2020-11-13T13:25:26-06:00 2019-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2019-01-01 222682421 UNITED HEALTH SERVICES INC UNIT 6077622107 20-42 MITCHELL AVENUE BINGHAMTON NY 13903 JOHN CARRIGG PRESIDENT / CEO 6077622107 2020-11-10 1 MARY MADONIA P00405803 7168472651 2020-11-10 2019 2022-09-23 18:48:47Z JOHN CARRIGG 20-42 MITCHELL AVENUE BINGHAMTON NY 13903 8829476 0 X WWW.NYUHS.ORG X 1984 NY -HEALTH CARE SYSTEM PLANNING AND COORDINATING. 13 11 17 16 0 0 0 0 8428164 8819424 48579 7076 12 2976 8476755 8829476 0 0 0 0 4806545 4624962 0 0 0 4201659 5102720 9008204 9727682 -531449 -898206 19071584 24214159 3417385 3705138 15654199 20509021 UNITED HEALTH SERVICES, INC. IS THE PARENT CORPORATION RESPONSIBLE FOR GOVERNING, PLANNING, COORDINATING, MONITORING AND SUPPORTING SYSTEM DEVELOPMENT. ITS MISSION IS TO IMPROVE THE HEALTH OF THOSE WE SERVE THROUGH OUR COMMITTMENT TO EXCELLENCE IN ALL THAT WE DO. 0 0 9008804 8819424 UNITED HEALTH SERVICES, INC. IS THE NOT-FOR-PROFIT, TAX-EXEMPT PARENT OF THE UNITED HEALTH SERVICES, INC. HEALTHCARE SYSTEM. ITS MISSION IS TO IMPROVE THE HEALTH OF THOSE THAT OUR SYSTEM MEMBERS SERVE THROUGH OUR COMMITTMENT TO EXCELLENCE IN ALL THAT WE DO. ADDITIONALLY, UNITED HEALTH SERVICES, INC. GOVERNS THE ACTIVITIES OF THE SYSTEM'S MEMBERS TO ENSURE A COMPREHENSIVE, WELL ORGANIZED NETWORK OF HIGH QUALITY AFFORDABLE HEALTHCARE SERVICES FOR THEIR SERVICE AREAS. 2976 2976 9008804 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 43 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X JAMES SMITH - CONTROLLER 6077623319 20 MITCHELL AVENUE BINGHAMTON NY 139031617 JEROME CANNY CHAIRMAN/BOARD MEMBER 2.00 X X 0 0 0 BRUCE BOWLING MD VICE CHAIR/BOARD MEMBER 2.00 X X 0 0 0 JUDITH PECKHAM SECRETARY/BOARD MEMBER 2.00 X X 0 0 0 DIANA BENDZTO MAY 2019 TREASURER/BOARD MEMBER 2.00 X X 0 0 0 JOHN CARRIGG PRESIDENT/CEO/BOARD MEMBER 28.50 28.50 X X 482973 482973 39638 KEITH CHADWICK BOARD MEMBER 2.00 X 0 0 0 THOMAS EMERSONESQTO MAY 2019 BOARD MEMBER 2.00 X 0 0 0 ERIC LARSEN BOARD MEMBER 2.00 X 0 0 0 JAMES LEONARDCPATO MAY 2019 BOARD MEMBER 2.00 X 0 0 0 REV LARRY LIGHT BOARD MEMBER 2.00 X 0 0 0 SUSAN MISTRETTA ESQ SECRETARY/BOARD MEMBER 2.00 X 0 0 0 MATTHEW SALANGER SENIOR STRATEGIC ADVISOR/BOARD MEMBER 10.00 10.00 X 130000 130000 19752 MARK SHUMEYKO MD BOARD MEMBER 2.00 X 0 0 0 JAMES TALLON BOARD MEMBER 2.00 X 0 0 0 NATALIE THOMPSON BOARD MEMBER 2.00 X 0 0 0 CATHERINE SCARLETT BOARD MEMBER 2.00 X 0 0 0 DAVE MACDOUGALL SR VP-FINANCE 22.00 33.00 X 225370 338054 35910 KAY BOLAND RN CHIEF OPERATING OFFICER 28.50 28.50 X 292079 292079 32698 RAJESH DAVE SYSTEM CHIEF MED OFFICER 11.00 44.00 X 133152 532610 37938 CHRISTINA BOYD VP COMMUNITY RELATIONS 28.50 28.50 X 130960 130934 43485 JOSEPH CERRA SRVP - PHYSICIAN PRACTICES 5.50 49.50 X 38006 342058 33242 GAIL THALACKER VP OF OPERATIONS 33.00 22.00 X 161090 107393 43935 SHERI LAMOUREUX VP - HUMAN RESOURCES 11.00 44.00 X 66879 267514 23456 RICK BORSCHUK CHIEF FINANCIAL OFFICER 22.00 33.00 X 20715 31074 7 JEFFERY ALEXANDER VP - GENERAL COUNSEL 55.00 X 401214 0 32837 AFZAL REHMAN ASSOC. CHIEF INFORM. OFFIC 55.00 X 434167 0 21166 ANGELA IACOVELLI SR DIRECTOR REV CYCLE 55.00 X 235690 0 39565 HEATHER MILLER ASSOC.ASST GENERAL COUNSEL 55.00 X 150875 0 32823 PAT WILLIAMS DIRECTOR STRATEGIC PLANNING 55.00 X 148387 0 30867 CHRISTINA DOLAN DIRECTOR PUBLIC POLICY & PROGRAM DEVELOPMENT 55.00 X 116159 0 20754 3167716 2654689 488073 16 0 1 1 HISCOCK AND BARCLAY PO BOX 1265 ALBANY NY 12201 LEGAL 507678 RIGER ADVERTISING PO BOX 1623 53 CHENANGO ST BINGHAMTON NY 13902 ADVERTISING/COMMUNICATIONS 376005 WITTKIEFFER INC 2015 SPRING RD SUITE 510 OAK BROOK IL 60523 EXECUTIVE SEARCH 344755 PARK OUTDOOR ADVERTISING INC PO BOX 4680 ITHACA NY 14852 ADVERTISING/COMMUNICATIONS 331563 WBNG-TV 560 COLUMBIA DRIVE JOHNSON CITY NY 13790 ADVERTISING/COMMUNICATIONS 234321 16 SHARED SERVICES 900099 8819424 8819424 8819424 7076 7076 OTHER INCOME 900099 2976 2976 2976 8829476 8822400 0 7076 X 2239391 2239391 1793020 1620890 172130 234383 211882 22501 165635 149734 15901 192533 174050 18483 920271 831925 88346 -2394 -2164 -230 70800 64003 6797 66187 59833 6354 3399186 3072864 326322 183843 166192 17651 14108 12754 1354 23402 21155 2247 23343 21102 2241 19523 17649 1874 10011 9050 961 LICENSES AND TAXES 133034 120263 12771 FINANCIAL CONSULTING 66754 60346 6408 DUES 65378 59102 6276 REGIONAL OUTREACH TACTI 50804 45927 4877 58470 52856 5614 9727682 9008804 718878 0 33676 71784 403185 410261 266211 316875 572389 527123 64789 45266 6340748 9063253 11962975 14306720 19071584 24214159 3417385 3705138 3417385 3705138 X 15654199 20509021 15654199 20509021 19071584 24214159 X -898206 5753028 X X 0 1 X 0 0 X 8665642 8629991 9186564 26482197 83973 8476755 8822400 17383128 8665642 8629991 9270537 8476755 8822400 43865325 0 0 0 43865325 10078 104 3297 5701 7076 26256 10078 104 3297 5701 7076 26256 8675720 8630095 9273834 8482456 8829476 43891581 0.99940 0.99960 0.00060 0.00040 X 0 0 0 0 0 0 0 0 1 66187 66187 0 PART II-B, LINE 1: UNITED HEALTH SERVICES,INC. HAS LIMITED LOBBYING ACTIVITIES. ACTIVITIES ARE CONDUCTED ON THE ORGANIZATION'S BEHALF THROUGH MEMBERSHIP IN THE IROQUOIS HEALTHCARE ALLIANCE, HANYS(HEALTHCARE ASSOCIATION OF NYS) AND JEFFERY K DAVIS, CONSULTING, LLC.(LINE 1I) 10791021 416466 2065877 347533 13620897 11740113 417975 -611810 -755257 10791021 9596485 450074 1335665 -357889 11740113 8637512 477606 590627 109260 9596485 8647880 478041 -20409 468000 8637512 1.00000 1 0 572389 527123 45266 45266 VHA ENTERPRISES 225000 C INVEST IN SOUTHERN NEW YORK INDEMNITY 8838253 C 9063253 BENEFICIAL INTEREST IN UHS FOUNDATION ASSETS 13620897 DUE FROM AFFILIATES 685823 14306720 ACCRUED PENSION COSTS - LONG TERM 1568760 ACCRUED PENSION CONTRIB LIABILITY & EQUITY -49702 DUE TO AFFILIATES 2186080 3705138 X PART V, LINE 4: THE USE OF ENDOWMENT FUNDS RECEIVED FROM THE UNITED HEALTH SERVICES FOUNDATION ARE IN ACCORDANCE WITH THE DONORS' WISHES AND GENERAL USE. THE UNRESTRICTED INTEREST IN THE UHS FOUNDATION IS BOARD DESIGNATED. PART X, LINE 2: THE CONSOLIDATED FINANCIAL STATEMENT PACKAGE FOR UNITED HEALTH SERVICES, INC. CONTAINED THE FOLLOWING FOOTNOTE 1 (U): ALL OF THE ENTITIES INCLUDED IN THE COMBINED FINANCIAL STATEMENTS EXCEPT PATHWAYS HEALTH MANAGEMENT, INC. AND SOUTHERN NEW YORK INDEMNITY COMPANY, LLC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE GENERALLY 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, THE CORPORATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019. THE CORPORATION DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. X X X X 0 1 0 0 0 1 1 0 0 JOHN CARRIGG PRESIDENT/CEO/BOARD MEMBER 396342 396342 81489 81489 5142 5142 9500 9500 10319 10319 502792 502792 0 0 MATTHEW SALANGER SENIOR STRATEGIC ADVISOR/BOARD MEMBE 130000 130000 0 0 0 0 9500 9500 376 376 139876 139876 0 0 DAVE MACDOUGALL SR VP-FINANCE 102157 153235 34960 52440 88253 132379 3800 5700 10564 15846 239734 359600 0 0 KAY BOLAND RN CHIEF OPERATING OFFICER 248156 248156 43923 43923 0 0 9500 9500 6849 6849 308428 308428 0 0 RAJESH DAVE SYSTEM CHIEF MED OFFICER 113444 453778 19708 78832 0 0 3800 15200 3788 15150 140740 562960 0 0 CHRISTINA BOYD VP COMMUNITY RELATIONS 114505 114505 16430 16429 25 0 8886 8885 12857 12857 152703 152676 0 0 JOSEPH CERRA SRVP - PHYSICIAN PRACTICES 33324 299917 4682 42141 0 0 1900 17100 1424 12818 41330 371976 0 0 GAIL THALACKER VP OF OPERATIONS 140944 93962 20146 13431 0 0 10931 7288 15430 10286 187451 124967 0 0 SHERI LAMOUREUX VP - HUMAN RESOURCES 58515 234058 8364 33456 0 0 3800 15200 891 3565 71570 286279 0 0 JEFFERY ALEXANDER VP - GENERAL COUNSEL 349251 0 51963 0 0 0 19000 0 13837 0 434051 0 0 0 AFZAL REHMAN ASSOC. CHIEF INFORM. OFFIC 293072 0 141095 0 0 0 9500 0 11666 0 455333 0 0 0 ANGELA IACOVELLI SR DIRECTOR REV CYCLE 219649 0 16041 0 0 0 15993 0 23572 0 275255 0 0 0 HEATHER MILLER ASSOC.ASST GENERAL COUNSEL 126634 0 24241 0 0 0 10238 0 22585 0 183698 0 0 0 PAT WILLIAMS DIRECTOR STRATEGIC PLANNING 137982 0 10405 0 0 0 10069 0 20798 0 179254 0 0 0 PART I, LINE 4B INDIVIDUALS ONLY PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PAYMENT OF $220,632 WAS MADE TO DAVE MACDOUGALL IN 2019 FOR 457F PLAN. PART I, LINE 6 THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UHS SYSTEM. A PORTION OF THE 2019 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. FORM 990, PART VII, SECTION A, LINE 5, UNRELATED ORGANIZATION DETAIL: INDIVIDUAL: AFZAL REHMAN, ASSOCIATE CHIEF INFORMATION OFFICER, COMPENSATION RECEIVED FROM UNRELATED ORGANIZATION: UNITED MEDICAL ASSOCIATES(UMA), UMA BILLS BACK 50% OF REHMAN'S COMPENSATION TO UHS INC. TOTAL COMPENSATION ON W-2 ISSUED BY UMA: $910,664 FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE UNITED HEALTH SERVICES, INC. MANAGEMENT, AS DELEGATED BY THE UNITED HEALTH SERVICES, INC. BOARD OF DIRECTORS. THE UHS FINANCE DIVISION PREPARES THE 990 WHICH IS THEN REVIEWED BY THE UNITED HEALTH SERVICES, INC.'S CFO, PRESIDENT AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C A WRITTEN CONFLICT OF INTEREST POLICY WAS ADOPTED BY THE COMPANY IN MAY OF 2013. DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE CEO AND BOARD CHAIRMAN. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF UNITED HEALTH SERVICES, INC. THAT ALL STAFF, INCLUDING THE EXECUTIVE STAFF, BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS ARE STRUCTURED TO CONSIDER LOCAL, REGIONAL AND NATIONAL MARKETS FOR SIMILAR PERSONNEL TO ALLOW UNITED HEALTH SERVICES, INC. TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILLS REQUIRED TO FULFILL ITS MISSION. THE EXECUTIVE COMPENSATION PROGRAM MUST FOCUS EXECUTIVES' ATTENTION ON UHS'S STRATEGIC INITIATIVES AND MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PROGRAM, THE UNITED HEALTH SERVICES, INC. BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE REVIEWS ANNUALLY A COMPREHENSIVE REPORT PREPARED BY AN EXTERNAL COMPENSATION FIRM, SULLIVAN COTTER ASSOCIATES, TO DETERMINE THE APPROPRIATENESS OF THE BASE AND TOTAL COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT STAFF. THIS ANNUAL REPORT FOCUSES ON TWO KEY AREAS: 1)THE COMPETITIVENESS OF THE SENIOR MANAGEMENT STAFF'S BASE AND TOTAL COMPENSATION (INCLUDING BENEFITS) VS. NATIONAL BENCHMARK DATA FOR COMPARABLY SIZED HEALTH CARE SYSTEMS AND HOSPITALS (BASED UPON 'TOTAL REVENUE' METRICS), AND 2) A 'REASONABLE ASSESSMENT' CONSISTENT WITH THE U. S. TREASURY DEPARTMENT REGULATIONS GOVERNING EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT ORGANIZATIONS. THE DATA FROM THIS REPORT ASSISTS THE EXECUTIVE COMMITTEE IN DETERMINING THE APPROPRIATENESS OF THE SENIOR MANAGEMENTS' CURRENT BASE AND TOTAL COMPENSATION LEVELS AND THE NEED FOR ANY ADJUSTMENTS FOR THAT CALENDAR YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. FORM 990, PART IX, LINE 5: ANGELA IACOVELLI, AFZAL REHMAN, HEATHER MILLER, PAT WILLIAMS AND CHRISTINA DOLAN ARE PAID DIRECTLY BY UHS, INC. UHS HOSPITALS IS A COMMON PAYMASTER FROM WHICH THE W-2S ARE ISSUED FOR MATTHEW SALANGER, DAVE MACDOUGALL, JOHN CARRIGG, KAY BOLAND, RAJESH DAVE, CHRISTINA BOYD, JOSEPH CERRA, JEFFERY ALEXANDER, GAIL THALACKER, SHERI LAMOUREUX AND RICK BORSCHUK. UHS HOSPITALS HAS INTERCOMPANY AGREEMENTS WHERE A PERCENTAGE OF THESE INDIVIDUALS' SALARIES ARE ALLOCATED BY UHS HOSPITALS TO ITS VARIOUS AFFILIATES, INCLUDING UHS, INC FOR THEIR DUTIES. FORM 990, PART XI, LINE 9: CHANGE IN UNRESTRICTED INTEREST IN NET ASSETS OF UHS FOUNDATION,INC 2,829,877. CHANGE IN ACCRUED PENSION COSTS - LONG TERM 200,646. CHANGE IN EQUITY INTEREST IN SNYICL 2,722,505. FORM 990, PART XII, LINE 2C: THE UHS, INC STANDALONE AUDIT IS DONE IN CONJUNCTION WITH THE CONSOLIDATION FINANCIAL STATEMENT AUDIT AND REVIEWED AT THE UHS INC'S BOARD OF DIRECTORS LEVEL. THE BOARD IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF UHS, INC'S FINANCIAL STATEMENTS. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. SOUTHERN NEW YORK INDEMNITY COMPANY 126 COLLEGE ST SUITE 400 BURLINGTON VT 05401 463254034 CAPTIVE INSURANCE COMPANY VT 4102347 16617842 UNITED HEALTH SERVICES INC UNITED HEALTH SVCS HOSPITALS INC 33-57 HARRISON ST JOHNSON CITY NY 13790 161165049 HOSPITAL NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 IDEAL SENIOR LIVING CENTER INC 508 HIGH ST ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 IDEAL SR LIVING CTR HOUSING CORP 508 HIGH ST ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 CHENANGO MEMORIAL HOSPITAL INC 179 N BROAD ST NORWICH NY 13815 150532180 HOSPITAL NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 DELAWARE VALLEY HOSPITAL INC ONE TITUS PLACE WALTON NY 13856 150524324 HOSPITAL NY 501(C)(3) 3 UNITED HEALTH SERVICES INC 0 TWIN TIER HOME HEALTH INC 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222438211 HOME HEALTH CARE NY 501(C)(3) 10 UNITED HEALTH SERVICES INC 0 ECKELBERGER TOWER INC 156 CORLISS AVENUE JOHNSON CITY NY 13790 237171440 MEDICAL STUDENT HOUSING NY 501(C)(3) 10 UNITED HEALTH SVCS HOSPITALS INC 0 PATHWAY HEALTH MGMT INC 20 MITCHELL AVENUE BINGHAMTON NY 13903 161228654 WINDING DOWN OF MGMT SVCS TO SUSQUEHANNA MED. 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