TY 2019 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...................................................................... BOARD MEMBER/CHAIR	2.00 .................	X	X	0	0	0
(2) BRUCE BOWLING MD...................................................................... BOARD MEMBER/1ST VICE CHAIR	2.00 .................	X	X	0	0	0
(3) JOHN CARRIGG...................................................................... BOARD MEMBER/2ND VICE CHR	28.50 ................. 28.50	X	X	482,973	482,973	39,636
(4) SUSAN MISTRETTAESQ...................................................................... BOARD MEMBER/SECRETARY	2.00 .................	X	X	0	0	0
(5) MATTHEW SALANGER...................................................................... BOARD MEMBER	10.00 ................. 10.00	X		130,000	130,000	19,752
(6) LINDA BEST...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(7) FRANK FLOYD MD...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(8) ROY GILL MD...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(9) JULIA MILLER MD...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(10) JOANN NAVARRO...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(11) JUDITH PECKHAM...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(12) GARY VANNOSTRAND...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(13) SHARON YAPLE...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(14) PETER NEWMAN...................................................................... BOARD MEMBER	2.00 .................	X		0	0	0
(15) RAJESH DAVE MD...................................................................... EXECUTIVE VP/CHIEF MEDICAL	44.00 ................. 11.00		X	532,610	133,152	37,939
(16) DAVE MACDOUGALL...................................................................... SR VP OF FINANCE AND SYS	33.00 ................. 22.00		X	338,054	225,370	35,910
(17) KAY BOLAND...................................................................... SENIOR VICE PRESIDENT, CHI	27.50 ................. 27.50		X	292,079	292,079	32,698

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(18) MICHAEL MCNALLY........................................................................ VP HUMAN RESOURCES	55.00 .......................	X		209,851	0	23,377
(19) CHRISTINA BOYD........................................................................ VP COMMUNITY RELATIONS	27.50 .......................27.50	X		130,935	130,960	43,486
(20) NANCY RONGO........................................................................ VP CARE MANAGEMENT	55.00 .......................	X		287,490	0	36,722
(21) GAIL THALACKER........................................................................ VP OPERATIONS	33.00 .......................22.00	X		107,393	161,090	43,935
(22) SHERI LAMOUREUX........................................................................ VP HUMAN RESOURCES	44.00 .......................11.00	X		267,514	66,879	23,455
(23) JOE CERRA........................................................................ SENIOR VP PHYSICIAN PRACTI	49.50 .......................5.50	X		342,058	38,006	33,242
(24) RICK BORSCHUK........................................................................ CHIEF FINANCIAL OFFICER	55.00 .......................	X		31,074	20,715	7
(25) FNU SHAILESH MD........................................................................ PHYSICIAN	55.00 .......................		X	606,794	0	31,510
(26) ISKANDAR KASSIS MD........................................................................ DIRECTOR OF OBGYN	55.00 .......................		X	523,250	0	32,938
(27) SRINIVASA MANDAPALLI MD........................................................................ PHYSICIAN	55.00 .......................		X	473,737	0	31,364
(28) MARY DIGUARDI........................................................................ MEDICAL DIRECTOR - PEDIATRICS	55.00 .......................		X	271,653	0	20,448
(29) OLAYINKA WILHELM........................................................................ PHYSICIAN	55.00 .......................		X	289,356	0	41,852

(A) Name and business address	(B) Description of services	(C) Compensation
EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE,WI532880314	SOFTWARE SERVICES	8,312,436
AMN HEALTHCARE PO BOX 56157 LOS ANGELES,CA90074	MEDICAL STAFFING	4,987,707
ENCORE HEALTH RESOURCES PO BOX 4652 HOUSTON,TX772104652	INFORMATION TECHNOLOGY	4,676,694
CERNER HEALTH SERVICES INC PO BOX 959167 ST LOUIS,MO63195	SOFTWARE MAINTENANCE	4,622,094
FORWARD BUSINESS SOLUTIONS INC PO BOX 227 JOHNSON CITY,NY137900227	SOFTWARE SERVICES	3,987,447
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 340

- 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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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization UNITED HEALTH SERVICES HOSPITALS INC

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

24,125

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

24,125

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 MEMBERSHIPS IN THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, HEALTHCARE ASSOCIATION OF NEW YORK STATE, AND UNITED IROQOUIS SELECT, LLC. THESE ACTIVITIES INCLUDE ADVERTISEMENTS AND CONTACTS WITH THE LEGISLATORS ON VARIOUS HEALTH ISSUES.

Schedule C (Form 990 or 990EZ) 2019

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	13,696,534	14,788,401	14,623,910	14,229,719	14,962,766
b	Contributions ...
c	Net investment earnings, gains, and losses	1,870,367	-829,505	480,808	559,909	-596,985
d	Grants or scholarships ...	324,485	253,053	318,441	148,000	120,000
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	8,719	9,309	-2,124	17,718	16,062
g	End of year balance ......	15,233,697	13,696,534	14,788,401	14,623,910	14,229,719

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

Board designated or quasi-endowment SchDMd Bullet

2.480 %

Permanent endowment SchDMd Bullet

28.200 %

Term endowment SchDMd Bullet

69.320 %

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 .....	12,954,186		12,954,186
b	Buildings ....	328,317,297	205,472,772	122,844,525
c	Leasehold improvements	15,076,416	9,691,194	5,385,222
d	Equipment ....	283,801,418	249,323,231	34,478,187
e	Other .....	65,260,579		65,260,579
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				240,922,699

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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	5,516,639	F
(2)FUNDED DEPREC INVESTMENTS	67,449,240	F
(3)ENDOWMENT INVESTMENT	2,291,774	F
(4)BENEFICIAL INTEREST IN UHS FOUNDATION	12,921,923	F
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	88,179,576

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	107,482,430
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) 2019

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	756,799,326
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	9,072,878
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	8,942,662
e	Add lines 2a through 2d .....................			2e	18,015,540
3	Subtract line 2e from line 1..................			3	738,783,786
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	14,601,755
c	Add lines 4a and 4b....................			4c	14,601,755
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	753,385,541

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	723,953,647
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	467,978
e	Add lines 2a through 2d....................			2e	467,978
3	Subtract line 2e from line 1...................			3	723,485,669
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	14,601,755
c	Add lines 4a and 4b.....................			4c	14,601,755
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	738,087,424

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:	UHSH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2019 AND 2018, UHSH 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 2016 THROUGH 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RETIREMENT PLAN OBLIGATION 7,871,847. CHANGE IN INTEREST OF UHS FOUNDATION 1,421,325. CHANGE IN INTEREST RATE SWAP -818,488. RENTAL EXPENSES 467,978.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 14,601,755.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 467,978.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 14,601,755.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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: . . . . . . . .

Yes

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? . . . . . .

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		(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) . . .	4,237,213		4,237,213	0.570 %
b	Medicaid (from Worksheet 3, column a) . . . . .	128,991,587	99,192,357	29,799,230	4.040 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	133,228,800	99,192,357	34,036,443	4.610 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,403,914	62,973	2,340,941	0.320 %
f	Health professions education (from Worksheet 5) . . .	12,023,876	7,193,171	4,830,705	0.650 %
g	Subsidized health services (from Worksheet 6) . . . .	224,135,916	172,062,361	52,073,555	7.060 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	238,563,706	179,318,505	59,245,201	8.030 %
k	Total. Add lines 7d and 7j .	371,792,506	278,510,862	93,281,644	12.640 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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.

		(c) Total community building expense	(d) Direct offsetting revenue	(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	127,859		127,859	0.020 %
7	Community health improvement advocacy	2,122,502	67,000	2,055,502	0.280 %
8	Workforce development	748,710		748,710	0.100 %
9	Other
10	Total	2,999,071	67,000	2,932,071	0.400 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

14,601,755

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. ......

3,689,792

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).....

122,903,874

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

127,053,942

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

-4,150,068

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) 2019

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?2Name, 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)						Facility reporting group
1	WILSON MEMORIAL REGIONAL MEDICAL CENTER 33-57 HARRISON ST JOHNSON CITY,NY13790 WWW.NYUHS.ORG 0303001H	X	X	X	X	A
2	BINGHAMTON GENERAL HOSPITAL 10-42 MITCHELL AVE BINGHAMTON,NY13903 WWW.NYUHS.ORG 0303001H	X	X	X	X	A

Schedule H (Form 990) 2019

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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.NYUHS.ORG

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 19

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

Yes

If "Yes" (list url): HTTP://WWW.NYUHS.ORG

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) 2019

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 300.000000000000%

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)

Was widely publicized 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.NYUHS.ORG

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

HTTP://WWW.NYUHS.ORG

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

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 2019-2024 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - KAREN BAYER, NICOLLE ADDICOTT, ROBIN KINSLOW-EVANSWEBB CONSULTING - LEA WEBB
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A:	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
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 SERVICEHEALTHLINKNYAMERICAN 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:	FOCUS AREA #1: HEALTHY EATING AND FOOD SECURITY GOALS: 1.0 REDUCE OBESITY AND THE RISK OF CHRONIC DISEASE, 1.1 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES, 1.2 INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES ACCORDING TO THE CENTERS FOR CONTROL AND PREVENTION (CDC), OBESITY AND OVERWEIGHT ARE THE SECOND LEADING CAUSE OF PREVENTABLE DEATH IN THE UNITED STATES (US), WHICH MAY QUICKLY TOP TOBACCO AS THE LEADING PREVENTABLE CAUSE OF DEATH. THE CDC ALSO STATES BY THE YEAR 2050, IF OBESITY TRENDS CONTINUE AS THEY ARE, LIFE EXPECTANCY IN THE US IS PREDICTED TO BE SHORTENED BY 2- 5 YEARS. OBESITY IS A RISK FACTOR FOR MANY CHRONIC CONDITIONS INCLUDING HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, STROKE, HEART DISEASE, TYPE 2 DIABETES, ASTHMA, SOME CANCERS, AND OSTEOARTHRITIS. ALARMINGLY, THESE CONDITIONS ARE NOW APPEARING IN ADOLESCENTS AND CHILDREN. CURRENTLY, THE PERCENT OF ADULTS WHO ARE OBESE IN BROOME COUNTY IS 25.7%, WHICH IS HIGHER THAN THE NYS PREVENTION AGENDA TARGET. THE PERCENT OF CHILDREN AND ADOLESCENTS WHO ARE OBESE IN BROOME COUNTY IS 17.7%, WHICH IS HIGHER THAN THE REST OF THE STATE AND THE NYS PREVENTION AGENDA 2 TARGET 16.7% (2016 NYS EXPANDED BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM). TO REDUCE THE INCIDENCE, PREVALENCE, AND BURDEN OF OBESITY AND CHRONIC DISEASE, IT IS NECESSARY FOR COMMUNITIES TO CREATE ENVIRONMENTS THAT SUPPORT HEALTHIER BEHAVIORS AND MAKE HEALTHY CHOICES, EASIER CHOICES. THIS INVOLVES ENGAGING AND MOBILIZING KEY STAKEHOLDERS, DECISION MAKERS, AND COMMUNITY PARTNERS TO WORK WITHIN ALL LEVELS OF THE HEALTH IMPACT PYRAMID AND ACROSS ALL SECTORS TO PROMOTE "HEALTH IN ALL POLICIES." BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 177 FOCUSED EFFORTS IN THIS AREA INCLUDE INCREASING HEALTHY EATING AND FOOD SECURITY, WHILE COLLECTIVELY WORKING TO ELIMINATE RACIAL/ETHNIC AND SOCIOECONOMIC HEALTH DISPARITIES. OVERVIEW AND MEASURES GOAL 1.0: REDUCE THE PERCENTAGE OF CHILDREN WHO ARE OBESE IN BROOME COUNTY OBJECTIVE 1.1: BY 2024, REACH A CHILDHOOD OBESITY RATE OF 12.9% AMONG THE TARGET DEMOGRAPHIC, A REDUCTION FROM THE BASELINE OF 13.9%. TO ACCOMPLISH THIS, THE BROOME COUNTY HEALTH DEPARTMENT (BCHD) WIC PROGRAM WILL CONTINUE TO PROVIDE A DECREASED FAT WIC FOOD PACKAGE, EDUCATION ONCE A YEAR FOR CHILDREN AGES 2-4 ABOUT HEALTHY LIFESTYLES INCLUDING DIET AND EXERCISE, AND MEASURE BMIS FOR CHILDREN RECEIVING NUTRITION COUNSELING. PROGRESS TOWARDS THIS OBJECTIVE WILL BE EVALUATED BASED ON SELF-REPORT MEASURES GATHERED FROM WIC PARTICIPANTS REGARDING THEIR KNOWLEDGE AND CONSUMPTION OF HEALTHY FOODS AND BEVERAGES, IN ADDITION TO THEIR BMI DATA. PARTNER ROLES AND RESOURCES INCLUDE: BCHD PROVIDES PROMOTION OF HEALTHY LIFESTYLE EDUCATION AND SERVICES OF THE WIC PROGRAM. UHS WILL OVERSEE AND ADMINISTER UHS STAY HEALTHY KIDS PROGRAM.LOURDES WILL OVERSEE THE ACTIVITIES CONDUCTED BY THE PACT PROGRAM. BOTH UHS AND LOURDES WILL ENSURE COMMUNICATION TO PROVIDERS ABOUT REFERRALS TO THE BROOME COUNTY WIC PROGRAM, FOR PREGNANT WOMEN, LACTATING WOMEN, POST-PARTUM WOMEN, INFANTS AND CHILDREN UP TO 5 YEARS OF AGE. OBJECTIVE 1.2: BY 2024, DECREASE THE PERCENTAGE OF SCHOOL AGE CHILDREN WITH OBESITY BY 1 % FROM 17.7% TO THE PREVENTION AGENDA GOAL OF 16.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE; THEY INCLUDE: UHS - 1) UHS STAY HEALTHY KIDS COORDINATOR CONTINUES TO WORK WITH HEAD START SCHOOLS TO PROVIDE MONTHLY CLASSES ON SITE, TO CHILDREN AGE 3-5. HEALTHY EATING AND EXERCISE TIPS ARE PROVIDED TO CHILDREN AND THEIR PARENTS. THE PROGRAM IS 18 CLASSES PER MONTH. (2) THE "KIDS ON TRACK" 8-WEEK PROGRAM CONTINUES IN THE SPRING AND FALL FOR CHILDREN 5-13. THIS PROGRAM COVERS EXERCISE AND NUTRITION APPROPRIATE TO THE AGE GROUP. K-12 SCHOOLS - 1) SCHOOL WELLNESS PROGRAMS/POLICIES - ESTABLISH AND INCORPORATE STRONG NUTRITION STANDARDS FOR FOOD MARKETED, PROVIDED AND SOLD IN SCHOOLS, PROVIDE HEALTHY EATING LEARNING OPPORTUNITIES THROUGH ROCK ON CAFE, STUDENTS USING WALKING OR BIKING TO GET TO SCHOOL, SCHOOLS PROVIDING UNIVERSAL BREAKFAST, GRAB AND GO OPTIONS, BREAKFAST IN THE CLASSROOM, INCORPORATING SMARTER LUNCH ROOM STRATEGIES TO INCREASE ACCESS AND PROMOTE HEALTHY EATING, PARTICIPATING IN FARM TO SCHOOL. THE PARTNERS' ROLES AND RESOURCES INCLUDE: UHS - PROVIDES A STAY HEALTHY KIDS COORDINATOR WHO EDUCATES HEADSTART STUDENTS, PUBLIC SCHOOL AGE CHILDREN/PARENTS ON HEALTHY EATING AND BEVERAGE CONSUMPTION CHOICES, CARE COMPASS NETWORK - INNOVATION FUNDING TO UHS FOR COMMUNITY BASED NUTRITION WELLNESS (EDUCATION TO TAKE PLACE AT CORNELL COOPERATIVE EXTENSION OF BROOME COUNTY). BCHD WILL WORK WITH SCHOOL DISTRICTS TO ENSURE WELLNESS POLICIES ARE FOLLOWING THE REQUIRED STANDARDS SET FORTH BY THE HEALTHY HUNGER FREE KIDS ACT, AND PROVIDE TECHNICAL ASSISTANCE AND SUPPORT TO ASSIST WITH ANY UPDATES. OBJECTIVE 1.3: BY 2024, DECREASE THE PERCENTAGE OF ADULTS AGES 18 YEARS AND OLDER WITH OBESITY, FROM 25.7% TO 23.7%. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: BCHD - WORK WITH COMMUNITY BASED ORGANIZATIONS, WORKSITES AND RECREATION VENUES TO CREATE POLICIES RELATED TO SUGARY DRINK REDUCTIONS, BROOME COUNTY 178 COMMUNITY HEALTH ASSESSMENT 2019-2024 HEALTHY MEETING GUIDELINES AND/OR FOOD PROCUREMENT STANDARDS, LOURDES - DEVELOP MEDICAL WEIGHT LOSS PROGRAM TO SUPPORT PEOPLE AGED 18 YEARS AND ABOVE WITH A BMI >30 IN ACHIEVING A DECREASE IN THEIR BMI AND IMPROVEMENT IN OVERALL HEALTH, BCHD- UTILIZE NYSDOH, CDC, AND LOCALLY DEVELOPED MESSAGING TO GARNER EARNED MEDIA ON HEALTHY EATING, & PROMOTING HEALTHY BEVERAGES GOAL 1.1: INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS AND BEVERAGES OBJECTIVE 1.1.1: BY 2024, DECREASE THE PERCENTAGE OF ADULTS FROM 31.9% TO 27.9%, WHO CONSUME LESS THAN ONE FRUIT AND LESS THAN ONE VEGETABLE PER DAY. SEVERAL INTERVENTIONS WILL BE USED TO REACH THIS OBJECTIVE: INCREASE CHOW MOBILE MARKETS IN HIGH RISK NEIGHBORHOODS, CORNELL COOPERATIVE EXTENSION TO PROVIDE NUTRITION EDUCATION, MENU AND BUDGET PLANNING TO SNAP RECIPIENTS, OFA - PROVIDE HEALTHY MEALS & SNACK AT SENIOR CENTERS AND COMMUNITY EVENTS, INCREASE REDEMPTION OF OFFICE FOR AGING AND WIC PARTICIPANTS FARMER'S MARKET COUPONS, OPEN GROCERY STORE ON NORTHSIDE OF BINGHAMTON (FOOD DESERT) VOLUNTEERS IMPROVING NEIGHBORHOOD PROGRAM (VINES) WILL INCREASE ACCESS TO AND NUMBER OF COMMUNITY GARDENS AND FARM SHARE OPPORTUNITIES, IN HIGH RISK NEIGHBORHOODS. GOAL 1.2: INCREASE SKILLS AND KNOWLEDGE TO SUPPORT HEALTHY FOOD AND BEVERAGE CHOICE OBJECTIVE 1.2.1: BY 2024 LOURDES (ADULTS) INCREASE THE NUMBER OF ADULTS BY 100 (FROM 200 TO 300) THAT IMPROVE THEIR KNOWLEDGE OF AND ENGAGEMENT IN HEALTHY EATING HABITS BY UTILIZING THE FRUIT AND VEGGIE RX PROGRAM. TO ACCOMPLISH THIS LOURDES DIETICIANS IN LOURDES PRIMARY CARE PRACTICES OFFER REFERRED PATIENTS INFORMATION ON HEALTHY EATING HABITS AND "COUPONS" TO PURCHASE FRUITS AND VEGGIES. THIS IS IN COLLABORATION WITH RURAL HEALTH NETWORK AND CARE COMPASS NETWORK. OBJECTIVE 1.2.2: BY 2024, INCREASE BY 10%, FROM 22% TO 32%, THE PERCENTAGE OF WIC INFANTS WHO CONTINUE TO BE BREASTFED UNTIL 6 MONTHS. TO ACHIEVE THIS OBJECTIVE ALL WIC PRENATAL CLIENTS WILL BE OFFERED BREASTFEEDING PEER COUNSELING AND FREE BREASTFEEDING CLASSES ONCE A MONTH, ONCE BABY IS DELIVERED PEER COUNSELING SERVICES WILL BE PROVIDED FREQUENTLY AND CONSISTENTLY TO ENSURE INCREASED DURATION. GOAL 1.3: INCREASE FOOD SECURITY OBJECTIVE 1.3.1: DECREASE PERCENTAGE OF POPULATION WHO DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR FROM 13.8% TO 12.6%. INTERVENTIONS EMPLOYED TO ACHIEVE THIS OBJECTIVE INCLUDE: 1) PROMOTE AND SUPPORT SCREENING OF PEDIATRIC PATIENTS BY HEALTHCARE PROVIDERS, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO WIC AND/OR SNAP; 2) PROMOTE SCREENING OF OLDER-ADULT POPULATIONS FOR FOOD INSECURITY, FACILITATE REFERRAL AND SUPPORT ACTIVE CONNECTION TO SNAP 3) CONTINUE TO PROVIDE UNIVERSAL BREAKFAST AND LUNCH FOR K-12 IN ALL SCHOOLS 4) INCREASE PARTICIPATION IN SUMMER LUNCH SITES THAT SERVE FAMILIES THROUGHOUT BROOME COUNTY. MEASURES FOR THESE OBJECTIVES INCLUDE: WIC OBESITY -1) NUMBER OF WIC PARTICIPANTS RECEIVING A REDUCED FAT FOOD PACKAGE, PERCENTAGE OF CHILDREN WITH OBESITY (AMONG CHILDREN AGES 2-4 YEARS PARTICIPATING IN THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN [WIC]) 2) NUMBER OF WIC PARTICIPANTS RECEIVING GENERAL NUTRITION EDUCATION AND ACTIVE LEARNING INFORMATION AND BEING ASSESSED FOR HEIGHT/WEIGHT EVERY YEAR. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024SCHOOL AGE OBESITY: 1) NUMBER OF STUDENTS IMPACTED BY SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (2) NUMBER OF SCHOOL DISTRICTS ADOPTING SPECIFIC POLICIES THAT ADDRESS HEALTHIER NUTRITION STANDARDS FOR FOOD AND BEVERAGES SOLD IN SCHOOLS (3) NUMBER OF SCHOOL DISTRICT WELLNESS POLICIES THAT ADDRESS FREE DRINKING WATER
GROUP A-FACILITY 1 -- WILSON MEMORIAL REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.
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 2016-2018 STEERING COMMITTEE.INDIVIDUALS AND COMMUNITY ORGANIZATIONS:BINGHAMTON HOUSING AUTHORITY - ELAINE MILLERBINGHAMTON UNIVERSITY - LEON COSLER, DIANE CREWS, YVONNE JOHNSTON, TITLAYOI OKORORBROOME COUNTY COUNCIL OF CHURCHES - MICHAEL LEAHEYBROOME COUNTY HEALTH DEPARTMENT - MARY MCFADDEN, DR. CHRISTOPHER RYANBROOME COUNTY LEGISLATURE - KIM MYERS, KELLY WILDONERBROOME COUNTY MENTAL HEALTH DEPARTMENT - LYNNE ESQUIVELBROOME COUNTY OFFICE FOR AGING - RITA FLUHARTY, JAMIE KELLYBROOME COUNTY PLANNING DEPARTMENT - STEPHANIE BREWERBROOME TIOGA BOCES - ALAN BUYCKBROOME COUNTY URBAN LEAGUE - JENNIFER LESKOBROOME COUNTY YMCA - AUBREY CARR, ALICE HARPER, GARETH SANSOMCORNERSTONE FAMILY HEALTHCARE - MARIANNE BUCK, KELLY WILDEYEXCELLUS BLUE CROSS BLUE SHIELD - MELISSA KLINKOFAMILY AND CHILDREN'S SOCIETY - LISA HOESCHELEGUTHRIE MEDICAL GROUP, PC - SHAWN KARNEY, HILLARY SAXTON, SHERRY SALISBURYHEALTHLINKNY - ADAM HUGHESMENTAL HEALTH ASSOCIATION OF THE SOUTHERN TIER - KATHY ECKERTMOTHERS AND BABIES PERINATAL NETWORK - CHRISTY FINCHOUR LADY OF LOURDES HOSPITAL - DEBORAH BLAKENEY, LISA BOBBY, CARMEN FRANCAVILLA, WAYNE MITTEER, JEFFREY PENOYERRURAL HEALTH NETWORK OF SCNY - PAM GUTH, EMILY HOTCHKISS, MARY MARUSCAK, JACK SALOSOUTHERN TIER INDEPENDENCE CENTER - SUSAN RUFFSUNY UPSTATE MEDICAL UNIVERSITY CLINICAL CAMPUS AT BINGHAMTON - LENORE BORISTIOGA COUNTY HEALTH DEPARTMENT - REBECCA KAUFMAN, HEATHER MORGANUNITED HEALTH SERVICES HOSPITALS - KAREN BAYER, NICOLLE ADDICOTT, ROBIN KINSLOW-EVANSWEBB CONSULTING - LEA WEBB
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 6A:	OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
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 SERVICEHEALTHLINKNYAMERICAN HEART ASSOCIATIONAMERICAN CANCER SOCIETY COMMUNITIES: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:	FOCUS AREA #2: PREVENTIVE CARE AND MANAGEMENT THE CDC ESTIMATES THAT SIX OUT OF TEN AMERICANS HAVE AT LEAST ONE CHRONIC DISEASE, AND FOUR OUT OF TEN HAVE TWO OR MORE. THE PRODUCTIVITY AND QUALITY OF LIFE FOR PEOPLE LIVING WITH A CHRONIC DISEASE SUCH AS DIABETES, HEART DISEASE, STROKE AND CANCER IS LIMITED WHICH IN TURN IMPACTS THEIR FAMILIES AS WELL. MOST CHRONIC DISEASES ARE PREVENTABLE AND CAN BE MANAGED SUCCESSFULLY WITH HEALTHY BEHAVIOR CHANGES. IN BROOME COUNTY, SOME POPULATIONS SUFFER DISPROPORTIONATELY FROM PREVENTABLE CHRONIC DISEASE CONDITIONS. NON-HISPANIC AND BLACK POPULATIONS HAVE SIGNIFICANTLY HIGHER LEVELS OF MORTALITY AND HOSPITALIZATIONS ASSOCIATED WITH HEART/STROKE AND DIABETES INDICATORS. IN ADDITION, OTHER HEALTH DETERMINANTS SUCH AS POVERTY AND LOWER EDUCATION STATUS INCREASE THE NEED FOR CHRONIC DISEASE BROOME COUNTY 180 COMMUNITY HEALTH ASSESSMENT 2019-2024 MANAGEMENT MODELS, ESPECIALLY FOR MANY ENROLLEES OF MEDICAID MANAGED CARE PLANS WHO CONSISTENTLY RELY ON HOSPITAL EMERGENCY ROOMS FOR EMERGENT CARE OF PREVENTABLE HEALTH CONDITIONS. IT IS CRITICAL THAT THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) FOCUSES ON HELPING MEDICAID MEMBERS REDUCE THEIR RISK AND HELP MANAGE CHRONIC DISEASES AND THEIR RISK FACTORS. CHRONIC DISEASES NEED TO BE APPROPRIATELY DIAGNOSED AND MANAGED IN ORDER TO REDUCE THE COMPLICATIONS, BURDEN OF MORBIDITY, HOSPITALIZATIONS, POOR FUNCTION STATUS AND MORTALITY THAT COMES WITH CHRONIC DISEASE. NECESSARY COLLABORATIONS WITH HEALTHCARE SYSTEMS AND OTHER COMMUNITY SECTORS NEED TO ENSURE THAT SUCCESSFUL STRATEGIES EXIST FOR CHRONIC DISEASE MANAGEMENT OPPORTUNITIES, ESPECIALLY WHERE THE MOST VULNERABLE AND HIGH RISK POPULATIONS ARE CONCERNED. OVERVIEW AND MEASURES GOAL: 4.1 INCREASE CANCER SCREENING RATES OBJECTIVE 4.1: BY 2024, INCREASE THE PERCENTAGE OF ADULTS BY 5% WHO RECEIVE A COLORECTAL CANCER SCREENING BASED ON THE MOST RECENT GUIDELINES (AGES 50 TO 75 YEARS) FROM 72% TO 78% INTERVENTIONS INCLUDE: REMOVAL OF STRUCTURAL BARRIERS TO CANCER SCREENING SUCH AS PROVIDING FLEXIBLE CLINIC HOURS, OFFERING CANCER SCREENING IN NON-CLINICAL SETTINGS (MOBILE MAMMOGRAPHY VANS, FLU CLINICS), OFFERING ON-SITE TRANSLATION, TRANSPORTATION, PATIENT NAVIGATION AND OTHER ADMINISTRATIVE SERVICES AND WORKING WITH EMPLOYERS TO PROVIDE EMPLOYEES WITH PAID LEAVE OR THE OPTION TO USE FLEX TIME FOR CANCER SCREENINGS, WORK WITH CSP TO ENHANCE MARKETING AND COMMUNICATION EFFORTS AROUND COLORECTAL CANCER SCREENING IN THE PRIORITY POPULATION. GOAL 4.2: INCREASE EARLY DETECTION OF CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES AND OBESITY OBJECTIVE 4.1.2: BY 2024, INCREASE THE PERCENTAGE OF CHILDREN AND ADOLESCENTS AGES 3 -17 YEARS WITH AN OUTPATIENT VISIT WITH A PRIMARY CARE PROVIDER OR OB/GYN PRACTITIONER DURING THE MEASUREMENT YEAR WHO RECEIVED APPROPRIATE ASSESSMENT FOR WEIGHT STATUS DURING THE MEASUREMENT YEAR BY 5% (BASELINE 75%). INTERVENTION TO ACHIEVE THIS OBJECTIVE IS BASED ON UTILIZING THE US PREVENTIVE SERVICE GUIDELINES AND HIT, TO CONSISTENTLY IMPLEMENT SCREENING PRACTICES/POLICIES TO IDENTIFY CHILDREN AT RISK FOR OVERWEIGHT OR OVERWEIGHT, AND REFER TO BEHAVIORAL AND NUTRITIONAL EDUCATION PROGRAMS. OBJECTIVE 4.2.2: BY 2024, PROMOTE AT LEAST 3 STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS. THE EVIDENCE BASED INTERVENTION THAT WILL BE USED TO PROMOTE STRATEGIES THAT IMPROVE THE DETECTION OF UNDIAGNOSED HYPERTENSION IN HEALTH SYSTEMS IS THE CDC MILLION HEARTS PROGRAM. GOAL 4.3: PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.3.1: BY 2024, DECREASE THE PERCENTAGE BY 5% OF ADULT MEDICAID MEMBERS, IDENTIFIED THROUGH DSRIP WITH DIABETES WHOSE MOST RECENT HBA1C LEVEL INDICATED POOR CONTROL (>9%). INTERVENTIONS EMPLOYED FOR THIS OBJECTIVE INCLUDE: UHS AND LOURDES PRIMARY CARE NETWORK OFFICES TO WORK CLOSELY WITH THE DIABETES CENTERS TO IMPLEMENT STANDARDS OF MEDICAL CARE IN DIABETES, WORK WITH HIT TO IMPLEMENT/MODIFY EMR TO INCLUDE REMINDER SYSTEM FOR SCREENING, FOLLOW UP AND CASE MANAGEMENT ACTIVITIES. BROOME COUNTY COMMUNITY HEALTH ASSESSMENT 2019-2024 GOAL 4.4: IN THE COMMUNITY SETTING, IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH CHRONIC DISEASES, INCLUDING ASTHMA, ARTHRITIS, CARDIOVASCULAR DISEASE, DIABETES AND PREDIABETES AND OBESITY OBJECTIVE 4.4.1: BY 2024, INCREASE FROM 225 TO 325 THE NUMBER OF ADULTS WITH CHRONIC CONDITIONS (ARTHRITIS, ASTHMA, CVD, DIABETES, CKD, CANCER) WHO HAVE BEEN IDENTIFIED AND REFERRED TO TAKE A COURSE OR CLASS TO LEARN HOW TO MANAGE THEIR CONDITION. BOTH HOSPITAL SYSTEMS WILL PROVIDE STANDARDS OF CARE TO IDENTIFY AND ASSIST WITH MANAGEMENT OF DIABETES BY: 1. PROMOTE TESTING FOR PREDIABETES, AND RISK FOR FUTURE DIABETES IN ASYMPTOMATIC PEOPLE IN ADULTS OF ANY AGE WITH OBESITY AND OVERWEIGHT (BMI 25 KG/M2 OR 23 KG/M2 IN ASIAN AMERICANS) AND WHO HAVE ONE OR MORE ADDITIONAL RISK FACTORS FOR DIABETES, INCLUDING FIRST DEGREE RELATIVE WITH DIABETES, HIGH RISK RACE/ETHNICITY, AND HISTORY OF CARDIOVASCULAR DISEASE. 2. PROMOTE TESTING FOR ALL OTHER PATIENTS BEGINNING AT 45 YEARS OF AGE. 3. PROMOTE REPEAT TESTING AT A MINIMUM OF 3-YEAR INTERVALS, WITH CONSIDERATION OF MORE FREQUENT TESTING DEPENDING ON INITIAL RESULTS AND RISK STATUS 4. REFER PATIENTS WHO ARE DIAGNOSED WITH OBESITY, CVD, OR DIABETES TO COMMUNITY CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (STAMFORD EVIDENCE BASED CHRONIC DISEASE SELF MANAGEMENT PROGRAM) MEASURES FOR THESE OBJECTIVES INCLUDE: CANCER SCREENING: 1) NUMBER OF HEALTH SYSTEMS THAT IMPLEMENT OR IMPROVE PROVIDER AND PATIENT REMINDER SYSTEMS 2) NUMBER OF PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS 3) COMPLIANCE WITH SCREENING GUIDELINES AMONG PATIENTS REACHED THROUGH PATIENT REMINDER SYSTEMS/AMONG PATIENTS OF HEALTH SYSTEMS THAT ADOPTED SYSTEMS 4) PROVIDER, CLINIC OR INSURER BREAST AND COLORECTAL CANCER SCREENING RATES, EARLY DETECTION OF CHRONIC DISEASES- OBESITY: 1) PERCENTAGE OF CHILDREN WHO ARE OVERWEIGHT [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 85TH TO 95TH PERCENTILE 2) PERCENTAGE OF CHILDREN WHO ARE OBESE [DEFINED AS HAVING AN AGE AND GENDER SPECIFIC BMI AT 95TH PERCENTILE] 3) NUMBER & PERCENT OF CHILDREN SCREENED 4) NUMBER OF PRIMARY CARE PROVIDERS CONDUCTING BMI SCREENING 5) NUMBER OF HOSPITAL SYSTEMS IMPLEMENTING CHILDHOOD BMI SCREENING POLICY/SYSTEM CHANGE. EARLY DETECTION OF CHRONIC DISEASES-HYPERTENSION: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY PATIENTS WITH UNDIAGNOSED HTN 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH UNDIAGNOSED HTN. PROMOTE EVIDENCE-BASED CARE TO PREVENT AND MANAGE CHRONIC DISEASES- DIABETES: 1) SCREENING RATE FOR DIABETES AND PRE-DIABETES AMONG ADULTS AGE 45+ 2) NUMBER OF PATIENTS IDENTIFIED AS HAVING DIABETES OR PRE-DIABETES WHO RECEIVE FOLLOW-UP BY STAY HEALTHY CENTER 3)NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION 4) PERCENTAGE OF ADULTS (AGE 45+) DIAGNOSED WITH PRE-DIABETES OR TYPE 2 DIABETES WHO ARE REFERRED TO DIABETES SELF-MANAGEMENT TRAINING (DSMT) 5) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT 6) NUMBER OF RURAL RESIDENTS PARTICIPATING IN CHRONIC DISEASE SELF-MANAGEMENT, 7) PERCENT OF ADULT MEDICAID MEMBERS WITH DIABETES IDENTIFIED THROUGH DSRIP WITH CONTROLLED HBA1C CHRONIC DISEASE MANAGEMENT IN THE COMMUNITY SETTING: 1) NUMBER OF HEALTH SYSTEMS WITH POLICIES/PRACTICES TO IDENTIFY, REFER PATIENTS WITH DIABETES OR PREDIABETES, OBESITY, CVD 2) NUMBER/PERCENTAGE OF PATIENTS SERVED BY HEALTH SYSTEMS WITH POLICIES/PRACTICES IN PLACE 3) NUMBER OF PATIENTS IDENTIFIED WITH DIABETES/PREDIABETES 4) NUMBER OF PATIENTS REFERRED TO COMMUNITY BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS LIKE STAMFORD CHRONIC DISEASE SELF-MANAGEMENT PROGRAM OR NATIONAL DIABETES PREVENTION PROGRAM.
GROUP A-FACILITY 2 -- BINGHAMTON GENERAL HOSPITAL PART V, SECTION B, LINE 13H:	FEDERAL POVERTY GUIDELINES (FPG) ARE USED TO DETERMINE THE FAMILY INCOME LIMIT FOR FREE CARE ELIGIBILITY OF 200% AND 300% FOR DISCOUNTED CARE. IN ADDITION TO THE FPG, UHS HOSPITALS ALSO CONSIDERS MEDICAID BENEFIT APPROVALS AS A DISCOUNTED CARE ELIGIBILITY CRITERIA.

Schedule H (Form 990) 2019

Page 9

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?22
Name and address		Type of Facility (describe)
1	1 - UHS WILSON PLACE SPECIALTY CARE CENTER 52 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
2	2 - UHS WALK-INSPECIALTY CARE CENTER 4417 VESTAL PARKWAY EAST VESTAL,NY13850	OUTPATIENT PRIMARY CARE CENTER
3	3 - UHS WILSON SQUARE SPECIALTY CARE CENTER 30 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
4	4 - UHS PRIMARY CARE - BINGHAMTON SUMMITT BLDG 33 MITCHELL AVE BINGHAMTON,NY13903	OUTPATIENT PRIMARY CARE CENTER
5	5 - UHS PRIMARY CAREWALK-IN - ENDICOTT 1302 E MAIN ST ENDICOTT,NY13760	OUTPATIENT PRIMARY CARE CENTER
6	6 - UHS PRIMARY CARE - JOHNSON CITY 507 MAIN ST JOHNSON CITY,NY13790	OUTPATIENT PRIMARY CARE CENTER
7	7 - UHS MULTIPLE SPECIALTY CARE CENTERS 4433 VESTAL PARKWAY EAST BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
8	8 - UHS DERMATOLOGY 200 FRONT ST VESTAL,NY13850	OUTPATIENT SPECIALTY CARE CENTER
9	9 - UHS CYBERKNIFE CENTER 22 HARRISON ST JOHNSON CITY,NY13790	OUTPATIENT SPECIALTY CARE CENTER
10	10 - UHS PRIMARY CARE - UPPER FRONT STREET 1290 UPPER FRONT ST BINGHAMTON,NY13901	OUTPATIENT PRIMARY CARE CENTER
11	11 - UHS MULTIPLE SPECIALTY CARE CENTERS 93 PENNSYLVANIA AVE BINGHAMTON,NY13903	OUTPATIENT SPECIALTY CARE CENTER
12	12 - UHS PRIMARY CARE - ENDWELL 800 HOOPER RD ENDWELL,NY13760	OUTPATIENT PRIMARY CARE CENTER
13	13 - UHS PRIMARY CARE - GREENE 15 BIRDSALL ST GREENE,NY13778	OUTPATIENT PRIMARY CARE CENTER
14	14 - UHS PRIMARY CARE - DEPOSIT 53 PINE ST DEPOSIT,NY13754	OUTPATIENT PRIMARY CARE CENTER
15	15 - UHS PRIMARY CARE - CANDOR 54 MAIN ST CANDOR,NY13743	OUTPATIENT PRIMARY CARE CENTER
16	16 - UHS PRIMARY CARE - WINDSOR 5 COLLEGE AVE WINDSOR,NY13865	OUTPATIENT PRIMARY CARE CENTER
17	17 - UHS PRIMARY CARE - NEWARK VALLEY 119 WHIG ST NEWARK VALLEY,NY13811	OUTPATIENT PRIMARY CARE CENTER
18	18 - UHS PRIMARY CARE - CLINTON STREET 142 CLINTON ST BINGHAMTON,NY13905	OUTPATIENT PRIMARY CARE CENTER
19	19 - UHS SCHOOL-BASED HEALTH CENTER FRANKLIN 262 CONKLIN AVE BINGHAMTON,NY13903	OUTPATIENT PRIMARY CARE CENTER
20	20 - UHS SCHOOL-BASED HEALTH CENTER ROOSEVELT 9 OGDEN ST BINGHAMTON,NY13901	OUTPATIENT PRIMARY CARE CENTER
21	21 - UHS PRIMARY CARE - OWEGO 42 W MAIN ST OWEGO,NY13827	OUTPATIENT PRIMARY CARE CENTER
22	22 - UHS PEDIATRICS - BINGHAMTON 10-42 MITCHELL AVE BINGHAMTON,NY13903	OUTPATIENT PRIMARY CARE CENTER

Schedule H (Form 990) 2019

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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 3C:	UHS HOSPITALS USES FPG AS A FACTOR IN DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. PATIENTS WITH A FAMILY INCOME BELOW 200% OF THE FPL RECEIVE A 100% DISCOUNT, PATIENTS BETWEEN 201%-250% OF THE FPL RECEIVE AN 83.5% DISCOUNT, AND PATIENTS BETWEEN 251%-300% OF THE FPL RECEIVE A 67% DISCOUNT. MEDICALLY UNINSURED PATIENTS AUTOMATICALLY RECEIVE A 35% DISCOUNT GENERATED AT THE TIME OF BILLING; ONCE THIS DISCOUNT HAS BEEN APPLIED, ANY FURTHER DISCOUNTS ARE BASED ON THEIR FAMILY INCOME LIMIT.
PART I, LINE 7:	UHS HOSPITALS USED THE COST TO CHARGE COSTING METHODOLOGY UTILIZING AMOUNTS FROM OUR 2019 MEDICAID COST REPORT AND OUR 2019 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 REFERRED AMBULATORY SURGERY, METHADONE TREATMENT, EMERGENCY, MEDICAL SURGERY, AND THE TRANSITIONAL CARE UNIT. 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 $14,601,755 IN 2019. 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: LACTATION CONSULTANTS, NURSE DIRECT, STAY HEALTHY KIDS, STAY HEALTHY MAGAZINE. ADDITIONALLY, 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 2019, 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 2019, $2,103,877 WAS SPENT IN DELIVERING THESE PROGRAMS TO 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 289,668 PATIENT ENCOUNTERS IN 2019. - 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 2019, UHS HOSPITALS ASSISTED 3,904 PREGNANT WOMEN WITH ACCESSING MEDICAID SERVICES. - TRANSITIONAL CARE UNIT: THE TRANSITIONAL CARE UNIT AT UHS 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: UHS 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 2019, UHS HOSPITALS PROVIDED SPONSORSHIP FUNDS TOTALING APPROXIMATELY $128,000 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 RUMBLE PONIES GAMES, AND BINGHAMTON DEVILS HOCKEY GAMES. 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 2019 THE UHS HOSPITALS EDUCATION PROGRAM SERVED APPROXIMATELY 160 STUDENTS PROVIDING A TOTAL OF $748,710 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- THE UHS 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 2019, CAPITAL CONTRIBUTIONS TO UHS HOSPITALS FROM THE UHS FOUNDATION, INC. TOTALED $340,997. THESE FUNDS PURCHASED NEEDED MEDICAL EQUIPMENT AND FUNDED PATIENT PROGRAMS THAT OTHERWISE WOULD BE UNAFFORDABLE BY UHS HOSPITALS. IN ADDITION, THROUGH A NEW INITIATIVE IN CONCERT WITH THE COMMUNITY'S "SOCK OUT CANCER" INITIATIVE, THE FOUNDATION IS ABLE TO PROVIDE FINANCIAL ASSISTANCE FOR PATIENTS CURRENTLY IN TREATMENT WHO ARE UNABLE TO MEET THE BASIC COSTS OF LIVING DUE TO THEIR NECESSARY TREATMENT AND LIFESTYLE CHANGES.
PART III, LINE 2:	IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, UHS HOSPITALS (UHSH) ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, UHSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, UHSH ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. UHSH CONSIDERS THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE WHEN CALCULATING ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT PROVISIONS. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
PART III, LINE 3:	THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED ON A PERCENTAGE ALLOCATION APPLIED TO THE TOTAL BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. THE PERCENTAGE CALCULATION COMPARED THE 2019 ACTUAL BAD DEBT WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE TOTAL 2019 ACTUAL BAD DEBT WRITE-OFFS. THIS CALCULATION DID NOT INCLUDE ESTIMATES OR ACCRUALS. IN 2019, THE WRITE-OFFS RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WAS APPROXIMATELY 30% OF THE TOTAL BAD DEBT WRITE-OFFS.
PART III, LINE 4:	UHSH RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, UHSH RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHSH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, UHSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PLEASE REFER TO PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
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 20% POORER THAN THE U.S. AVERAGE. THEREFORE, UHS HOSPITALS IS SERVICING AT RISK MEDICARE BENEFICIARIES WITH ALL ITS PROGRAMS AND SERVICES. IN ADDITION, DURING 2019 IT PROVIDED OVER $11,800,000 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 2019 MEDICAID COST REPORT FOR ALL PERTINENT CALCULATIONS IN PART III, LINE 6.
PART III, LINE 9B:	UHS HOSPITALS' POLICY 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 DOES NOT SEND AN ACCOUNT TO COLLECTION AGENCIES IF A COMPLETED FINANCIAL ASSISTANCE APPLICATION IS UNDER REVIEW FOR ELIGIBITY AND/OR UHSH HAS RECEIVED COMPLETE INFORMATION FROM THE PATIENT. 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 COMMENCING 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 2019, 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)- MARKET EXPERT SOFTWARE FROM THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) WHICH CONTAINS A HEALTH STATUS PROFILER MODULE.- UHS HOSPITALS 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.- SOCIAL MEDIAUHS 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 2019-2024, BROOME COUNTY HEALTH DEPARTMENT- ANNUAL ENVIRONMENTAL ASSESSMENT PREPARED BY UHS HOSPITALS MARKET RESEARCH- UHS, INC. (UHS HOSPITALS' PARENT COMPANY) STRATEGIC PLAN: 2017-2020IN 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 2019-2024 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- LOURDES/ASCENSION- 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 2015 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 PATIENT BILLS. THE TOTAL 2019 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, SULLIVAN, AND DELAWARE COUNTIES IN ADDITION TO SUSQUEHANNA COUNTY, PA. DEMOGRAPHICALLY, THE SERVICE AREA HAS A POPULATION BASE OF APPROXIMATELY 368,800 PEOPLE. THE REGION HAS A HIGHER PROPORTION OF ELDERLY THAN THE UNITED STATES OR NEW YORK STATE AVERAGES, WITH A MEDIAN INCOME THAT IS 23% 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 427 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 AND SERVICE ENHANCEMENTS.
PART VI, LINE 6:	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 CARE 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) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on Line 1a? ..

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 nonfixed
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) 2019

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)
1JOHN CARRIGG BOARD MEMBER/2ND VICE CHR	(i) (ii)	396,342 ------------- 396,342	81,489 ------------- 81,489	5,142 ------------- 5,142	9,500 ------------- 9,500	10,318 ------------- 10,318	502,791 ------------- 502,791	0 ------------- 0
2MATTHEW SALANGER BOARD MEMBER	(i) (ii)	130,000 ------------- 130,000	0 ------------- 0	0 ------------- 0	9,500 ------------- 9,500	376 ------------- 376	139,876 ------------- 139,876	0 ------------- 0
3RAJESH DAVE MD EXECUTIVE VP/CHIEF MEDICAL	(i) (ii)	453,778 ------------- 113,444	78,832 ------------- 19,708	0 ------------- 0	15,200 ------------- 3,800	15,151 ------------- 3,788	562,961 ------------- 140,740	0 ------------- 0
4DAVE MACDOUGALL SR VP OF FINANCE AND SYS	(i) (ii)	153,235 ------------- 102,157	52,440 ------------- 34,960	132,379 ------------- 88,253	5,700 ------------- 3,800	15,846 ------------- 10,564	359,600 ------------- 239,734	0 ------------- 0
5KAY BOLAND SENIOR VICE PRESIDENT, CHI	(i) (ii)	248,156 ------------- 248,156	43,923 ------------- 43,923	0 ------------- 0	9,500 ------------- 9,500	6,849 ------------- 6,849	308,428 ------------- 308,428	0 ------------- 0
6MICHAEL MCNALLY VP HUMAN RESOURCES	(i) (ii)	209,851 ------------- 0	0 ------------- 0	0 ------------- 0	14,240 ------------- 0	9,137 ------------- 0	233,228 ------------- 0	0 ------------- 0
7CHRISTINA BOYD VP COMMUNITY RELATIONS	(i) (ii)	114,505 ------------- 114,505	16,430 ------------- 16,430	0 ------------- 25	8,886 ------------- 8,886	12,857 ------------- 12,857	152,678 ------------- 152,703	0 ------------- 0
8NANCY RONGO VP CARE MANAGEMENT	(i) (ii)	251,536 ------------- 0	35,954 ------------- 0	0 ------------- 0	19,000 ------------- 0	17,722 ------------- 0	324,212 ------------- 0	0 ------------- 0
9GAIL THALACKER VP OPERATIONS	(i) (ii)	93,962 ------------- 140,944	13,431 ------------- 20,146	0 ------------- 0	7,288 ------------- 10,931	10,286 ------------- 15,430	124,967 ------------- 187,451	0 ------------- 0
10SHERI LAMOUREUX VP HUMAN RESOURCES	(i) (ii)	234,058 ------------- 58,515	33,456 ------------- 8,364	0 ------------- 0	15,200 ------------- 3,800	3,564 ------------- 891	286,278 ------------- 71,570	0 ------------- 0
11JOE CERRA SENIOR VP PHYSICIAN PRACTI	(i) (ii)	299,917 ------------- 33,324	42,141 ------------- 4,682	0 ------------- 0	17,100 ------------- 1,900	12,818 ------------- 1,424	371,976 ------------- 41,330	0 ------------- 0
12FNU SHAILESH MD PHYSICIAN	(i) (ii)	439,601 ------------- 0	167,193 ------------- 0	0 ------------- 0	8,400 ------------- 0	23,110 ------------- 0	638,304 ------------- 0	0 ------------- 0
13ISKANDAR KASSIS MD DIRECTOR OF OBGYN	(i) (ii)	497,450 ------------- 0	25,800 ------------- 0	0 ------------- 0	19,000 ------------- 0	13,938 ------------- 0	556,188 ------------- 0	0 ------------- 0
14SRINIVASA MANDAPALLI MD PHYSICIAN	(i) (ii)	392,052 ------------- 0	81,685 ------------- 0	0 ------------- 0	11,200 ------------- 0	20,164 ------------- 0	505,101 ------------- 0	0 ------------- 0
15MARY DIGUARDI MEDICAL DIRECTOR - PEDIATRICS	(i) (ii)	248,658 ------------- 0	22,995 ------------- 0	0 ------------- 0	18,434 ------------- 0	2,014 ------------- 0	292,101 ------------- 0	0 ------------- 0
16OLAYINKA WILHELM PHYSICIAN	(i) (ii)	266,358 ------------- 0	22,998 ------------- 0	0 ------------- 0	19,000 ------------- 0	22,852 ------------- 0	331,208 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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.

Schedule J (Form 990) 2019

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 BUILDING		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
C	BROOME COUNTY LOCAL DEVELOPMENT CORPORATION	30-0769309		02-28-2019	50,000,000	EPIC EMR SYSTEM		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		22,900,000		50,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............			161,599		183,237
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	400,000		682,440		381,349
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	19,600,000		22,055,961		18,373,861
11 Other spent proceeds .............					150,000
12 Other unspent proceeds .............					30,911,553
13 Year of substantial completion .............	2012		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2019

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		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		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 ....	3.000 %
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 .........					10.000 %
6 Total of lines 4 and 5 .............	3.000 %				10.000 %
7 Does the bond issue meet the private security or payment test? ...	X		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		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		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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......			X		X
b Exception to rebate? ........				X		X
c No rebate due? .........				X		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			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X			X
b Name of provider ..........			M&T BANK
c Term of hedge .........			860.0000000000 %
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2019

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		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		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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		X

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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) 2019

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) RICHARD BOLAND	SON OF OFFICER, KAY BOLAND	75,103	COMPENSATION (WAGES)		No
(2) COLETTE FLOYD	SPOUSE OF TRUSTEE, FRANK FLOYD	50,820	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) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER APPOINTS THE ORGANIZATION'S GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	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 AND INDEPENDENT AUDITORS. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATION PURPOSES.
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 IX, LINE 11G	PHYSICIAN AND NONPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 74,169,065. MANAGEMENT AND GENERAL EXPENSES 10,113,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,283,028.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF UHS FOUNDATION, INC. 1,421,325. RETIREMENT PLAN OBLIGATION CHANGES 7,871,847. RETIREMENT PLAN OBLIGATION CHANGES -818,488.
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. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

UNITED HEALTH SERVICES HOSPITALS INC

Employer identification number

16-1165049

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(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)	10	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)	10	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)	10	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)	10	UNITED HEALTH SERVICES INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(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

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) 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) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) PATHWAY HEALTH MGMT INC 20 MITCHELL AVENUE BINGHAMTON,NY13903 16-1228654	WINDING DOWN OF MGMT. SVCS. TO SUSQUEHANNA MED. ASSOC.	NY	UNITED HEALTH SERVICES INC	C	-785	741	50.000 %		No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(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

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: (SEE SCHEDULE O)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	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	5,763
6	Total number of volunteers (estimate if necessary) .............	6	424
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	55,586
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	54,337

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,891,963	3,420,560
9	Program service revenue (Part VIII, line 2g) .........	662,765,854	709,785,234
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,782,514	6,430,800
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	40,829,967	33,748,947
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	711,270,298	753,385,541
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)	319,945,961	332,259,122
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)....	372,608,540	405,828,302
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	692,554,501	738,087,424
19	Revenue less expenses. Subtract line 18 from line 12.......	18,715,797	15,298,117
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	481,600,512	533,025,832
21	Total liabilities (Part X, line 26).............	278,244,942	296,824,583
22	Net assets or fund balances. Subtract line 21 from line 20.....	203,355,570	236,201,249

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 274,388,599 including grants of $ ) (Revenue $ 234,917,890 )
	INPATIENT AND ACUTE SERVICES (SEE SCHEDULE O)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, ORTHOPEDIC, ONCOLOGY, AS WELL AS 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 2019 TOTALED 106,118, DISCHARGES WERE 19,906 AND THE AVERAGE LENGTH OF STAY WAS 5.43 DAYS. THERE WERE 1,412 BIRTHS AND 5,689 INPATIENT SURGERIES PERFORMED AT UHS HOSPITALS IN 2019. UHS HOSPITALS INCREASES ACCESS TO HEALTH CARE SERVICES BY OFFERING AN ADVOCACY PROGRAM WHICH HELPS THOSE WITHOUT FINANCIAL RESOURCES TO PAY THEIR HEALTHCARE BILLS. IN 2019, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 555 PATIENTS FOR WHICH $3,353,620 OF INPATIENT CARE (AT CHARGES) WAS PROVIDED.

4b	(Code: ) (Expenses $ 63,811,303 including grants of $ ) (Revenue $ 298,986,405 )
	OUTPATIENT AND AMBULATORY SERVICES (SEE SCHEDULE O)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, CARDIAC CATH LAB, INFUSION, PHARMACY, 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 SUBSTANCE USE DISORDER SERVICES. TOTAL PATIENT VISITS FOR OUTPATIENT SERVICES FOR YEAR-END 2019 TOTALED 1,809,075 EXCLUSIVE OF THE CLINIC SERVICES NOTED IN 4C BELOW. INCLUDED IN THE 1,809,075 VISITS WERE 43,483 EMERGENCY ROOM VISITS, 13,999 EMERGENCY ROOM TREATED AND ADMITTED AS ACUTE CARE PATIENTS, 69,130 VARIOUS OUTPATIENT SURGICAL CASES, 207,025, SPECIALTY CARE VISITS AND 119,739 OTHER OUTPATIENT DEPARTMENT VISITS. IN 2019, UHS HOSPITALS GAVE FINANCIAL ASSISTANCE TO APPROXIMATELY 12,939 PATIENTS FOR WHICH $7,468,310 OF OUTPATIENT CARE (AT CHARGES) WAS PROVIDED.

4c	(Code: ) (Expenses $ 298,100,908 including grants of $ ) (Revenue $ 177,968,098 )
	CLINICS (SEE SCHEDULE O)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) HOOPER 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 UHS CLINCS AT YEAR END 2019 TOTALED 280,466 PRIMARY CARE AND 207,025 SPECIALTY CARE VISITS.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, AND MAKING WELL-TRAINED HEALTH CARE PROFESSIONALS AND ADVANCED CLINICAL AND MEDICAL PRACTICES AVAILABLE TO THE PUBLIC. IN 2019 APPROXIMATELY 200 MEDICAL STUDENTS, REGISTERED NURSES, AND PHARMACY STUDENTS BENEFITTED FROM UHS HOSPITALS PROGRAMS. UHS HOSPITALS ALSO PROVIDES PROGRAMS AND SERVICES TO EDUCATE OUR PATIENTS, THEIR FAMILIES, BUSINESSES AND THE COMMUNITY AT LARGE ABOUT PROMOTING HEALTHY LIFESTYLES, FACILITATING UNDERSTANDING OF PERSONAL HEALTH STATUS, INCREASING KNOWLEDGE OF HEALTH CARE OPTIONS, AND ENCOURAGING EFFECTIVE UTILIZATION OF THE HEALTH-CARE SYSTEM. DURING 2019 APPROXIMATELY 51,000 COMMUNITY MEMBERS WERE SERVED. 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 $128,000 IN SPONSORSHIP FUNDS WERE PROVIDED.

	(Code: ) (Expenses $ 1,812,212 including grants of $ ) (Revenue $ 1,812,212 )
	ALL OTHER (SEE SCHEDULE O)UHS HOSPITALS PROVIDES VARIOUS SERVICES TO THEIR AFFILIATE COMPANIES CHENANGO MEMORIAL HOSPITAL, IDEAL SENIOR LIVING CENTER, IDEAL SENIOR LIVING CENTER HOUSING CORPORATION, TWIN TIER HOME HEALTH, PROFESSIONAL HOME CARE, AND DELAWARE VALLEY HOSPITAL IN ADDITION TO THEIR PARENT COMPANY, UNITED HEALTH SERVICES, INC. UHS HOSPITALS ALSO RENDERS SERVICES TO THE PHYSICIAN PRACTICE MEDICAL GROUP, UNITED MEDICAL ASSOCIATES, PC. SERVICES RENDERED ARE CHARGED TO THE APPROPRIATE ENTITY AT COST.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,812,212 including grants of $ ) (Revenue $ 1,812,212 )
4e	Total program service expenses638,113,022

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,316,821	1,681,224	528,271

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	2,906,080

f	All other contributions, gifts, grants, and similar amounts not included above		1f	514,480

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		3,420,560

		Business Code
2a	LAB CLINICAL-CHEMISTRY	621500	78,310,653	78,310,653
b	OPERATING ROOM	621990	77,214,988	77,214,988
c	MEDICAL ONCOLOGY	621990	71,967,932	71,967,932
d	CT SCANS	621990	36,893,024	36,893,024
e	PHARMACY	621500	33,700,181	33,700,181
f	All other program service revenue.		411,698,456	411,698,456
g	Total. Add lines 2a–2f .....		709,785,234

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,430,800			6,430,800
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,486,657	6a
b	Less: rental expenses		467,978	6b
c	Rental income or (loss)		2,018,679	6c
d	Net rental income or (loss).......			2,018,679		55,586	1,963,093
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CONTRACT PHARMACY-340B		621990	15,720,157			15,720,157
b	VENDOR REBATES		621990	2,009,511	2,009,511		0
c	SERVICES RENDERED		621990	1,812,212	1,812,212
d	All other revenue ....			12,188,388	77,648		12,110,740
e	Total. Add lines 11a–11d ......			31,730,268
12	Total revenue. See instructions.....			753,385,541	713,684,605	55,586	36,346,307

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	3,398,070	1,359,228	2,038,842
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........	249,034,593	213,430,057	35,604,536
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,436,646	10,583,586	1,853,060
9	Other employee benefits .......	48,718,840	41,459,734	7,259,106
10	Payroll taxes ...........	18,670,973	15,888,998	2,781,975
11	Fees for services (non-employees):
a	Management ......	9,052,284	7,966,010	1,086,274
b	Legal .........	983,725	865,678	118,047
c	Accounting ...........	297,078	261,429	35,649
d	Lobbying ...........	24,125	21,230	2,895
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)	84,283,028	74,169,065	10,113,963
12	Advertising and promotion ....	28,276	24,883	3,393
13	Office expenses .......	6,341,475	5,580,498	760,977
14	Information technology ......	7,139,913	6,283,123	856,790
15	Royalties ..
16	Occupancy ...........	11,356,535	9,993,751	1,362,784
17	Travel ............	1,340,850	1,179,948	160,902
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	2,684,287	2,362,173	322,114
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,972,128	22,855,473	3,116,655
23	Insurance ...	3,057,190	2,690,327	366,863
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	PURCHASED SERVICES	73,340,835	64,539,935	8,800,900
b	DRUGS & PHARMACEUTICALS	68,900,523	60,632,460	8,268,063
c	MEDICAL/SURGICAL SUPPLI	39,800,079	35,024,070	4,776,009
d	PROSTHESIS EXPENSE	32,045,336	28,199,896	3,845,440
e	All other expenses	39,180,635	32,741,470	6,439,165
25	Total functional expenses. Add lines 1 through 24e	738,087,424	638,113,022	99,974,402	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 .........			67,298,143	2	75,385,717
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			59,109,791	4	65,625,465
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			12,433,598	8	13,104,749
9	Prepaid expenses and deferred charges ......			16,286,086	9	17,048,310
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	705,409,896
b	Less: accumulated depreciation	10b	464,487,197	204,175,412	10c	240,922,699
11	Investments—publicly traded securities .			10,005,554	11	10,328,561
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			87,359,235	13	88,179,576
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			24,932,693	15	22,430,755
16	Total assets. Add lines 1 through 15 (must equal line 33)...			481,600,512	16	533,025,832

17	Accounts payable and accrued expenses .....	79,027,806	17	94,201,511
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	37,690,874	20	55,193,733
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	40,873,060	23	39,946,909
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	120,653,202	25	107,482,430
26	Total liabilities. Add lines 17 through 25..	278,244,942	26	296,824,583

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	189,591,394	27	221,134,800
28	Net assets with donor restrictions ...........	13,764,176	28	15,066,449
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	203,355,570	32	236,201,249
33	Total liabilities and net assets/fund balances ........	481,600,512	33	533,025,832