| FORM 990, PART VI, SECTION A, LINE 6 |
THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A |
THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION B, LINE 11 |
A SENIOR ACCOUNTANT IN THE UHS SYSTEM GENERAL ACCOUNTING DEPARTMENT PREPARES THE DELAWARE VALLEY HOSPITAL FORM 990 AND THEN PRESENTS IT TO THE CONTROLLER AND CFO FOR REVIEW. IT IS THEN FORWARDED TO THE EXTERNAL AUDITORS, FUST CHARLES CHAMBERS FOR THEIR REVIEW. ONCE THEY DETERMINE IT TO BE COMPLETE, IT IS THEN PRESENTED TO THE PRESIDENT/CEO FOR APPROVAL PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C |
DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE CEO, BOARD CHAIRMAN AND THE ORGANIZATION'S AUDIT COMMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15A |
PERFORMANCE REVIEW OF PRESIDENT/CEO IS COMPLETED BY BOARD CHAIR AND 2ND VICE CHAIR/UHS, INC. LIAISON ANNUALLY. RESULTS PRESENTED TO EXECUTIVE COMPENSATION COMMITTEE, COMPRISED OF CHAIR, LIAISON, AND THREE OTHER BOARD MEMBERS. COMMITTEE USES SULLIVAN-CARTER, A PAID CONSULTING FIRM, TO OBTAIN NATIONAL CEO COMPENSATION DATA BY HOSPITAL TYPE, SIZE, ETC. AS BASIS FOR ESTABLISHING ACCEPTABLE RANGE OF COMPENSATION TO ENSURE COMPLIANCE WITH TREASURY REGULATION 53.4958-1(D)(4)(3). THE COMMITTEE THEN DETERMINES AND APPROVES THE PRESIDENT/CEO COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST. |
| FORM 990, PART IX, LINE 11G |
PHYSICIAN SERVICES FEES: PROGRAM SERVICE EXPENSES 2,136,201. MANAGEMENT AND GENERAL EXPENSES 431,782. FUNDRAISING EXPENSES 37. TOTAL EXPENSES 2,568,020. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 353,368. |
Attach to Form 990 or 990-EZ.