
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 22D:	THE HOSPITAL FACILITY MAXIMUM CHARGE AMOUNT FOR FAP-ELIGIBLE INDIVIDUALS DID NOT EXCEED 65% OF THE HIGHEST VOLUME PAYOR GROSS CHARGE RATE. DURING 2015, THE HIGHEST VOLUME PAYOR WAS EXCELLUS BLUE CROSS & BLUE SHIELD.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 5:	THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL WAS USED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY, PRIORITIZE HEALTH NEEDS AND STRATEGIZE ABOUT WAYS TO IMPROVE THE HEALTH OF BROOME COUNTY RESIDENTS. THIS MODEL FUNCTIONED AS A COMMUNITY-WIDE STRATEGIC PLANNING TOOL AND FORMED THE BASIS FOR PRIORITIZING KEY PUBLIC HEALTH ISSUES AND IDENTIFYING POTENTIAL RESOURCES. THE INDIVIDUALS THAT WERE INVOLVED ARE LISTED BELOW AND WERE MEMBERS OF THE BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2013-2017 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:YVONNE JOHNSTON- BINGHAMTON UNIVERSITY, DECKER SCHOOL OF NURSINGCLAUDIA EDWARDS- BROOME COUNTY HEALTH DEPARTMENTMARY MCFADDEN- BROOME COUNTY HEALTH DEPARTMENTDR. CHRISTOPHER RYAN- BROOME COUNTY HEALTH DEPARTMENTLEIGH ANN SCHEIDER- BROOME COUNTY HEALTH DEPARTMENTANTHONY FIALA- BROOME COUNTY LEGISLATURELYNNE ESQUIVEL- BROOME COUNTY MENTAL HEALTH DEPARTMENTKATHLEEN BUNNELL- BROOME COUNTY OFFICE FOR AGINGDON BOWERSOX- BROOME COUNTY SOCIAL SERVICES DEPARTMENTALAN BUYCK- BROOME TIOGA BOCESDR. JOHN HARDING- COMMUNITY REPRESENTATIVESHARON CHESNA- MOTHERS AND BABIES PERINATAL NETWORKCHRISTY FINCH- MOTHERS AND BABIES PERINATAL NETWORKLISA BOBBY- OUR LADY OF LOURDES HOSPITALDR. HEMANT GUPTA- OUR LADY OF LOURDES HOSPITALCAMERON SOULE- OUR LADY OF LOURDES HOSPITALWAYNE MITTEER- OUR LADY OF LOURDES HOSPITALPAM GUTH- RURAL HEALTH NETWORK OF SCNYLESLIE KANNUS- RURAL HEALTH NETWORK OF SCNYJACK SALO- RURAL HEALTH NETWORK OF SCNYLENORE BORIS- SUNY-B UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS KAREN BAYER- UHS HOSPITALSROBIN KINSLOW-EVANS- UHS HOSPITALSPAT WILLIAMS- UHS HOSPITALSNIKKI FRENCH- UNITED WAY OF BROOME COUNTYAMELIA LODOLCE- UNITED WAY OF BROOME COUNTYLEA WEBB- WEBB CONSULTING
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A:	CHENANGO MEMORIAL HOSPITAL, DELAWARE VALLEY HOSPITAL
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6B:	COMMUNITY-BASED HEALTH AND HUMAN SERVICE AGENCIES:RURAL HEALTH NETWORK OF SCNYBROOME COUNTY URBAN LEAGUEMOTHERS AND BABIES PERINATAL NETWORK OF SCNYUNITED WAY OF BROOME COUNTYACTION FOR OLDER PERSONSMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIERKEEP YOUTH DOING SOMETHING (KYDS) COALITIONAGING FUTURES PARTNERSHIPFAMILY ENRICHMENT NETWORKLOCAL DIABETES AND HEART DISEASE GROUPSGOVERNMENT AGENCIES WITH SPECIAL KNOWLEDGE OF PUBLIC ISSUES:BROOME COUNTY HEALTH DEPARTMENTBROOME COUNTY DEPARTMENT OF SOCIAL SERVICESCOMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA)BROOME COUNTY MENTAL HEALTH DEPARTMENTBROOME COUNTY OFFICE FOR AGINGBROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCILBROOME COUNTY PARKS AND RECREATIONNYS DOTBINGHAMTON METROPOLITAN TRANSPORTATION STUDYSTRATEGIC ALLIANCE FOR HEALTHGOVERNMENTAL AND NON-GOVERNMENTAL AGENCIES:BROOME-TIOGA BOCESBOCES FOOD SERVICESOUTHERN TIER HEALTH LINKAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETYCOMMUNITIES:LAW ENFORCEMENTBROOME COUNTY COUNCIL OF CHURCHESCATHOLIC CHARITIES OF BROOME COUNTYACADEMIA:BINGHAMTON UNIVERSITYSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTONCORNELL COOPERATIVE EXTENSIONOTHER:EMPLOYERS, BUSINESSES, UNIONS, POLICYMAKERS, AND ELECTED OFFICIALS
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 11:	THREE YEAR PLAN OF ACTIONPREVENT CHRONIC DISEASE:1. REDUCE RATE OF HOSPITALIZATION FOR DIABETESSTRATEGY OBJECTIVE: BY YEAR END 2015, INCREASE THE ACCESS TO DIABETES PREVENTIVE CARE AND IDENTIFY THE PRE-DIABETIC POPULATION AND DEVELOP CASE MANAGEMENT PLAN OF ACTION SPECIFIC TO POPULATION NEED.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROMOTE AND EXPAND THE NEED OF DIABETES SELF-MANAGEMENT PRACTICES SUCH AS SELF-BLOOD GLUCOSE MONITORING AND SELF-FOOT EXAMS.-INCREASE OUTPATIENT DIABETES MANAGEMENT BY HEALTH CARE PROVIDERS SUCH AS A1C, FOOT EXAMS AND EYE EXAMS.-IN CONJUNCTION WITH THE UHS DIABETES CENTER, SUPPORT EDUCATION TO ALL COMMUNITY MEMBERS REGARDING ALL ASPECTS OF DIABETES FROM DIETARY EDUCATION TO LIFESTYLE MODIFICATIONS.GOALS AND PERFORMANCE MEASURES-TRACK THE RATE OF HOSPITALIZATION FOR DIABETIC CONDITIONS SUCH AS ACUTE KETOACIDOSIS, HYPEROSMOLARITY, COMA AND CHRONIC RENAL, EYE, NEUROLOGICAL, CIRCULATORY.-TRACK THE HEMOGLOBIN A1C TESTS PERFORMED FOR READINGS OF 6.5 OR BELOW.2015 PROGRESS REPORT-CERTIFIED DIABETES NURSE EDUCATORS PROVIDED INDIVIDUAL AND GROUP COUNSELING TO 1,000 PATIENTS. THIS INCLUDES INDIVIDUAL SESSIONS, MEAL PLANNING, METER CLASS, AND INCORPORATING NUTRITIONAL MANAGEMENT INTO LIFESTYLE.-THE ON-GOING DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WHICH IS SCHEDULED ONCE A MONTH PROVIDES EDUCATION ON NUTRITION, MEAL PLANNING AND CARBOHYDRATE COUNTING, BLOOD GLUCOSE MONITORING, PREVENTION OF COMPLICATIONS/DECREASING RISKS ASSOCIATED WITH DIABETES, PHYSICAL ACTIVITY, DIABETES DISEASE PROCESS AND TREATMENT OPTIONS; AND LIVING WITH DIABETES.-STAY HEALTHY NURSES MADE 204 OUTREACHES TO PATIENTS IN OUR POPULATION MANAGEMENT DIABETES PROGRAM.2. REDUCE THE READMISSION RATE FOR PATIENTS WITH CONGESTIVE HEART FAILURE (CHF)STRATEGY OBJECTIVE: BY YEAR END 2015, REDUCE THE 30 DAY READMISSION RATE TO THE HOSPITAL FOR PATIENTS WITH CHF.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROVIDE TELEPHONIC EDUCATION TO ALL CHF DISEASE MANAGEMENT PATIENTS FROM UHSH FACILITIES.-FOLLOW ALL CHF DISCHARGE PATIENTS FOR THREE MONTHS TO ENSURE COMPLIANCE TO ALL PROVIDER POST-DISCHARGE INSTRUCTIONS.GOALS AND PERFORMANCE MEASURES-UHS STAY HEALTHY NURSES TO CONTACT PATIENTS WITH CHF TO PROVIDE ASSISTANCE IN DIETARY NEEDS, MEDICATION EDUCATION, PROVIDER FOLLOW-UP APPOINTMENT REMINDERS AND A RESOURCE FOR FURTHER COMMUNICATION.-REVIEW THE OVERALL 30-DAY READMISSION RATE FOR CHF.2015 PROGRESS REPORT -CARDIAC NAVIGATOR AND STAY HEALTHY NURSES COMPLETED 1,656 INTERACTIONS, (CALLS, HOSPITAL VISITS, AND/OR HOME VISITS) TO PATIENTS TO REVIEW PATIENT'S UNDERSTANDING OF DIET, EXERCISE PLAN, SYMPTOMS, MEDICATIONS, ETC. 3. INCREASE ACCESS TO A COMPREHENSIVE ARRAY OF CANCER CARE SERVICESSTRATEGY OBJECTIVE: PROVIDE HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO PREVENT CANCER.GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD):TACTICS-PROVIDE ACCESS TO STATE-OF-THE-ART EQUIPMENT AND A FULL RANGE OF CANCER SERVICES.-IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY'S ROAD TO RECOVERY PROGRAM, COORDINATE FREE RIDES FOR PATIENTS TO AND FROM TREATMENT SERVICES.-PROVIDE EDUCATION PROGRAMS SUCH AS TEA WITH RUTH, MUGS FOR MEN AND SUPPORT GROUPS SUCH AS LYMPHEDEMA SUPPORT GROUP AND BREAST CANCER SUPPORT GROUP.-EDUCATE THE COMMUNITY ABOUT THE ARRAY OF COMPLEX MEDICAL TREATMENT OPTIONS AND THE BROAD RANGE OF SERVICES FOR CANCER CARE.GOALS AND PERFORMANCE MEASURES-ENROLLMENT IN VARIOUS ON-GOING PROGRAMS AND SUPPORT GROUPS.-TRACK THE NUMBER OF SCREENINGS (BREAST, CERVICAL, PROSTATE ETC)2015 PROGRESS REPORT -UHS CANCER NURSE NAVIGATOR WORKS WITH CANCER CARE TEAM, WHICH INCLUDES A PHYSICAL THERAPIST, SOCIAL WORKER AND DIETICIAN TO OFFER PATIENTS UNDERGOING TREATMENT A FULL OPTION OF SERVICES TO HELP THEM NAVIGATE THROUGH THE CARE PROCESS AND INTO SURVIVORSHIP. OVER 3,386 CALLS WERE MADE TO PATIENTS DURING 2015 BY OUR CANCER NURSE NAVIGATOR AND STAY HEALTHY NURSES. -THE EXISTING SUPPORT GROUPS (LYMPHEDEMA, TEA WITH RUTH, MUGS FOR MEN, BEST BITES, A LA CARTE, AND BREAST CANCER) CONTINUED THROUGHOUT 2015. WE HAD 283 PATIENTS REGISTERED IN 2015. UHS CONTINUES TO COLLABORATE WITH THE COMMUNITY AND HEALTH PLANS ON WAYS TO PROMOTE SCREENING AND PREVENTION MEASURES VIA HEALTH FAIRS AND THE MEDIA. -WORKED WITH RURAL HEALTH NETWORK TO HELP ARRANGE RIDES FOR PATIENTS RECEIVING TREATMENT.SEE SCHEDULE O FOR CONTINUATION
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) IS USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200%. THE FPG IS NOT USED TO DETERMINE DISCOUNTED CARE ELIGIBILITY. HOWEVER THE FPG IS USED TO DETERMINE THE PERCENTAGE OF DISCOUNTED CARE A PATIENT WILL RECEIVE.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 22D:	THE HOSPITAL FACILITY MAXIMUM CHARGE AMOUNT FOR FAP-ELIGIBLE INDIVIDUALS DID NOT EXCEED 65% OF THE HIGHEST VOLUME PAYOR GROSS CHARGE RATE. DURING 2015, THE HIGHEST VOLUME PAYOR WAS EXCELLUS BLUE CROSS & BLUE SHIELD.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?26
Name and address		Type of Facility (describe)
1	1 - UHS WALK-INMULTIPLE SPECIALTY CARE 4417 VESTAL PARKWAY EAST VESTAL,NY13850	OUTPATIENT PRIMARY CARE CENTER
2	2 - WILSON PLACE AMBUL CARE CENTER 52 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
3	3 - WILSON SQUARE MULT SPEC CARE CTRS 30 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
4	4 - BINGHAMTON CARE CENTER - INT MED SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON,NY13903	OUTPATIENT PRIMARY CARE CENTER
5	5 - UHS MULTIPLE SPECIALTY CARE CENTERS 65 PENNSYLVANIA AVE BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
6	6 - UHS PHYSICAL THERAPY 4401 VESTAL PARKWAY EAST VESTAL,NY13850	OUTPATIENT SPECIALTY CARE CENTER
7	7 - ENDICOTT FAMILY CARE CENTER - WALK INPT 1302 E MAIN ST ENDICOTT,NY13760	OUTPATIENT PRIMARY CARE CENTER
8	8 - JOHNSON CITY FAMILY CARE CENTER 40 ARCH ST WILSON HOSPITAL JOHNSON CITY,NY13790	OUTPATIENT PRIMARY CARE CENTER
9	10 - CYBERKNIFE CENTER OF NEW YORK 22 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
10	11 - SUMMIT ORTHOPEDICS CLINIC 33 MITCHELL AVE BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
11	12 - UPPER FRONT ST INT MED & FAM PRAC 1290 UPPER FRONT ST BINGHAMTON,NY13901	OUTPATIENT PRIMARY CARE CENTER
12	13 - ENDWELL PULMONARY & INTERNAL MEDICINE 800 HOOPER RD ENDWELL,NY13760	OUTPATIENT PRIMARY CARE CENTER
13	14 - VESTAL DERMATOLOGY CLINIC 200 FRONT ST VESTAL,NY13850	OUTPATIENT SPECIALTY CARE CENTER
14	15 - UHS MULTIPLE SPECIALTY CARE CENTERS 93 PENNSYLVANIA AVE BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
15	16 - GREENE FAMILY CARE CENTER 15 BIRDSALL ST GREENE,NY13778	OUTPATIENT PRIMARY CARE CENTER
16	17 - DEPOSIT FAMILY CARE CENTER 53 PINE ST DEPOSIT,NY13754	OUTPATIENT PRIMARY CARE CENTER
17	18 - WINDSOR FAMILY CARE CENTER 5 COLLEGE AVE WINDSOR,NY13865	OUTPATIENT PRIMARY CARE CENTER
18	19 - CANDOR FAMILY CARE CENTER 54 MAIN ST CANDOR,NY13743	OUTPATIENT PRIMARY CARE CENTER
19	20 - OWEGO FAMILY CARE CENTER 42 W MAIN ST OWEGO,NY13827	OUTPATIENT PRIMARY CARE CENTER
20	21 - JOHNSON CITY INTERNAL MEDICINE 507 MAIN ST JOHNSON CITY,NY13790	OUTPATIENT PRIMARY CARE CENTER
21	22 - NORTHERN TIOGA FAMILY CARE CENTER 119 WHIG ST NEWARK VALLEY,NY13811	OUTPATIENT PRIMARY CARE CENTER
22	23 - CLINTON STREET FAMILY CARE CENTER 142 CLINTON ST BINGHAMTON,NY13905	OUTPATIENT PRIMARY CARE CENTER
23	24 - BENJAMIN FRANKLIN SCHOOL-BASED CLINIC 262 CONKLIN AVE BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
24	25 - THEO ROOSEVELT SCHOOL-BASED CLINIC 9 OGDEN ST BINGHAMTON,NY13901	OUTPATIENT SPECIALTY CARE CENTER
25	26 - UHSH MULTIPLE SPECIALTY CARE CENTERS 52 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
26	27 - BINGHAMTON PEDIATRIC CENTER 10-42 MITCHELL AVE BINGHAMTON,NY13903	OUTPATIENT PRIMARY CARE CENTER

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	THE ORGANIZATION,UHS HOSPITALS, HAS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2015 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART I, LINE 7. ADDITIONALLY, THERE IS NO BAD DEBT EXPENSE IN ANY OF THE COSTS USED IN CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F BECAUSE EXHIBIT A, CMS - 2552 WAS USED.
PART I, LINE 7G:	THE ORGANIZATION HAS SEVERAL PROGRAMS THAT OPERATE AT A LOSS AND ARE SUBSIDIZED BY OTHER PROGRAMS AND SERVICES. SOME OF THE MOST NOTABLE, AS WELL AS ONES WE ARE ABLE TO MEASURE/QUANTIFY ARE THE METHADONE TREATMENT PROGRAM, ALCOHOL REHABILITATION PROGRAM, CHEMICAL DEPENDENCY REHABILITATION PROGRAM, OP MENTAL HEALTH CLINIC, TRANSITIONAL CARE UNIT, ALTERNATE LEVEL OF CARE UNIT, REFERRED AMBULATORY SURGERY, IP MEDICAL SURGERY, AND EMERGENCY SERVICES. THE AMOUNTS ON LINE 7G REPRESENT THE TOTAL COMMUNITY BENEFIT EXPENSE, OFFSETTING REVENUE, AND THE NET COMMUNITY BENEFITS EXPENSE FOR THESE PROGRAMS.
PART I, LN 7 COL(F):	BEGINNING IN 2012 BAD DEBT EXPENSE WAS INCLUDED AS A REDUCTION OF PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD UPDATE (ASU) NO. 2011-07, HEALTH CARE ENTITIES (TOPIC 954). THE ADOPTION OF THIS METHOD HAD THE EFFECT OF REDUCING NET PATIENT SERVICE REVENUE BY $30,042,774 IN 2015. ALTHOUGH FOR FORM 990 PURPOSES, BAD DEBTS ARE REPORTED AS AN EXPENSE RATHER THAN A REDUCTION OF PATIENT SERVICE REVENUE.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE FOLLOWING ARE WAYS IN WHICH UHS HOSPITALS' COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:- UHS HOSPITALS STAY HEALTHY CENTER FOR COMMUNITY HEALTH, LOCATED AT THE OAKDALE MALL IN JOHNSON CITY, NEW YORK COLLABORATES WITH NUMEROUS COMMUNITY AGENCIES AND PROMOTES HEALTHY LIFESTYLES. NURSES AT OUR STAY HEALTHY PROGRAM HANDLE SPECIFIC HEALTH RELATED CALLS, PROVIDE GENERAL HEALTH AND WELLNESS INFORMATION, CUSTOMIZE PHYSICIAN REFERRALS TO MEET PATIENT NEEDS AND OFFER COMMUNITY AND HOSPITAL BASED WELLNESS PROGRAMS. THE PROGRAM INCLUDES: ADULT WELLNESS CLASSES, HEALTHY LIVING RESOURCES, TOBACCO CESSATION AND BC WALKS. SPECIFIC SERVICES INCLUDE: CARE-A-VAN, LACTATION CONSULTANTS, NURSE DIRECT, STAY HEALTHY KIDS, STAY HEALTHY MAGAZINE, CLASSES OFFERED BY STAY HEALTHY INCLUDE A RANGE OF AREAS SUCH AS: BREASTFEEDING, CHILDBIRTH PREPARATION AND PARENTING, CHILDREN'S HEALTH, DIABETES, FITNESS AND EXERCISE, HEALTH AND FITNESS, MEN'S HEALTH, ORTHOPEDICS, RESPIRATORY AND HEART HEALTH, CANCER SURVIVORSHIP, SMOKING CESSATION AND WOMEN'S HEALTH.-THE STAY HEALTHY CENTER ALSO PARTNERS WITH OTHER ORGANIZATIONS TO OFFER COMMUNITY-WIDE ACTIVITIES SUCH AS THE DIABETES HEALTH FAIR, MAKING STRIDES AGAINST BREAST CANCER, SOUTHERN TIER HEART WALK, THE COLOR RUN, STAP MUD GAUNTLET, GREATER BINGHAMTON BRIDGE RUN, STEP OUT, WALK TO STOP DIABETES, UHS PEARLS OF WISDOM AND THE YMCA CORPORATE CHALLENGE.- COMMUNITY HEALTH/OUTREACH PROGRAMS: IN 2015, UHS HOSPITALS INVESTED SUBSTANTIAL FUNDS AND SUPPLIED HUMAN RESOURCES TO PROVIDE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS, PRINTED AND ON-LINE EDUCATIONAL INFORMATION AND OTHER WELLNESS AND PREVENTION SERVICES TO THE COMMUNITY. NUMEROUS UHS HOSPITALS DEPARTMENTS WERE INSTRUMENTAL IN DEVELOPING AND PROVIDING THESE BENEFICIAL PROGRAMS THAT ENABLED THE COMMUNITY TO ACCESS HEALTH EDUCATION AND PREVENTION SERVICES. DURING 2015, $1,699,896 WAS SPENT IN DELIVERING THESE PROGRAMS TO 55,012 COMMUNITY MEMBERS.- SERVING RURAL/UNDERSERVED POPULATIONS: UHS HOSPITALS OPERATES 15 PRIMARY CARE CENTERS, TWO SCHOOL-BASED HEALTH CENTERS, AND A DENTAL CLINIC WHICH PROVIDED ESSENTIAL CARE TO THE UNDERSERVED POPULATION. THE COMBINED 18 SITES HAD 259,884 PATIENT ENCOUNTERS IN 2015. - UHS PERINATAL CENTER: THE CENTER OFFERS A COMPREHENSIVE RANGE OF SERVICES FROM GYNECOLOGY TO MATERNITY & CHILDBIRTH TO BREAST HEALTH. THE STAFF OF SPECIALIZED PHYSICIANS, NURSE PRACTITIONERS, AND CERTIFIED NURSE MIDWIVES CREATED A CARING AND COMPASSIONATE ENVIRONMENT SERVING WOMEN AT EACH STAGE OF LIFE: FROM TEENAGE AND CHILDBEARING YEARS TO MID-LIFE AND SENIOR YEARS ALL HAVING THEIR OWN UNIQUE HEALTH ISSUES. UHS HOSPITALS' PRIMARY CARE CENTERS AND THE PERINATAL CENTER PARTICIPATE IN THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP) OFFERING FINANCIAL ASSISTANCE TO HELP EXPECTANT MOTHERS WITH THE COST OF PRENATAL CARE. DURING 2015, UHS HOSPITALS ASSISTED 656 PREGNANT WOMEN WITH ACCESSING MEDICAID SERVICES. - TRANSITIONAL CARE UNIT: THE TRANSITIONAL CARE UNIT AT BINGHAMTON GENERAL HOSPITAL IS A 20 BED, MEDICARE-CERTIFIED, SKILLED NURSING UNIT FOR PATIENTS WHO HAVE PROGRESSED BEYOND HOSPITAL CARE, BUT WHO STILL NEED 24 HOUR SUPERVISION FOR A SHORT PERIOD OF TIME BEFORE RETURNING HOME. THE UNIT WAS ESTABLISHED AS PART OF A THREE YEAR NYS DEMONSTRATION PROJECT.-BRAIN/SPINE TRAUMA CENTER: WILSON MEDICAL CENTER IS A LEVEL II TRAUMA CENTER WITHIN CENTRAL NEW YORK'S REGIONAL TRAUMA SYSTEM. THE TRAUMA CENTER ACCEPTS SEVERELY INJURED TRAUMA PATIENTS FROM ALL SURROUNDING COUNTIES. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT AT WILSON MEDICAL CENTER, WITH SPACIOUS, SPECIALIZED TRAUMA ROOMS THAT CAN PROVIDE CARE SIMULTANEOUSLY TO AS MANY AS FOUR VICTIMS OF SUDDEN, SERIOUS INJURY.- NEONATAL INTENSIVE CARE UNIT: AS THE PROVIDER OF THE AREA'S ONLY COMPREHENSIVE NICU, WILSON MEDICAL CENTER PROVIDES CARE TO PREMATURE INFANTS, LOW BIRTH WEIGHT BABIES AND THOSE WITH SPECIAL NEEDS. SPECIALIZED EQUIPMENT, ADVANCED TECHNOLOGY AND OUR HIGHLY-TRAINED STAFF HAVE HELPED THOUSANDS OF INFANTS SINCE THE UNIT OPENED OVER 30 YEARS AGO. THE NEW YORK STATE DEPARTMENT OF HEALTH HAS DESIGNATED THIS UNIT AS THE AREA'S ONLY LEVEL 3 NURSERY FOR CARING FOR BOTH BABIES AND THEIR MOTHERS.- EVENT SPONSORSHIPS: UHS HOSPITALS SUPPORTS SPONSORSHIPS THAT ARE DIRECTLY RELATED TO COMMUNITY HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WHILE KEEPING WITH THE MISSION OF UHS HOSPITALS. DURING 2015, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $41,500 TO A VARIETY OF COMMUNITY ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION AND THE AMERICAN CANCER SOCIETY. - VOLUNTEERS AT COMMUNITY EVENTS: UHS HOSPITALS MEDICAL PROFESSIONALS FROM THE INTERNAL MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAM, UHS EMERGENCY AND TRAUMA SERVICES AS WELL AS OTHER AREAS OF UHS HOSPITALS VOLUNTEER THROUGHOUT THE YEAR TO STAFF MEDICAL TENTS AT NUMEROUS COMMUNITY EVENTS INCLUDING THE SPIEDIE FEST (WHICH DRAWS MORE THAN 100,000 PEOPLE), THE DICK'S SPORTING GOODS OPEN (A WEEKLONG EVENT WHICH INCLUDES THE PRACTICE ROUNDS, PRO-AM AND A COMMUNITY CONCERT), MACK SHOOT OUT LACROSSE TOURNAMENT, BINGHAMTON BRIDGE RUN, BINGHAMTON METS GAMES, BINGHAMTON SENATORS HOCKEY GAMES, JC CAROUSEL DAY AND THE CHRIS THATER RACE. THE COMMUNITY ACTIVITIES COORDINATED BY THE STAY HEALTHY CENTER ALSO RELY ON UHSH EMPLOYEES THAT VOLUNTEER THEIR TIME AT MANY OF THESE EVENTS. RESIDENCY AND EDUCATION INCENTIVES: AS A MAJOR TEACHING AND EDUCATIONAL FACILITY IN THE SOUTHERN TIER OF NEW YORK STATE AND THE SURROUNDING REGION, UHS HOSPITALS SERVES AS A CLINICAL PRACTICE SITE FOR MEDICAL STUDENTS, NURSING STUDENTS, DIETARY INTERNS, LABORATORY TECHNICIANS, MANAGEMENT/BUSINESS INTERNS AND PHYSICAL THERAPY INTERNS. PROGRAMS SUCH AS THESE PROVIDE THE AREA WITH A CONSTANT SUPPLY OF WELL-TRAINED HEALTH CARE PROFESSIONALS AND ENHANCE THE ABILITY OF THE COMMUNITY TO RECEIVE STATE-OF-THE-ART, HIGH QUALITY AFFORDABLE MEDICAL CARE. IN 2015 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 200 STUDENTS PROVIDING A TOTAL OF $337,577 IN INCENTIVES, INCLUDING, BUT NOT LIMITED TO: THE REGISTERED NURSE EDUCATION INCENTIVE PROGRAM, THE PHARMACY EDUCATION INCENTIVE PROGRAM AND SEVERAL TEACHING DAY PROGRAMS FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.- UHS FOUNDATION: THE UNITED HEALTH SERVICES FOUNDATION IS A SEPARATE INDEPENDENT CORPORATION DEDICATED TO RAISING FUNDS DIRECTLY FROM COMMUNITY MEMBERS AND GRANT CONTRIBUTORS FOR THE PURPOSE OF PROVIDING INCREMENTAL FINANCIAL SUPPORT TO CERTAIN MEMBERS OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM. IN 2015, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UNITED HEALTH SERVICES FOUNDATION, INC. TOTALED $870,024. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS.
PART III, LINE 4:	THE ORGANIZATION'S COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON PART III, SECTION A, NUMBERS 2 AND 3 IS THE RATIO OF PATIENT CARE COSTS TO CHARGES (SEE BELOW FOR GREATER DETAIL).PART III, SECTION A - #2 - THE COST OF BAD DEBTS IS COMPUTED BY APPLYING THE OVERALL RATIO OF PATIENT COST TO CHARGES TO THE TOTAL BAD DEBT EXPENSE. PART III, SECTION A - #3 - THE CHARITY CARE BAD DEBT IS DERIVED BY COMPUTING THE CHARGES SUBJECT TO COLLECTION WHICH IS THE DIFFERENCE BETWEEN THE TOTAL CHARGES AND ALLOWANCES. THIS AMOUNT IS DIVIDED BY UHS HOSPITALS' TOTAL GROSS CHARGES RESULTING IN THE CHARITY PERCENT WHICH IS APPLIED TO THE TOTAL COST OF BAD DEBTS.
PART III, LINE 8:	UHS HOSPITALS FEELS THAT ANY SERVICES PROVIDED TO MEDICARE BENEFICIARIES THAT RESULT IN A SHORTFALL TO THE ORGANIZATION BASED ON A LESS THAN ADEQUATE MEDICARE REIMBURSEMENT SHOULD BE TREATED AS A COMMUNITY BENEFIT. UHS HOSPITALS TREATS ANY AND ALL COMMUNITY MEMBERS REGARDLESS OF ABILITY TO PAY. UHS HOSPITALS' SERVICE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE U.S. OR NEW YORK STATE AVERAGES AND HAS AN INCOME LEVEL THAT IS 18% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, DURING 2015 IT PROVIDED OVER $10,100,000 OF FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ITS PATIENTS, MANY OF WHOM WERE MEDICARE BENEFICIARIES. UHS HOSPITALS USES THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2015 MEDICARE COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.
PART III, LINE 9B:	UHS HOSPITALS' POLICY CLEARLY STATES THAT THE FORCED SALE OR FORECLOSURE OF A PATIENT'S PRIMARY RESIDENCE, LIQUIDATION OF RETIREMENT ASSETS OR COLLEGE SAVINGS, AND THE SALE OF A CAR USED REGULARLY ARE NOT PERMITTED. THE POLICY ALSO PROHIBITS COLLECTION FROM PATIENTS WHO ARE DETERMINED TO BE ELIGIBLE FOR MEDICAID AT THE TIME OF SERVICE.UHSH REFRAINS FROM SENDING AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION AND THE REQUIRED DOCUMENTATION ARE PROVIDED. UHSH PROVIDES WRITTEN NOTICE NO LESS THAN 30 DAYS PRIOR TO REFERRING DEBTS TO COLLECTION AGENCIES AND WILL REFRAIN FROM INITIATING ANY EXTRAORDINARY COLLECTION ACTS FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST DISCHARGE BILLING STATEMENT. UHSH ALSO REQUIRES THAT COLLECTION AGENCIES FOLLOW THE FINANCIAL ASSISTANCE POLICY GUIDELINES AND MUST RECEIVE WRITTEN CONSENT FROM UHSH BEFORE COMMENDING LEGAL ACTION.
PART VI, LINE 2:	UHS HOSPITALS USES COMMUNITY SPECIFIC DATA FROM MULTIPLE SOURCES TO UNDERSTAND THE HEALTH CARE NEEDS OF OUR AREA RESIDENTS. DURING 2015, WE CONTINUED TO FOCUS ON IMPROVING COMMUNITY HEALTH CARE BY LISTENING TO INPUT FROM OVER 20,000 CUSTOMERS AND RESPONDING TO THOSE NEEDS. ALSO, WE CONTINUALLY INVITE THE PUBLIC TO PARTICIPATE IN OUR SELF-ASSESSMENT PROCESS BY MEANS OF SURVEYS, PRIMARY MARKET STUDIES, FOCUS GROUPS AND E-MAIL COMMENTS SUBMITTED THROUGH OUR COMPREHENSIVE INTERNET SITE. THROUGHOUT THE YEAR INPUT FROM STAFF, THE PUBLIC AND OUR BOARD MEMBERS ARE UTILIZED IN DETERMINING AND SHAPING OUR RESPONSE TO THE COMMUNITY'S HEALTH CARE NEEDS. RECENT STUDIES USED BY THE HOSPITAL FOR THE PURPOSE OF ASSESSING OUR MARKET'S HEALTH STATUS INCLUDES:- PRESS GANEY PATIENT SATISFACTION SURVEY SCORES AND COMMENTS (ONGOING)- 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.UHS HOSPITALS COMMUNITY SERVICE PLANNING IS SHAPED BY ANNUAL STRATEGIC PLANNING WHICH INCLUDES A REVIEW OF ALL AVAILABLE HEALTH/COMMUNITY ASSESSMENT DOCUMENTS, INCLUDING:- COMMUNITY HEALTH ASSESSMENT 2013-2016, BROOME COUNTY HEALTH DEPARTMENT- COMMUNITY HEALTH ASSSESSMENT 2013-2016, TIOGA COUNTY HEALTH DEPARTMENT- HEALTHY PEOPLE 2010- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN - 2014-2016IN 2008, NEW YORK STATE DEPARTMENT OF HEALTH (DOH) DEVELOPED A PREVENTION AGENDA THAT ESTABLISHED 10 PRIORITY AREAS WITH YEAR 2012 GOALS AND MEASURABLE OBJECTIVES. AS PART OF A STATEWIDE EFFORT TO EMPHASIZE LOCAL HEALTH PLANNING, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS TO DETERMINE TWO PUBLIC HEALTH PRIORITIES WHICH FORM THE BASIS OF THE UHSH 2013-2015 COMMUNITY SERVICE PLAN. UHS HOSPITALS IS PROUD OF THE TRADITION OF PARTNERING WITH MANY COMMUNITY AGENCIES, BOTH FORMALLY AND INFORMALLY, TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY. IN ORDER TO ASSESS COMMUNITY HEALTH NEEDS FOR THIS PLAN, UHS HOSPITALS COLLABORATED WITH THE BROOME AND TIOGA COUNTY HEALTH DEPARTMENTS AND A TASK FORCE OF REPRESENTATIVES FROM COMMUNITY AGENCIES WHICH INCLUDED:- BINGHAMTON UNIVERSITY- BROOME COUNTY COUNCIL OF CHURCHES- BROOME COUNTY DEPARTMENT OF SOCIAL SERVICES- BROOME COUNTY ENVIRONMENTAL MANAGEMENT COUNCIL- BROOME COUNTY HEALTH DEPARTMENT- BROOME COUNTY OFFICE FOR THE AGING- BROOME COUNTY URBAN LEAGUE- BROOME COUNTY YOUTH BUREAU- EXCELLUS BLUECROSS & BLUE SHIELD- OUR LADY OF LOURDES HOSPITAL- MOTHERS & BABIES PRENATAL NETWORK OF SCNY- SUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - UHS HOSPITALS- UNITED WAY OF BROOME COUNTYTHE BROOME AND TIOGA COUNTY COMMUNITY HEALTH ASSESSMENTS ARE THE RESULT OF THIS TASK FORCE'S COLLABORATION AND THE BASIS FOR SELECTION OF THE PUBLIC HEALTH PRIORITIES FRAMING THE COMMUNITY SERVICE PLAN. THE MAPP PROCESS WAS USED TO CONDUCT ASSESSMENTS OF: COMMUNITY THEMES & STRENGTHS, LOCAL PUBLIC HEALTH SYSTEM, COMMUNITY HEALTH STATUS AND FORCES OF CHANGE. THE PROCESS RELIED HEAVILY ON THE CAPTURE AND ANALYSIS OF DATA THROUGH FOCUS GROUPS AND SURVEYS AND THE ANALYSIS OF EXISTING DATA SETS (THE COMMUNITY HEALTH DATA SET, COUNTY HEALTH ASSESSMENT INDICATORS, BEHAVIORIAL RISK FACTOR STATISTICAL SURVEY, YOUTH RISK BEHAVIORIAL SURVEY, STATEWIDE PLANNING AND RESEARCH COUNCIL STATISTICS AND OTHER COUNTY LEVEL DATA AVAILABLE ON THE NYS HEALTH INFORMATION NETWORK) IN COMPARISON TO THE 2015 PREVENTION AGENDA GOALS. UHS HOSPITALS ENHANCED THE PREVENTION QUALITY INDICATORS DATA BY ADDING INCIDENCE DATA FOR BROOME COUNTY RESIDENTS WHO USE PENNSYLVANIA HOSPITALS. THE STEERING COMMITTEE SYNTHESIZED THE ASSESSMENTS IN ORDER TO IDENTIFY STRATEGIC ISSUES AND FORMULATE GOALS AND STRATEGIES. THE STEERING COMMITTEE USED THE FOLLOWING CRITERIA TO RATE THE PREVENTION AGENDA PRIORITIES AND ADDITIONAL PRIORITIES IDENTIFIED BY TASK FORCE MEMBERS:- POTENTIAL COSTS TO THE HEALTH CARE SYSTEM- ABSOLUTE NUMBER OF INDIVIDUALS AFFECTED- WORSENING TREND IN HEALTHCARE INDICATORS OVER THE PAST 5 YEARS- UNDERPERFORMING HEALTHY PEOPLE 2010 REPORT AND/OR NEW YORK STATE 2013 PREVENTION AGENCY GOALS- WORK TIME LOST OR DISABILITY CLAIMS- PARTICULAR AREAS OF CONCERN (DISPARITIES)- FEASIBILITY FOR POTENTIAL INTERVENTION- AVAILABILITY FOR FUNDING THE INITIATIVES- FORCES FOR CHANGE (TRENDS, FACTORS AND EVENTS)- MEASURABILITY OVER TIME
PART VI, LINE 3:	UHS HOSPITALS IS COMMITTED TO PROVIDE FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED AND TO COMMUNICATE THE AVAILABILITY OF ITS FINANCIAL ASSISTANCE AND RELATED PROGRAMS TO ALL. OUR PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS AND PROVIDE ASSESSMENTS FOR ELIGIBILITY UNDER ANY STATE, FEDERAL OR UHS HOSPITALS FINANCIAL ASSISTANCE PROGRAM. BROCHURES AND SIGNAGE ARE POSTED IN MULTIPLE LANGUAGES AS REQUIRED BY NYS REGULATIONS AT EACH REGISTRATION/PATIENT ACCESS AREA. IF NEEDED, TRANSLATION SERVICES ARE AVAILABLE. UHS HOSPITALS ALSO MAINTAINS A FINANCIAL ASSISTANCE HELP LINE THAT IS IDENTIFIED ON ALL INPATIENT & OUTPATIENT BILLS. THE TOTAL 2015 FINANCIAL ASSISTANCE AMOUNTS PROVIDED TO UHS HOSPITALS PATIENTS IS DETAILED IN SCHEDULE H PART 1, LINE 7.
PART VI, LINE 4:	UHS HOSPITALS SERVES THE GREATER BINGHAMTON, NEW YORK REGION, WHICH ENCOMPASSES BROOME, TIOGA, CHENANGO, OTSEGO AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 382,400 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 18% POORER THAN THE UNITED STATES AVERAGE.
PART VI, LINE 5:	THE UHS HOSPITALS MISSION IS TO SERVE THE PEOPLE OF OUR REGION, TO IMPROVE OR MAINTAIN THEIR HEALTH, AND TO PROVIDE 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. UHS HOSPITALS SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 320 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:	THE UHS HOSPITALS 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. UHS HOSPITALS SERVES THE COMMUNITY WITH AN OPEN MEDICAL STAFF OF APPROXIMATELY 320 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.DESCRIPTION OF AFFILIATED HEALTH CARE (IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED):UHS HOSPITALS IS AN IMPORTANT PART OF A LARGER SYSTEM OF INTEGRATED CARE DELIVERY, WHICH PROVIDES ADDITIONAL BENEFITS TO THE COMMUNITY. AS A RESULT OF THE FORMATION OF UHS HOSPITALS IN 1981 AND THE SUBSEQUENT TRANSFORMATION OF THE COMBINED ORGANIZATION INTO THE UHS HEALTH CARE SYSTEM, OUR REGION TODAY OFFERS MORE COMPLETE AND ADVANCED CARE THAN MANY COMMUNITIES FIVE TIMES OUR SIZE. EVERY THREE YEARS, UHS HOSPITALS DEVELOPS A SYSTEM-WIDE STRATEGIC PLAN. CONSISTENT WITH THE MISSION AND VISION, THE PLAN IS FOCUSED ON CONTINUING TO STRENGTHEN THE UHS HEALTH SYSTEM AND ITS SERVICES TO THE COMMUNITY. THE STRATEGIC PLAN IS ORGANIZED AROUND THREE GOALS: QUALITY, MARKET GROWTH 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 UHS HOSPITALS COMMUNITY SERVICE REPORT CAPTURES THE BENEFITS SPECIFIC TO UHS HOSPITALS. - QUALITY: UHS HOSPITALS HAS FOCUSED ITS RESOURCES AND ENERGY AROUND ACHIEVING DISTINCTION AS A HEALTH SYSTEM IN CLINICAL QUALITY AND PATIENT SAFETY. UHS HOSPITALS IS FOCUSED ON VIGOROUS ASSESSMENT AND IMPROVEMENT OF THE ORGANIZATION'S PERFORMANCE USING KEY PATIENT QUALITY, SAFETY AND SATISFACTION INDICATORS. THE PLAN PLACES A FOCUS IN PARTICULAR ON EMERGENCY ROOM PERFORMANCE, CLOSER INTEGRATION OF NON-ACUTE SERVICES WITH THE HOSPITALS, DEVELOPMENT AND IMPLEMENTATION OF STATE-OF-THE-ART INFORMATION TECHNOLOGY TO SUPPORT INITIATIVES IN PATIENT QUALITY AND SAFETY AND NEW INITIATIVES IN THE RECRUITMENT AND RETENTION OF A QUALITY PHYSICIAN AND ALLIED HEALTHCARE PROVIDER WORKFORCE. THE PLAN ALSO 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, UHS HOSPITALS REMAINS COMMITTED TO MEETING THE COMMUNITY'S BEHAVIORAL HEALTH SERVICE NEEDS.- FINANCIAL STRENGTH: TO ENSURE UHS HOSPITALS HAS THE FINANCIAL CAPACITY TO SUPPORT ITS CLINICAL SERVICE AND GROWTH GOALS, THE STRATEGIC PLAN CALLS ON THE ORGANIZATION TO DEMONSTRATE CONSISTENT PERFORMANCE WITH RESPECT TO BENCHMARKED OPERATING EFFICIENCIES. THIS INCLUDES PARTICIPATING IN 340B INDIGENT CARE PHARMACY PRICING IN ORDER TO SERVE MORE LOW INCOME ELIGIBLE PATIENTS AND PROVIDE MORE COMPREHENSIVE SERVICE.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Yes

Any related organization? .........................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MATTHEW SALANGERFACHE, 2ND VICE CHR, CEO	(i) (ii)	447,409 ------------- 447,409	86,133 ------------- 86,134	89,075 ------------- 89,076	8,082 ------------- 8,083	11,465 ------------- 11,465	642,164 ------------- 642,167	0 ------------- 0
2RAJESH DAVE MDCHIEF MEDICAL OFFICER	(i) (ii)	405,386 ------------- 101,346	65,191 ------------- 16,298	8,600 ------------- 2,150	12,932 ------------- 3,233	13,935 ------------- 3,484	506,044 ------------- 126,511	0 ------------- 0
3JOHN CARRIGGCHIEF OPERATING OFFICER	(i) (ii)	225,890 ------------- 225,890	36,315 ------------- 36,315	0 ------------- 0	8,082 ------------- 8,083	8,632 ------------- 8,632	278,919 ------------- 278,920	0 ------------- 0
4DAVE MACDOUGALLSR VP OF FINANCE AND SYS	(i) (ii)	257,215 ------------- 171,476	41,614 ------------- 27,742	0 ------------- 0	9,699 ------------- 6,466	13,412 ------------- 8,942	321,940 ------------- 214,626	0 ------------- 0
5KAY BOLANDVP PATIENT CARE SERVICES	(i) (ii)	146,118 ------------- 146,118	19,436 ------------- 19,437	0 ------------- 0	8,082 ------------- 8,083	5,668 ------------- 5,669	179,304 ------------- 179,307	0 ------------- 0
6MICHAEL MCNALLYVP HUMAN RESOURCES	(i) (ii)	254,820 ------------- 0	33,899 ------------- 0	0 ------------- 0	16,165 ------------- 0	10,706 ------------- 0	315,590 ------------- 0	0 ------------- 0
7ROBERT MCCARTHYVP FINANCIAL OPERATIONS	(i) (ii)	97,834 ------------- 97,833	12,950 ------------- 12,950	0 ------------- 0	6,758 ------------- 6,758	1,417 ------------- 1,417	118,959 ------------- 118,958	0 ------------- 0
8CHRISTINA BOYDVP COMMUNITY RELATIONS	(i) (ii)	97,380 ------------- 97,380	12,953 ------------- 12,954	0 ------------- 0	6,730 ------------- 6,731	10,348 ------------- 10,348	127,411 ------------- 127,413	0 ------------- 0
9NANCY RONGOVP CARE MANAGEMENT	(i) (ii)	191,295 ------------- 0	24,935 ------------- 0	0 ------------- 0	13,190 ------------- 0	15,063 ------------- 0	244,483 ------------- 0	0 ------------- 0
10VIVIEN FONGUE DOORTHOPEDIC SURGEON	(i) (ii)	556,330 ------------- 0	25,000 ------------- 0	0 ------------- 0	18,153 ------------- 0	18,460 ------------- 0	617,943 ------------- 0	0 ------------- 0
11ISKANDAR KASSIS MDDIRECTOR OF OBGYN	(i) (ii)	519,459 ------------- 0	6,120 ------------- 0	0 ------------- 0	18,153 ------------- 0	17,295 ------------- 0	561,027 ------------- 0	0 ------------- 0
12VARUN REDDY MDNEURO INTERVENTION SURGEON	(i) (ii)	473,920 ------------- 0	0 ------------- 0	0 ------------- 0	18,153 ------------- 0	7,563 ------------- 0	499,636 ------------- 0	0 ------------- 0
13PETER RONAN MDASSISTANT MEDICAL DIRECTOR	(i) (ii)	300,663 ------------- 0	0 ------------- 0	0 ------------- 0	18,153 ------------- 0	9,951 ------------- 0	328,767 ------------- 0	0 ------------- 0
14JOHN R CUNNINGHAM MDPHYSICIAN	(i) (ii)	275,566 ------------- 0	0 ------------- 0	0 ------------- 0	18,153 ------------- 0	14,506 ------------- 0	308,225 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 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.

PART I LINE 6A, LINE 6B

UHS HOSPITAL'S EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, SERVICE EXCELLENCE, MARKET GROWTH AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE CONSOLIDATED NET INCOME OF UHS HOSPITALS AND THE SOLE CORPORATE MEMBER, UNITED HEALTH SERVICES, INC. A PORTION OF THE 2015 INCENTIVE COMPENSATION PAYMENT WAS ATTRIBUTABLE TO MEETING THE CONSOLIDATED NET INCOME GOALS.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number
16-1165049

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293	BANKQLFID	12-14-2010	20,000,000	CONSTRUCTION OF CLINIC BUIDING		X		X		X
B	DORMITORY AUTHORITY OF THE STATE OF NEW YORK	14-6000293		07-28-2015	22,900,000	CONSTRUCTION OF COMPREHENSIVE ORTHOPEDIC CENTER		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,000,000		2,896,929
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			3,168
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	400,000		682,440
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	19,600,000		2,211,321
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X			X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...	X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X			X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......			X
b Exception to rebate? ........				X
c No rebate due? .........				X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KELLEY MCCARTHY	SPOUSE OF OFFICER, ROBERT MCCARTHY	85,022	COMPENSATION (WAGES)		No
(2) RICHARD BOLAND	SON OF OFFICER, KAY BOLAND	46,654	COMPENSATION (WAGES)		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Return Reference	Explanation
FORM 990, PART III, LINE 2	BEGINNING IN FEBRUARY 2015, UHS HOSPITALS COLLABERATED WITH BROOME ONCOLOGY TO ESTABLISH UHS MEDICAL ONCOLOGY AND PROVIDE ENHANCED CANCER CARE SERVICES TO PATIENTS THROUGHOUT THE SOUTHERN TIER. THE ALIGNMENT OF THE TWO ORGANIZATIONS WAS DESIGNED TO PRODUCE QUALITY CARE AND SERVICE THAT ARE CONTINUALLY MORE EFFICIENT, EFFECTIVE AND PATIENT-CENTERED, WITH MORE COHESIVE STRATEGIC PLANNING AND DIRECTION IN THE DEVELOPMENT OF ONCOLOGY SERVICES IN GREATER BINGHAMTON. THE FORMER BROOME ONCOLOGY OFFICE SPACE--WILSON SQUARE, 30 HARRISON ST, SUITE 100, JOHNSON CITY, NY--WAS CONVERTED TO A UHS HOSPITALS-LICENSED SITE THROUGHOUT 2015 AND WAS FINALIZED IN FEBRUARY 2016. UHS MEDICAL ONCOLOGY NOW OFFERS QUALITY CANCER CARE INCLUDING CHEMOTHERAPY, INTRAOPERATIVE CHEMOTHERAPY, POST-OPERATIVE CHEMOTHERAPY, CHEMOEMBOLIZATION, AND HORMONE THERAPY.
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 UHS HOSPITALS BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 (AND 990-T) TO MANAGEMENT. THE UHS HOSPITALS' FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO, INDEPENDENT AUDITORS AND BY THE UHS HOSPITALS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	UHS HOSPITALS HAS A WRITTEN CONFLICT OF INTEREST POLICY FOLLOWED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH UHS HOSPITALS AGENT MUST SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED AND ENFORCED BY THE AUDIT COMMITTEE OF THE UHS HOSPITALS PARENT COMPANY, UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION B, LINE 15	IT IS THE PHILOSOPHY OF UHS HOSPITALS THAT ALL STAFF INCLUDING THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW UHS HOSPITALS TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS HOSPITALS' STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, THE UHS HOSPITALS BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL EXECUTIVE COMPENSATION CONSULTING FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1) THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON "TOTAL REVENUE" METRICS), AND 2) A "REASONABLENESS ASSESSMENT" CONSISTENT WITH U.S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMPENSATION COMMITTEE IN DETERMINING THE APPROPRIATENESS OF SENIOR MANAGEMENT'S CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 159,688. RETIREMENT PLAN OBLIGATION CHANGES -819,988.
FORM 990 PART XII LINE 2C	NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE YEAR.
SCHEDULE H, PART V, SECTION B, LINE 11 (GROUP A-FACILITY 1)	4. REDUCE OBESITY IN CHILDREN AND ADULTS STRATEGY OBJECTIVE: PREVENT CHILDHOOD AND ADULT OBESITY THROUGH INTERVENTION IN EARLY CHILDHOOD AND INCREASED PHYSICAL ACTIVITY. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -IMPLEMENT PROGRAMS SUCH AS SMALL STEPS IN SCHOOLS THAT PROMOTES INCREASING PHYSICAL ACTIVITY, CONSUMING FRUITS AND VEGETABLES AND DECREASING SCREEN TIME. -PROVIDE EDUCATION ON BEHAVIOR MODIFICATIONS AND MEAL PORTION SIZES TO CHILDREN. -COLLABORATE WITH HEALTH CARE PROVIDERS BY PROVIDING THEM WITH OBESITY INFORMATION/GUIDELINES AND ENCOURAGE COMPLIANCE TO NYS GUIDELINES. -COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE AREAS OF PHYSICAL ACTIVITY. GOALS AND PERFORMANCE MEASURES -BY YEAR END 2015, INCREASE THE NUMBER OF SCHOOL DISTRICTS PARTICIPATING IN THE SMALL STEPS PROGRAM FROM 3 TO 5. -BY YEAR END 2015, INCREASE THE NUMBER OF CHILDREN WHO ATTEND STAY HEALTHY KIDS CLUB. -MEASURE THE BODY MASS INDEX (BMI) OF THE STAY HEALTHY KIDS CLUB POPULATION (8 TO 13 YEARS OLD) TO BE BELOW THE 85TH PERCENTILE. -TRACK DATA FROM QUESTIONNAIRE (WE CAN AND CATCH) AS WELL AS PRE AND POST BMI DATA. -PERFORM RANDOM CHART AUDITS TO DOCUMENT HEALTH CARE PROVIDER COMPLIANCE. -INCREASE THE NUMBER OF PROGRAMS SUCH AS BC WALKS AND MALL WALKERS AT THE OAKDALE MALL 2015 PROGRESS REPORT -UHS CHILDHOOD OBESITY NURSES, VIA THE NEW YORK STATE GRANT, DEVELOPED PROVIDER ALLIANCES WITH 8 KEY PROVIDER SITES (BOTH UHS AND NON-UHS) TO PROVIDE TOOLS TO SHARE WITH CHILDREN AND PARENTS, ON NUTRITION, EXERCISE, REDUCTION OF SCREEN TIME, ETC. TRACKED PATIENT DATA ON 4 OF THESE PROVIDER SITES BY REVIEWING 50 PATIENT WELLNESS VISITS, OR ALL IF LESS THAN 50, ON A MONTHLY BASIS. PATIENT HEIGHT/WEIGHT, BMI, BP ON CHILDREN >3 YRS/ OF AGE, PROVIDER DOCUMENTATION OF PATIENT COUNSELING ON NUTRITION, EXERCISE, DECREASED SCREEN TIME, ETC; AS WELL AS ALL COMMUNITY REFERRALS MADE FOR PATIENT ON THESE TOPICS. -WORKED WITH LOCAL SCHOOLS TO PROMOTE CHILDHOOD WELLNESS TOOLS THAT WERE DISTRIBUTED AT SCHOOL FUNCTIONS AND HEALTH FAIRS. -COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP CONSISTENT MESSAGING FOR CHILDREN AND ADULTS, ON CHILDHOOD OBESITY PREVENTION MEASURES, INCLUDING THE ENCOURAGEMENT OF BREASTFEEDING OVER BOTTLE. -UHS STAY HEALTHY DEVELOPED AN ADULT WEIGHT MANAGEMENT & WELLNESS PROGRAM THAT BEGAN IN JANUARY 2015. WE HAD 335 PEOPLE REGISTERED FOR THE PROGRAM IN 2015. -THE EXISTING STAY HEALTHY KIDS PROGRAM WAS REVAMPED FOR 2015, TO FOCUS MORE ON WELLNESS STRATEGIES FOR ALL CHILDREN REGARDLESS OF BMI AND WILL NOW INCLUDE CHILDREN WITH PROVIDERS IN OR OUTSIDE THE UHS PROVIDER NETWORK. WE HAD 51 INTERACTIONS WITH CHILDREN AND FAMILY MEMBERS IN 2015 FOR THIS PROGRAM. 5. REDUCE TOBACCO USE STRATEGY OBJECTIVE: PROMOTE TOBACCO CESSATION BY YOUTH, YOUNG ADULTS, ESPECIALLY AMONG LOW SOCIOECONOMIC ADULT POPULATION. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS PROMOTING TOBACCO CESSATION IN FIVE COUNTIES. -UTILIZE TOBACCO CESSATION PROGRAM BY OFFERING FREE WEEKLY CESSATION CLASSES AND STRATEGIES TO CUT TOBACCO DEPENDENCE. -UTILIZE THE PRE-ADMISSION TESTING (PAT) PROCESS TO REACH THE COMMUNITY AS ALL QUALIFIED PATIENTS WHO GO THROUGH PAT, RECEIVE A TOBACCO CESSATION REDEMPTION COUPON. GOALS AND PERFORMANCE MEASURES -TRACK THE CONTACTS MADE TO HEALTH CARE PROVIDERS TO REACH 20 NEW PROVIDERS EVERY YEAR. -TRACK THE USAGE/REDEMPTION RATE OF COUPONS THAT CAN BE USED TO OBTAIN NICOTINE REPLACEMENT THERAPIES. 2015 PROGRESS REPORT -UHS OFFERS FREE WEEKLY CESSATION CLASSES THAT INCLUDE STRATEGIES TO CUT TOBACCO DEPENDENCE. WE HAD 210 PEOPLE REGISTERED FOR TOBACCO CESSATION CLASSES. ALL UHS INPATIENTS, OUTPATIENTS AND VISITORS CAN REQUEST A TOBACCO CESSATION PACKET WHICH INCLUDES A COUPON FOR FREE NRT. OVER 1,000 PACKETS WERE GIVEN OUT IN 2015. -ALL PROVIDER OFFICES ADDRESS TOBACCO USE WITH EACH PATIENT AND REFER PATIENTS TO NEW YORK STATE QUIT LINE OR CLASSES. -UHS STAY HEALTHY NURSES PROVIDED 63 OUTREACH CALLS TO PATIENTS IN 2015. -A LOW DENSITY CT LUNG SCREENING PROGRAM STARTED IN OCTOBER 2015. STAY HEALTHY NURSES COMPLETED 27 SCREENINGS, 11 OF WHICH SIGNED UP FOR OUR TOBACCO CESSATION PROGRAM. -UHS HOSPITALS REMAIN TOBACCO FREE CAMPUSES. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN 1. INCREASE BREASTFEEDING STRATEGY OBJECTIVE: BY YEAR END 2015, INCREASE THE PERCENTAGE OF WOMEN AT UHSH TO INITIATE BREAST-FEEDING AND INCREASE THE NUMBER OF INFANTS WHO ARE BREAST-FED. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -DISCUSS AND OFFER LITERATURE ABOUT BREAST-FEEDING AT PRE-NATAL VISITS AND SKIN-TO-SKIN IMMEDIATELY AFTER BIRTH. -ALL MOTHERS CONTACTED 3 TO 5 DAYS OF DISCHARGE AND OFFERED GUIDANCE AND SUPPORT IN ANY BREAST-FEEDING STRATEGIES AND (IF NEEDED) EQUIPMENT RENTAL. -FREE LACTATION CONSULTANT SERVICES MADE AVAILABLE TO ALL MOTHERS. GOALS AND PERFORMANCE MEASURES -TRACK THE MOTHERS CONTACTED BY YEAREND 2015 AND CONTINUE PERIODIC CONTACT FOR TWO YEARS UPON DISCHARGE. -DECREASE FORMULA USAGE BY MOTHERS. -TRACK ENROLLMENT IN PRE-NATAL CLASSES AND BREAST-FEEDING COURSES. 2015 PROGRESS REPORT -UHS STAY HEALTHY NURSES WORKED IN CONJUNCTION WITH THE BROOME COUNTY HEALTH DEPARTMENT AND MOTHER'S AND BABIES AND COMPLETED OUTREACH TO 2 UHS PROVIDER SITES TO INTRODUCE "BREASTFEEDING FRIENDLY" OFFICE POLICY. -OUR UHS LACTATION CONSULTANT PROVIDED CONSULTANT SERVICES TO 71 BREASTFEEDING MOTHERS IN 2015. STAY HEALTHY NURSES MADE OVER 1,000 CALLS TO NEW MOMS IN 2015. -ADDITIONAL STAY HEALTHY NURSE WAS CERTIFIED AS A "LACTATION COUNSELOR". UHS CONTINUES TO PROVIDE FREE LACTATION SERVICES AT THE STAY HEALTHY CENTER WITH A CERTIFIED INTERNATIONAL LACTATION CONSULTANT. STAY HEALTHY CENTER PROVIDES ON- SITE PRIVATE SPACE FOR BREASTFEEDING MOTHERS AND THEIR BABIES. PROMOTE A HEALTHY AND SAFE ENVIRONMENT 1. IMPROVE OUTDOOR AIR QUALITY STRATEGY OBJECTIVE: REDUCE EXPOSURE TO COMMUNITY OF HARMFUL EFFECTS OF TOBACCO AND EXPOSURE TO HARMFUL EFFECTS OF SECOND-HAND SMOKING. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -ALL UHSH FACILITIES TO BE TOBACCO-FREE. -ALL UHSH FACILITIES TO ADOPT POLICIES THAT PROHIBIT SMOKING ON ALL HOSPITAL GROUNDS AND WITHIN 15 FEET OF THE PROPERTY LINES. GOALS AND PERFORMANCE MEASURES -INCREASE AVAILABILITY OF THE "SURVIVAL PACK" WHICH INCLUDES A COUPON FOR FREE NRT (NICOTINE REPLACEMENT THERAPY) GUM. -TRACK THE "SURVIVAL PACK" PARTICIPATION BY EMPLOYEES, FAMILY MEMBERS AND VISITORS. 2015 PROGRESS REPORT -UHS HAS ADOPTED A TOBACCO FREE POLICY TO PROHIBIT SMOKING ON ALL HOSPITAL GROUNDS WITHIN 15 FEET OF PROPERTY LINES. -OVER 750 "SURVIVAL PACKS" WERE GIVEN OUT TO EMPLOYEES, VISITORS AND FAMILY MEMBERS IN 2015. -210 REGISTERED FOR TOBACCO CESSATION CLASSES AT THE STAY HEALTHY CENTER.
SCHEDULE H, PART V, SECTION B, LINE 11 (GROUP A-FACILITY 2)	4. REDUCE OBESITY IN CHILDREN AND ADULTS STRATEGY OBJECTIVE: PREVENT CHILDHOOD AND ADULT OBESITY THROUGH INTERVENTION IN EARLY CHILDHOOD AND INCREASED PHYSICAL ACTIVITY. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -IMPLEMENT PROGRAMS SUCH AS SMALL STEPS IN SCHOOLS THAT PROMOTES INCREASING PHYSICAL ACTIVITY, CONSUMING FRUITS AND VEGETABLES AND DECREASING SCREEN TIME. -PROVIDE EDUCATION ON BEHAVIOR MODIFICATIONS AND MEAL PORTION SIZES TO CHILDREN. -COLLABORATE WITH HEALTH CARE PROVIDERS BY PROVIDING THEM WITH OBESITY INFORMATION/GUIDELINES AND ENCOURAGE COMPLIANCE TO NYS GUIDELINES. -COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE AREAS OF PHYSICAL ACTIVITY. GOALS AND PERFORMANCE MEASURES -BY YEAR END 2015, INCREASE THE NUMBER OF SCHOOL DISTRICTS PARTICIPATING IN THE SMALL STEPS PROGRAM FROM 3 TO 5. -BY YEAR END 2015, INCREASE THE NUMBER OF CHILDREN WHO ATTEND STAY HEALTHY KIDS CLUB. -MEASURE THE BODY MASS INDEX (BMI) OF THE STAY HEALTHY KIDS CLUB POPULATION (8 TO 13 YEARS OLD) TO BE BELOW THE 85TH PERCENTILE. -TRACK DATA FROM QUESTIONNAIRE (WE CAN AND CATCH) AS WELL AS PRE AND POST BMI DATA. -PERFORM RANDOM CHART AUDITS TO DOCUMENT HEALTH CARE PROVIDER COMPLIANCE. -INCREASE THE NUMBER OF PROGRAMS SUCH AS BC WALKS AND MALL WALKERS AT THE OAKDALE MALL 2015 PROGRESS REPORT -UHS CHILDHOOD OBESITY NURSES, VIA THE NEW YORK STATE GRANT, DEVELOPED PROVIDER ALLIANCES WITH 8 KEY PROVIDER SITES (BOTH UHS AND NON-UHS) TO PROVIDE TOOLS TO SHARE WITH CHILDREN AND PARENTS, ON NUTRITION, EXERCISE, REDUCTION OF SCREEN TIME, ETC. TRACKED PATIENT DATA ON 4 OF THESE PROVIDER SITES BY REVIEWING 50 PATIENT WELLNESS VISITS, OR ALL IF LESS THAN 50, ON A MONTHLY BASIS. PATIENT HEIGHT/WEIGHT, BMI, BP ON CHILDREN >3 YRS/ OF AGE, PROVIDER DOCUMENTATION OF PATIENT COUNSELING ON NUTRITION, EXERCISE, DECREASED SCREEN TIME, ETC; AS WELL AS ALL COMMUNITY REFERRALS MADE FOR PATIENT ON THESE TOPICS. -WORKED WITH LOCAL SCHOOLS TO PROMOTE CHILDHOOD WELLNESS TOOLS THAT WERE DISTRIBUTED AT SCHOOL FUNCTIONS AND HEALTH FAIRS. -COLLABORATED WITH COMMUNITY PARTNERS TO DEVELOP CONSISTENT MESSAGING FOR CHILDREN AND ADULTS, ON CHILDHOOD OBESITY PREVENTION MEASURES, INCLUDING THE ENCOURAGEMENT OF BREASTFEEDING OVER BOTTLE. -UHS STAY HEALTHY DEVELOPED AN ADULT WEIGHT MANAGEMENT & WELLNESS PROGRAM THAT BEGAN IN JANUARY 2015. WE HAD 335 PEOPLE REGISTERED FOR THE PROGRAM IN 2015. -THE EXISTING STAY HEALTHY KIDS PROGRAM WAS REVAMPED FOR 2015, TO FOCUS MORE ON WELLNESS STRATEGIES FOR ALL CHILDREN REGARDLESS OF BMI AND WILL NOW INCLUDE CHILDREN WITH PROVIDERS IN OR OUTSIDE THE UHS PROVIDER NETWORK. WE HAD 51 INTERACTIONS WITH CHILDREN AND FAMILY MEMBERS IN 2015 FOR THIS PROGRAM. 5. REDUCE TOBACCO USE STRATEGY OBJECTIVE: PROMOTE TOBACCO CESSATION BY YOUTH, YOUNG ADULTS, ESPECIALLY AMONG LOW SOCIOECONOMIC ADULT POPULATION. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -INCREASE THE NUMBER OF PRIMARY CARE PROVIDERS PROMOTING TOBACCO CESSATION IN FIVE COUNTIES. -UTILIZE TOBACCO CESSATION PROGRAM BY OFFERING FREE WEEKLY CESSATION CLASSES AND STRATEGIES TO CUT TOBACCO DEPENDENCE. -UTILIZE THE PRE-ADMISSION TESTING (PAT) PROCESS TO REACH THE COMMUNITY AS ALL QUALIFIED PATIENTS WHO GO THROUGH PAT, RECEIVE A TOBACCO CESSATION REDEMPTION COUPON. GOALS AND PERFORMANCE MEASURES -TRACK THE CONTACTS MADE TO HEALTH CARE PROVIDERS TO REACH 20 NEW PROVIDERS EVERY YEAR. -TRACK THE USAGE/REDEMPTION RATE OF COUPONS THAT CAN BE USED TO OBTAIN NICOTINE REPLACEMENT THERAPIES. 2015 PROGRESS REPORT -UHS OFFERS FREE WEEKLY CESSATION CLASSES THAT INCLUDE STRATEGIES TO CUT TOBACCO DEPENDENCE. WE HAD 210 PEOPLE REGISTERED FOR TOBACCO CESSATION CLASSES. ALL UHS INPATIENTS, OUTPATIENTS AND VISITORS CAN REQUEST A TOBACCO CESSATION PACKET WHICH INCLUDES A COUPON FOR FREE NRT. OVER 1,000 PACKETS WERE GIVEN OUT IN 2015. -ALL PROVIDER OFFICES ADDRESS TOBACCO USE WITH EACH PATIENT AND REFER PATIENTS TO NEW YORK STATE QUIT LINE OR CLASSES. -UHS STAY HEALTHY NURSES PROVIDED 63 OUTREACH CALLS TO PATIENTS IN 2015. -A LOW DENSITY CT LUNG SCREENING PROGRAM STARTED IN OCTOBER 2015. STAY HEALTHY NURSES COMPLETED 27 SCREENINGS, 11 OF WHICH SIGNED UP FOR OUR TOBACCO CESSATION PROGRAM. -UHS HOSPITALS REMAIN TOBACCO FREE CAMPUSES. PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN 1. INCREASE BREASTFEEDING STRATEGY OBJECTIVE: BY YEAR END 2015, INCREASE THE PERCENTAGE OF WOMEN AT UHSH TO INITIATE BREAST-FEEDING AND INCREASE THE NUMBER OF INFANTS WHO ARE BREAST-FED. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -DISCUSS AND OFFER LITERATURE ABOUT BREAST-FEEDING AT PRE-NATAL VISITS AND SKIN-TO-SKIN IMMEDIATELY AFTER BIRTH. -ALL MOTHERS CONTACTED 3 TO 5 DAYS OF DISCHARGE AND OFFERED GUIDANCE AND SUPPORT IN ANY BREAST-FEEDING STRATEGIES AND (IF NEEDED) EQUIPMENT RENTAL. -FREE LACTATION CONSULTANT SERVICES MADE AVAILABLE TO ALL MOTHERS. GOALS AND PERFORMANCE MEASURES -TRACK THE MOTHERS CONTACTED BY YEAREND 2015 AND CONTINUE PERIODIC CONTACT FOR TWO YEARS UPON DISCHARGE. -DECREASE FORMULA USAGE BY MOTHERS. -TRACK ENROLLMENT IN PRE-NATAL CLASSES AND BREAST-FEEDING COURSES. 2015 PROGRESS REPORT -UHS STAY HEALTHY NURSES WORKED IN CONJUNCTION WITH THE BROOME COUNTY HEALTH DEPARTMENT AND MOTHER'S AND BABIES AND COMPLETED OUTREACH TO 2 UHS PROVIDER SITES TO INTRODUCE "BREASTFEEDING FRIENDLY" OFFICE POLICY. -OUR UHS LACTATION CONSULTANT PROVIDED CONSULTANT SERVICES TO 71 BREASTFEEDING MOTHERS IN 2015. STAY HEALTHY NURSES MADE OVER 1,000 CALLS TO NEW MOMS IN 2015. -ADDITIONAL STAY HEALTHY NURSE WAS CERTIFIED AS A "LACTATION COUNSELOR". UHS CONTINUES TO PROVIDE FREE LACTATION SERVICES AT THE STAY HEALTHY CENTER WITH A CERTIFIED INTERNATIONAL LACTATION CONSULTANT. STAY HEALTHY CENTER PROVIDES ON- SITE PRIVATE SPACE FOR BREASTFEEDING MOTHERS AND THEIR BABIES. PROMOTE A HEALTHY AND SAFE ENVIRONMENT 1. IMPROVE OUTDOOR AIR QUALITY STRATEGY OBJECTIVE: REDUCE EXPOSURE TO COMMUNITY OF HARMFUL EFFECTS OF TOBACCO AND EXPOSURE TO HARMFUL EFFECTS OF SECOND-HAND SMOKING. GOALS AND OBJECTIVES, IMPROVEMENT STRATEGIES AND PERFORMANCE MEASURES (WITH MEASUREABLE AND TIME-FRAMED TARGETS OVER THE THREE YEAR PERIOD): TACTICS -ALL UHSH FACILITIES TO BE TOBACCO-FREE. -ALL UHSH FACILITIES TO ADOPT POLICIES THAT PROHIBIT SMOKING ON ALL HOSPITAL GROUNDS AND WITHIN 15 FEET OF THE PROPERTY LINES. GOALS AND PERFORMANCE MEASURES -INCREASE AVAILABILITY OF THE "SURVIVAL PACK" WHICH INCLUDES A COUPON FOR FREE NRT (NICOTINE REPLACEMENT THERAPY) GUM. -TRACK THE "SURVIVAL PACK" PARTICIPATION BY EMPLOYEES, FAMILY MEMBERS AND VISITORS. 2015 PROGRESS REPORT -UHS HAS ADOPTED A TOBACCO FREE POLICY TO PROHIBIT SMOKING ON ALL HOSPITAL GROUNDS WITHIN 15 FEET OF PROPERTY LINES. -OVER 750 "SURVIVAL PACKS" WERE GIVEN OUT TO EMPLOYEES, VISITORS AND FAMILY MEMBERS IN 2015. -210 REGISTERED FOR TOBACCO CESSATION CLASSES AT THE STAY HEALTHY CENTER.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: UNITED HEALTH SERVICES HOSPITALS, INC. (HEREAFTER REFERRED TO AS UHS HOSPITALS), IS A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE SERVICES AND IS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NEW YORK'S SOUTHERN TIER AND SURROUNDING AREAS. UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	4,726
6	Total number of volunteers (estimate if necessary) .............	6	691
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-39,852
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-39,852

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,553,277	2,913,252
9	Program service revenue (Part VIII, line 2g) .........	543,338,008	575,557,788
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,397,259	1,170,169
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,375,623	27,031,153
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	568,664,167	606,672,362
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	255,869,657	270,409,288
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	312,141,884	321,869,852
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	568,011,541	592,279,140
19	Revenue less expenses. Subtract line 18 from line 12.......	652,626	14,393,222
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	370,938,967	385,860,388
21	Total liabilities (Part X, line 26).............	235,738,658	237,642,814
22	Net assets or fund balances. Subtract line 21 from line 20.....	135,200,309	148,217,574

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	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 171,071,389 including grants of $ ) (Revenue $ 296,138,116 )
	INPATIENT AND ACUTE SERVICES - UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE A COMPREHENSIVE RANGE OF SHORT-TERM INPATIENT ACUTE AND REHABILITATIVE SERVICES ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER IS A 280-BED TEACHING HOSPITAL WHICH PROVIDES A FULL RANGE OF MEDICAL-SURGICAL SERVICES, INCLUDING: CARDIOLOGY, PERINATOLOGY, OPHTHALMOLOGY, EMERGENCY MEDICINE, MATERNITY CARE, PULMONARY MEDICINE, NEONATOLOGY, PEDIATRICS, 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 IN 2015 TOTALED 103,924, DISCHARGES WERE 17,913 AND AVERAGE LENGTH OF STAY WAS 5.90 DAYS. THERE WERE 1,179 BIRTHS AND 4,516 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2015. IN 2015, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 795 PATIENTS FOR WHICH $3,364,626 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.

4b	(Code: ) (Expenses $ 105,394,736 including grants of $ ) (Revenue $ 255,295,311 )
	OUTPATIENT AND AMBULATORY SERVICES - UHS HOSPITALS ALSO PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT DIAGNOSTIC AND TREATMENT SERVICES, ON ITS WILSON MEDICAL CENTER AND BINGHAMTON GENERAL HOSPITAL CAMPUSES. WILSON MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL OUTPATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT, AMBULATORY SURGERY, FULL-SERVICE LABORATORY, COMPREHENSIVE IMAGING, GASTROENTEROLOGY LAB, CYBERKNIFE, CARDIAC CATH LAB, AND OTHER PROCEDURAL OUTPATIENT SERVICES. BINGHAMTON GENERAL HOSPITAL ALSO PROVIDES EMERGENCY DEPARTMENT, AMBULATORY SURGERY, LABORATORY, IMAGING AND GASTROENTEROLOGY LAB SERVICES, IN ADDITION TO CARDIAC REHABILITATION, OUTPATIENT MENTAL HEALTH, AND OUTPATIENT CHEMICAL DEPENDENCY SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2015 TOTALED 1,703,751 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,703,751 VISITS WERE 45,423 EMERGENCY ROOM VISITS, 12,299 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 52,133 VARIOUS OUTPATIENT SURGICAL CASES, 159,670 SPECIALTY CARE VISITS AND 107,966 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2015 UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 10,663 PATIENTS FOR WHICH $6,775,954 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.

4c	(Code: ) (Expenses $ 27,893,553 including grants of $ ) (Revenue $ 14,874,825 )
	CLINICS - UHS HOSPITALS PROVIDES A WIDE RANGE OF PRIMARY CARE AND SPECIALTY CARE CLINICS. PRIMARY CARE SERVICES ARE THE FOUNDATION FOR SERVING THE COMMUNITY WITH A COORDINATED SYSTEM OF CARE, WITH SPECIAL ATTENTION TO UNDER-SERVED AREAS. UHS HOSPITALS OFFERS FIFTEEN PRIMARY CARE CENTERS LOCATED THROUGHOUT A MULTI-NEW YORK COUNTY SERVICE AREA: 1)BINGHAMTON FAMILY CARE, 2) UPPER FRONT STREET (BINGHAMTON), 3) CLINTON STREET (BINGHAMTON), 4) NORTHERN TIOGA, 5) DEPOSIT, 6) WINDSOR, 7) JOHNSON CITY, 8) VESTAL PARKWAY (VESTAL), 9) CANDOR, 10) OWEGO, 11) GREENE, 12)ENDICOTT, 13) MAIN STREET (JOHNSON CITY), 14) BINGHAMTON PEDIATRICS AND 15) COUNTRY CLUB ROAD, (ENDWELL). OTHER OUTPATIENT SERVICES INCLUDE: TWO SCHOOL BASED HEALTH CENTERS, TWO WALK-IN CARE CENTERS, DIABETES MANAGEMENT CENTER, DENTAL CLINIC, NEPHROLOGY CLINIC, PLASTIC SURGERY CLINIC, AND THE WOMENS' HEALTH CENTER. TOTAL PATIENT CLINIC VISITS/PHYSICIAN ENCOUNTERS FOR THE UHSH CLINICS AT YEAR-END 2015 TOTALED 259,884 PRIMARY CARE AND 159,670 SPECIALITY CARE VISITS.

	(Code: ) (Expenses $ 211,725,949 including grants of $ ) (Revenue $ 23,156,766 )
	ALL OTHER - UHS HOSPITALS FULFILLS ITS MISSION BY WORKING TOGETHER WITH THE COMMUNITY, PHYSICIANS, AND OTHER HEALTH CARE PROVIDERS TO CONTINUOUSLY IMPROVE THE AVAILABILITY AND QUALITY OF SERVICES AND THE ABILITY TO PROVIDE EDUCATIONAL PROGRAMS IN WHICH GRADUATE, UNDERGRADUATE AND CONTINUING MEDICAL EDUCATION, AS WELL AS NURSING AND OTHER PROFESSIONAL AND TECHNICAL TRAINING AND SCHOLARSHIP PROGRAMS, MAKE AVAILABLE WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES. IN 2015, APPROXIMATELY 200 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES WHICH EDUCATES 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 2015, APPROXIMATELY 55,000 COMMUNITY MEMBERS WERE SERVED. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. UHS HOSPITALS ALSO SPONSORS COMMUNITY ORGANIZATIONS THAT BRING PROGRAMS TO THE COMMUNITY WHICH ARE MOST DIRECTLY RELATED TO HEALTH ISSUES OR PROMOTE LOCAL HEALTH AND HUMAN SERVICES WITHIN THE COMMUNITY. AN ESTIMATED $41,500 IN SPONSORSHIP FUNDS WERE PROVIDED.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 211,725,949 including grants of $ ) (Revenue $ 23,156,766 )
4e	Total program service expenses516,085,627

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,711,506	1,590,508	436,300

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	2,043,228

f	All other contributions, gifts, grants, and similar amounts not included above		1f	870,024

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		2,913,252

		Business Code
2a	OPERATING ROOM	621990	74,421,473	74,421,473
b	LAB CLINICAL-CHEMISTRY	621500	50,159,062	50,159,062
c	MEDICAL ONCOLOGY	621990	34,279,964	34,279,964
d	PHARMACY	621990	31,396,327	31,396,327
e	CARDIAC CATH LAB	621500	28,968,134	28,968,134
f	All other program service revenue.			356,332,828	356,332,828
g Total.Add lines 2a–2f.....			575,557,788

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,170,169			1,170,169
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,179,854
b	Less: rental expenses		705,165
c	Rental income or (loss)		1,474,689
d	Net rental income or (loss)......			1,474,689		-39,852	1,514,541
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	SERVICES RENDERED		621990	9,091,953	9,091,953
b	OCCUPATIONAL HEALTH		621300	2,948,093	2,948,093
c	MEANINGFUL USE FUNDING		621990	1,867,184	1,867,184
d	All other revenue ....			11,649,234			11,649,234
e	Total. Add lines 11a–11d ......			25,556,464
12	Total revenue. See Instructions......			606,672,362	589,465,018	-39,852	14,333,944

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,734,813	1,093,925	1,640,888
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	197,570,571	173,036,419	24,534,152
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,728,788	12,023,958	1,704,830
9	Other employee benefits .......	41,759,680	36,573,997	5,185,683
10	Payroll taxes ...........	14,615,436	12,800,503	1,814,933
11	Fees for services (non-employees):
a	Management ......	11,639,234	835,743	10,803,491
b	Legal .........	421,252		421,252
c	Accounting ...........	498,807		498,807
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	57,161,145	57,161,145
12	Advertising and promotion ....	37,755	25,655	12,100
13	Office expenses .......	5,679,347	2,092,018	3,587,329
14	Information technology ......	6,327,194	2,887,015	3,440,179
15	Royalties ..
16	Occupancy ...........	10,374,898	5,633,876	4,741,022
17	Travel ............	782,391	578,202	204,189
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	1,696,932	1,483,119	213,813
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	24,124,230	21,084,577	3,039,653
23	Insurance ...	3,336,435	2,916,044	420,391
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS & PHARMACEUTICALS	44,144,634	44,035,648	108,986
b	PURCHASED SERVICES	42,905,176	35,963,918	6,941,258
c	PROSTHESIS EXPENSE	31,984,819	31,984,819
d	BAD DEBT EXPENSE	30,042,774	30,042,774
e	All other expenses	50,712,829	43,832,272	6,880,557
25	Total functional expenses. Add lines 1 through 24e	592,279,140	516,085,627	76,193,513	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			49,382,877	2	66,240,747
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			62,791,553	4	56,687,346
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			9,475,162	8	10,504,562
9	Prepaid expenses and deferred charges ......			14,429,079	9	15,988,191
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	543,853,216
b	Less: accumulated depreciation	10b	373,513,788	176,623,438	10c	170,339,428
11	Investments—publicly traded securities .			22,787,736	11	20,455,468
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			24,306,566	13	35,577,689
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			11,142,556	15	10,066,957
16	Total assets. Add lines 1 through 15 (must equal line 34)...			370,938,967	16	385,860,388

17	Accounts payable and accrued expenses .....	63,276,809	17	67,438,131
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	30,748,112	20	20,718,290
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	26,043,947	23	35,530,287
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	115,669,790	25	113,956,106
26	Total liabilities. Add lines 17 through 25..	235,738,658	26	237,642,814

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	120,839,466	27	134,509,484
28	Temporarily restricted net assets ...........	10,226,001	28	9,608,712
29	Permanently restricted net assets	4,134,842	29	4,099,378
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	135,200,309	33	148,217,574
34	Total liabilities and net assets/fund balances ........	370,938,967	34	385,860,388

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)UNITED HEALTH SERVICES INC 10-42 MITCHELL AVE BINGHAMTON,NY13903 22-2682421	PARENT COMPANY	NY	501(C)(3)	9	BOARD OF DIRECTORS UHS INC		No
(2)CHENANGO MEMORIAL HOSPITAL INC 179 N BROAD STREET NORWICH,NY13815 15-0532180	ACUTE & OUTPATIENT SERVICES	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC		No
(3)DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON,NY13856 15-0524324	ACUTE & OUTPATIENT SERVICES	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC		No
(4)IDEAL SENIOR LIVING CENTER INC 508 HIGH AVE ENDICOTT,NY13760 22-2902896	SENIOR LIVING CENTER	NY	501(C)(3)	3	UNITED HEALTH SERVICES INC		No
(5)IDEAL SENIOR LIVING CENTER HOUSING CORPORATION 508 HIGH AVE ENDICOTT,NY13760 22-2902899	SENIOR HOUSING	NY	501(C)(3)	9	UNITED HEALTH SERVICES INC		No
(6)PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY,NY13790 16-1261977	HOME HEALTH CARE	NY	501(C)(3)	9	UNITED HEALTH SERVICES INC		No
(7)TWIN TIER HOME HEALTH INC 601 RIVERSIDE DRIVE JOHNSON CITY,NY13790 22-2348211	HOME HEALTH CARE	NY	501(C)(3)	7	UNITED HEALTH SERVICES INC		No
(8)ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY,NY13790 23-7171440	MEDICAL STUDENT HOUSING	NY	501(C)(3)	9	BOARD OF DIRECTORS UHS HOSPITALS INC		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No