TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Sr Clarisse Correia DC Board Chair	.50	X		0	0
(2) Donald Schneider PhD Vice Chair	.50	X		0	0
(3) Kenneth B Segel Secretary	.50	X		0	0
(4) Sr Sean Peters CSJ Treasurer	.50	X		0	0
(5) Steven Bouchey Board Member	.50	X		0	0
(6) Charles F Carletta Board Member	.50	X		0	0
(7) Sr Jane Graves thru 610 Board Member	.50	X		0	0
(8) Beverly Karpiak Board Member	.50	X		0	0
(9) Michael Keegan Board Member	.50	X		0	0
(10) Ajit Khanuja MD Board Member	.50	X		0	0
(11) Michael Marmulstein Board Member	.50	X		0	0
(12) Andrew Matonak Board Member	.50	X		0	0
(13) Curtis Powell Board Member	.50	X		0	0
(14) James Walsh Board Member	.50	X		0	0
(15) Scott St George Sch O CFO/CEO (end/beg. 08/10)	37.50	X	X	254,687	66,651
(16) Gino J Pazzaglini Sch O CEO (end 08/10)	37.50	X	X	700,146	65,281
(17) Daniel A Kochie Sch O CFO (beg. 08/10)	37.50		X	98,151	16,144

(A) Name and business address	(B) Description of services	(C) Compensation
Upstate Anesthesiology Services PC 10 Commerce Drive New Rochelle,NY10801	Anesthesiology Services	1,296,750
Mobile Hyperbaric Centers 1375 E 9th St 1850 Cleveland,OH44114	Medical Services	767,434
Laboratory Corporation of America Holdin PO Box 12140 Burlington,NC272162140	Medical Services	649,578
Innovative Discovery 1700 N Moore Street Suite 1510 Arlington,VA22209	Document Discovery Services	416,417
Samaritan Hospital 2215 Burdette Avenue Troy,NY12180	Medical Services	315,031
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 22

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	12,100	12,100
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,721,625		1,721,625
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	66,261,999	61,066,686	5,195,313
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	5,198,408	4,505,401	693,007
9	Other employee benefits .......	4,932,712	4,334,233	598,479
10	Payroll taxes ...........	4,964,960	4,339,872	625,088
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	534,984		534,984
c	Accounting ...........	55,804	48,718	7,086
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........
12	Advertising and promotion ....	558,652	239,064	319,588
13	Office expenses .......	21,702,413	20,657,347	1,045,066
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,307,975	2,908,280	1,399,695
17	Travel ............	284,454	284,454
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	402,233	265,608	136,625
20	Interest ...........	1,068,744	1,068,744
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	2,452,020	2,452,020
23	Insurance ..............	1,654,196	1,446,926	207,270
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Bad Debt	9,690,653	9,690,653	0	0
b	Other Purchased Service	4,250,680	1,503,493	2,747,187	0
c	Purchased Svcs-Labor	4,126,676	2,844,956	1,281,720	0
d	Physician Fees	2,943,765	2,943,765	0	0
e	Service Contracts	1,902,485	1,642,761	259,724	0
f	All other expenses	6,232,221	4,621,772	1,610,449
25	Total functional expenses. Add lines 1 through 24f	145,259,759	126,876,853	18,382,906	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	6,221	1	6,371
2	Savings and temporary cash investments .......	7,970,976	2	6,487,930
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	16,784,978	4	14,675,792
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	114,209	7	102,782
8	Inventories for sale or use ..............	1,754,363	8	1,585,716
9	Prepaid expenses and deferred charges ............	1,154,051	9	1,238,794
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	64,972,010
b	Less: accumulated depreciation. .....	10b	47,400,014	16,718,663	10c	17,571,996
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	-690	12	12,495
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	47,502,964	15	59,353,531
16	Total assets. Add lines 1 through 15 (must equal line 34)...	92,005,735	16	101,035,407
	17	Accounts payable and accrued expenses .	20,829,069	17	20,146,927
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	51,990,781	25	52,530,077
26	Total liabilities. Add lines 17 through 25.....	72,819,850	26	72,677,004
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	18,600,368	27	27,761,272
28	Temporarily restricted net assets .....	86,816	28	97,051
29	Permanently restricted net assets .....	498,701	29	500,080
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	19,185,885	33	28,358,403
34	Total liabilities and net assets/fund balances .....	92,005,735	34	101,035,407

- 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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

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

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

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 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 that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(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. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
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 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. 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—2009. If the organization did not check the 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—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. 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) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(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) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(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 IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. 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—2009. 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) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

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.

OMB No. 1545-0047

2010

Name of organization

Seton Health System Inc

Employer identification number

14-1776186

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, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization 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), and received from any one contributor, during the year, a contribution 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 a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Seton Health System Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Seton Health System Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(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) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Seton Health System Inc

Employer identification number

14-1776186

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (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.) Arrow Bullet

(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) (2010)

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

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to 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,” to 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,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

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

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

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 on behalf of or in opposition to candidates for public office in Part IV.

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion 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-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

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 if the filing organization belongs to an affiliated group.
B Check 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 instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

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

c	Total lobbying expenditures

d	Grassroots non-taxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

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)).

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

Yes

34,891

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

Yes

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

Yes

Other activities? If "Yes," describe in Part IV ..........................

Yes

27,097

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

61,988

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 carryover 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) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

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

Section 162(e) non-deductible 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

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Explanation of Other Lobbying Activities:	Part II-B, Line 1i:	Lobbying expenses represent the portion of dues paid to national and state hospital associates that are specifically allocable to lobbying. Seton Health System, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2010

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," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate 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 may 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" to 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 pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

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

Amount of expenses incurred in monitoring, inspecting, 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 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, 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" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, 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 XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, 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)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

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

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

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

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

Using the organization’s 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 XIV.

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" to 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

If "Yes," explain the arrangement in Part XIV and complete the following table:


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? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

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

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	981,391	819,881	1,080,683
b	Contributions ........
c	Investment earnings or losses ...	142,529	161,510	-260,802
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	1,123,920	981,391	819,881

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

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)

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

3a(ii)

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

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

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	449,956		449,956
b	Buildings ................	38,582,431	26,292,947	12,289,484
c	Leasehold improvements ............	4,795,729	4,318,646	477,083
d	Equipment ................	19,409,070	16,400,224	3,008,846
e	Other .................	1,734,824	388,197	1,346,627
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				17,571,996

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. 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
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Estimated Settlements from Third Party Payors				709,325
(2) Health System Depository Account				53,769,847
(3) Intercompany Receivable Affiliated Management Services Corp.				2,086,450
(4) Deferred Compensation				2,787,909





Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				59,353,531

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Intercompany Debt with Ascension		33,522,690
Accrued Pension		14,598,011
Other Liabilities		4,409,376






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		52,530,077
2. Fin 48 (ASC 740) Footnote. In Part XIV, 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 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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 XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
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 XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
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 XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to 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; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

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" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

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

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

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

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

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

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does 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.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	2,425,422		2,425,422	1.790 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	21,705,859	22,161,736	-455,877	0 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	24,131,281	22,161,736	1,969,545	1.790 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	3,054,028		3,054,028	2.250 %
f Health professions education (from Worksheet 5) ..	781,666		781,666	0.580 %
g Subsidized health services (from Worksheet 6) ..	6,632		6,632	0 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	32,483		32,483	0.020 %
jTotal Other Benefits ...	3,874,809		3,874,809	2.850 %
kTotal. Add lines 7d and 7j. ..	28,006,090	22,161,736	5,844,354	4.640 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	29,048	29,048	0.020 %
3	Community support	650	650	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	42,096	42,096	0.030 %
7	Community health improvement advocacy	1,224	1,224	0 %
8	Workforce development
9	Other
10	Total	73,018	73,018	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense (at cost).....

3,271,564

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

1,665,553

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

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

63,058,666

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

55,141,462

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

7,917,204

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

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Part IV

Management Companies and Joint Ventures

(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) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Seton Health System Inc 1300 Massachusetts Avenue Troy,NY12180	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

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

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and 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?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments 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.

Identifier	ReturnReference	Explanation
		Part I, Line 3c: Seton Health System, Inc. uses Federal Poverty Guidelines as the criteria to determine eligibility for free and discounted care.
		Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost methodology that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
		Part I, Line 7g: Seton Health includes costs attributable to physician clinics, palliative care, and pharmacy access as part of subsidized health services.
		Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $9,690,653.
		Part II: Seton Health assists in the funding and operation of the Troy Redevelopment Foundation (Foundation). Per the Foundation's website, it is an economic development organization with a mission to invest financial and human resources into the revitalization of the City of Troy. The Foundation contributes a voluntary gift to the city to help fund opportunities to promote economic development and support Troy-based community organizations that have a real, positive impact on the quality of life in the community. For over 13 years, Seton Health has been an active member of the Healthy Capital District Initiative (HCDI), partnering with other local hospitals, insurers, county health departments and other interested parties to improve the health of the people living in Albany, Rensselaer and Schenectady counties.Seton Health, Northeast Health and St. Peter's Health Care Services have affiliated with the merger on October 1, 2011. The rationale for the affiliation, at its core, is simple: we believe that, by combining complementary strengths, we can significantly improve our ability to meet the health care needs of the region. The intention is to:-develop collaborative ways to deliver health care in a more coordinated, seamless fashion,-improve efficiency and eliminate fragmentation of patient care, and-improve access to care by the poor and underserved people in the Capital Region and beyond.The affiliation discussions resulted in the merger that took place on October 1, 2011 and will only serve to enhance the services provided to all the members of our community, especially the poor and disenfranchised.Please see the community benefit report included in Schedule O for more detailed information on community building activities.
		Part III, Line 4: The provision for bad debts is based upon management's assessment of historical and expected net collections considering economic conditions, trends in health care coverage and other collection indicators. Periodically throughout the year, management assesses the adequacy of allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.
		Part III, Line 9b: While Seton Health's collection policy does not specifically articulate protocol for charity care, it is our routine practice to eliminate open patient balances, relieving the patient of debt, for approved charity care recipients up to two years in arrears. Collection efforts are not pursued for those with 100% assistance.
		Part VI, Line 2: Seton Health is an active member of the Healthy Capital District Initiative (HCDI). This initiative involves the partnering of local hospitals, insurers, county health departments, and other interested parties to improve the health of the people living in the service area. Through this partnering, Seton Health addresses the health care needs of the community it serves by building knowledge of current public health conditions, identifying an optimal process for selecting priorities and implementing that process. Building knowledge -Seton Health, in partnership with HCDI, examined the scope of health conditions required to be addressed through data requests to the New York State Department of Health, review of the Community Health Assessment and Community Service Plans, exploration of statistical resources, and consultation with Health Department health information experts.Optimal process for selecting priorities-A Health Profile work group was created with various members of HCDI. That work group was then subdivided into two work groups -- one focusing on community engagement and the other on the production of a Health Profile. Implementation of the process-The work groups gathered and prioritized data to determine the health priorities of the community. The prioritization was determined based on health indicators weighted by: (1) prevalence in the general population - by number of people impacted or percentage, (2) prevalence in any sub-population, (3) severity - years of potential life lost or quality of life, (4) preventable, (5) root cause of other negative health conditions, and (6) cost of care.The result was the identification of the two most significant health care concerns in the service area - access to care and chronic disease.Please see the community benefit report included in Schedule O for more detailed information on needs assessment.
		Part VI, Line 3: Seton Health has been very successful in the implementation of its financial aid program. In 2010, on an inpatient case basis, Seton's proportionate care of the underserved exceeded all other hospitals in the region (25.13%). This was followed by the region's largest academic and teaching medical center (25.01%). Patient education is achieved via signage and brochures with information about the program posted openly in all departments, information about how to access the program included on every bill sent out from Seton Health, system generated applications print automatically for all uninsured inpatients when they register. Seton's case managers work closely with patients to help them understand and make use of the program. Seton also refers all uninsured patients to facilitated enrollers who can help them ascertain whether they might be eligible for government-sponsored insurance. A facilitated enroller is available full-time, weekdays at St. Mary's Hospital and on a scheduled basis at several of our primary care locations throughout the region.Seton's program is well-known by others in the community. Referrals are frequently received from community providers, social service agencies and others. Please see the community benefit report included in Schedule O for more detailed information on patient education of eligibility for assistance.
		Part VI, Line 4: Seton Health's service area is typically defined as the communities within Rensselaer, southern Saratoga and northern Albany counties. Those zip codes that produce 80% of discharges include:-Rensselaer County: Troy (12180), Troy (12182), Rensselaer (12144), East Greenbush (12061), Wynantskill (12198), Averill Park (12018), 12154 (Schaghticoke)-Albany County: Green Island (12183), Cohoes (12047), Latham (12110), Watervliet (12189)-Saratoga County: Clifton Park (12065), Mechanicville (12118), Stillwater (12170), Waterford (12188), Ballston Spa (12020)The area contains three distinct communities which experience high poverty rates and lower health status: Troy, Watervliet/Cohoes and the city of Rensselaer. Seton serves a significantly higher percentage of vulnerable patients than other providers in our area. Twenty six percent of our inpatient business consists of services for individuals who are Medicaid or self-pay. Almost 20% of the 50,000 residents of Troy live below the poverty level. Unfortunately, the percent of children in poverty is even higher - 25.5%. In Rensselaer County, where 153,000 people live, the percent living below poverty is 10.4%, 14% for children. In addition, 11.1% of the county's non-elderly population has no health insurance.
		Part VI, Line 6: The board of Seton Health includes many members of the community served. This assists Seton Health in addressing the community's needs. There are many further examples in the community benefit report as detailed in Schedule O.
		Part VI, Line 7: Seton Health System, Inc. (the System) is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of the Sisters of St. Joseph of Nazareth and the Sisters of St. Joseph of Carondelet.The System includes a not-for-profit acute care hospital, Seton Health System St. Mary's (Hospital), which provides inpatient acute, maternity, rehabilitative, outpatient, emergency room, home health, and hospital-based physician services, and is located in Troy, New York. The System was formed January 1, 1995 as the common parent organization of seven other entities engaged in health care activities. The other entities comprising the System are as follows:Seton Licensed Home Care, Inc. - a not-for-profit, licensed home health agency.Affiliated Management Services Corporation (AMSC) - a for-profit real estate holding company that owns and leases medical office buildings.Leonard Nursing Home Company (d/b/a Seton Health at Schuyler Ridge Residential Healthcare)- a not-for-profit, 120-bed skilled nursing facility.St. Mary's Woodland Village (Woodland Village) - a not-for-profit, 155-bed adult care facility, operation discontinued in 2003.Seton Health Foundation (Seton Foundation) - a tax-exempt charitable foundation organized to raise funds for the support and furtherance of the System and its mission.Vincentian Health Services - a not-for-profit organization holding interests in health service joint ventures to support the System, operation discontinued in 2003.Seton Auxiliary - a not-for-profit organization of community volunteers established to provide financial and other support to the System. The System provides inpatient, outpatient, and emergency care services for the residents of Rensselaer, Albany, and Saratoga counties in New York. Admitting physicians are primarily practitioners in the local area. The System also owns, operates, and employs a large primary care physician group practice, in locations throughout its primary service market. The System is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Seton Health System Inc

Employer identification number
14-1776186

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Procedure for Monitoring Grants in the U.S.:	Part I, Line 2:	Schedule I, Part I, Line 2: The CEO considers the needs of the community that are not otherwise met by the health ministry. Based on this review grant recipients and amounts are determined.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

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 in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

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 in 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? ...............

Yes

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) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in 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," to line 5a or 5b, describe in Part III.

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

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

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

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

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

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

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

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in 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) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(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 reported in prior Form 990 or Form 990-EZ
(A) Name		(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)
(1) Scott St George Sch O	(i) (ii)	240,098 0	7,000 0	7,589 0	58,293 0	8,358 0	321,338 0	6,717 0
(2) Gino J Pazzaglini Sch O	(i) (ii)	266,024 0	228,203 0	205,919 0	53,093 0	12,188 0	765,427 0	0 0
(3) Frederick Kuriger	(i) (ii)	206,691 0	6,800 0	11,687 0	42,000 0	17,171 0	284,349 0	0 0
(4) Debra Frenn	(i) (ii)	178,575 0	5,642 0	7,077 0	35,554 0	9,368 0	236,216 0	0 0
(5) Paul Barbarotto	(i) (ii)	192,175 0	29,469 0	37,727 0	49,100 0	23,197 0	331,668 0	0 0
(6) Deborah Basso MD	(i) (ii)	215,212 0	78,688 0	2,250 0	34,537 0	19,894 0	350,581 0	0 0
(7) Vincent Corcoran MD	(i) (ii)	209,190 0	178,585 0	14,829 0	37,920 0	17,198 0	457,722 0	0 0
(8) Axel Hermannsdoerfer MD	(i) (ii)	246,682 0	0 0	136,185 0	55,373 0	13,984 0	452,224 0	0 0
(9) Ahad Makarachi	(i) (ii)	245,140 0	12,358 0	4,284 0	35,235 0	20,146 0	317,163 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

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

Identifier	Return Reference	Explanation
	Part I, Line 1a	An officer received payments for travel for companions and housing allowance. The amount was included as taxable comepensation on the officer's W-2.
	Part I, Lines 4a-b	Gino J. Pazzaglini received severance payments totaling $60,189 during the 2010 calendar year. Part I, Line 4b: Gino Pazzaglini received a payment of $82,015 during the 2010 calendar year that represents amounts previously deferred under a nonqualified plan.
Supplemental Information	Part III	Part II: Deferred Compensation amounts reported in Schedule J do not include amounts where the entitlement to future payment is contingent on satisfaction of specific performance criteria.

Schedule J (Form 990) 2010

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 lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) 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	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on 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, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

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






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

Part III

Grants or Assistance Benefitting 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 grant or type of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

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) M&T Bank	M. Keegan - Officer	313,604	Lease Payments		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
Schedule L, Part IV	Business Transactions Involving Interested Persons:	All transactions reported on Part IV were entered into as arms-length for fair market value.

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Identifier	Return Reference	Explanation
Form 990, Part VI, Section A, line 6		Seton Health System, Inc. has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7a		Seton Health System, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Seton Health System, Inc.
Form 990, Part VI, Section A, line 7b		Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Section B, line 11		Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
	Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
	Form 990, Part VI, Section B, line 15	In determining compensation of the organization's top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive committee reviewed and approved the compensation. In the review of the compensation, the top management official was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. Individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes.
	Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Average hours devoted to related org(s) when related comp is reported:	Form 990, Part VII:	Officers (as noted with "Sch O") for Seton Health System, Inc. provide services to Seton Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore all officers' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all Seton Health System entities.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Assets Released from Restriction 145,957. Transfer to/from Affiliate -1,979,709. Deferred Pension Costs 462,825. Adjustment for PP&E Correction 2,035,492. Other 12,180. Contributions 15,146. Total to Form 990, Part XI, Line 5: 691,891.
	Form 990, Part IV, Line 20b:	If the organization operated one or more hospital facilities at any time during the tax year, then it must attach a copy of its most recent audited financial statements if its tax year began after March 23,2010. The tax year covered by this return is January 1, 2010 through December 31, 2010. Therefore, no audited financial statements are attached to this return.
	Form 990, Part III, Community Benefit Report	Seton Health / St. Mary's Hospital Community Service Plan 2010 Mission Statement Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. Based on the foundation of our membership in Ascension Health, a sponsored health ministry of the Daughters of Charity, and the Sisters of St. Joseph, Seton Health System is dedicated to excellence, innovation, accountability and the prevention of illness in response to the community's changing healthcare needs. Our vision is to create a unified system of comprehensive healthcare services through collaboration with those who share our vision. Seton Health System coordinates the objectives and activities of its subsidiary organizations, in accordance with the historic commitment of the Daughters of Charity to care for the poor and sick in the spirit and tradition of their founders, St. Vincent DePaul, St. Louise deMarillac and St. Elizabeth Ann Seton. We are called to: SERVICE OF THE POOR Generosity of Spirit for persons most in need REVERENCE Respect and compassion for the dignity and diversity of life INTEGRITY Inspiring trust through personal leadership WISDOM Integrating excellence and stewardship DEDICATION Affirming the hope and joy of our ministry Service Area Our service area is typically defined as the communities within Rensselaer County, southern Saratoga County and northern Albany County. Those zip codes that produce 80% of our discharges include: -Rensselaer County: Troy (12180), Troy (12182), Rensselaer (12144), East Greenbush (12061), Wynantskill (12198), Averill Park (12018), 12154 (Schaghticoke) -Albany County: Green Island (12183), Cohoes (12047), Latham (12110), Watervliet (12189) -Saratoga County: Clifton Park (12065), Mechanicville (12118), Stillwater (12170), Waterford (12188), Ballston Spa (12020)
		Participants and Hospital Role: For over 13 years, Seton Health has been an active member of the Healthy Capital District Initiative (HCDI), partnering with other local hospitals, insurers, county health departments and other interested parties to improve the health of the people living in Albany, Rensselaer and Schenectady counties. For the 2009 Community Service Plan, the group prepared an extensive community health profile (the entire profile is available from the HCDI website, www.hcdiny.org ) which analyzed selected health indicators chosen based on a review of available public health data, national priorities identified in the Healthy People 2010 report and New York State priorities promulgated through the Prevention Agenda for a Healthier New York. A televised Community Health Forum, as well as an online survey, also contributed to our understanding of the community's health care needs. The partners continue to meet monthly to discuss progress on the agreed upon target areas as well as other regional health planning initiatives. Seton Health also relies on the advice and counsel of our community board members who bring their own experiences and insight to our discussions about important community initiatives. Public Health Priorities: Access to Care: As a member of Ascension Health and as part of our Strategic Direction, Seton Health has committed to achieving the "Healthcare that Leaves No One Behind" goal of 100% access and 100% coverage for all. In Rensselaer County, it is estimated that 7.3% of children have no health insurance and that 13% of adults are uncovered. We know that those without health insurance still get sick. Instead of making an inexpensive visit to a primary care physician that might keep a cold from getting worse or control high blood pressure, many uninsured wait until they are much sicker and then arrive at an emergency room with pneumonia or stroke, needing much more expensive care. We also know that many of the uninsured are working men and women who unfortunately are not offered or are unable to pay for insurance at their workplace. Access to timely healthcare in the appropriate setting is particularly challenging for the uninsured and underinsured individuals, and individuals with chronic disease. Studies have shown that the lack of a regular physician is a strong predictor of poor outcomes. Our priorities with regard to Access to Care include the following: - Increase access to prescription drugs for people who are uninsured or underinsured Measured by number of referred clients, number of enrolled clients, number of scripts filled, number of program participants referred to publicly funding health insurance programs, number of program participants enrolled in publicly funding health insurance programs. 2011 Update: In the first seven months of 2011, 614 new clients referred, 598 new clients enrolled, 1333 prescriptions filled, 796 refilled prescriptions; 84 clients referred to publicly funded insurance programs, 27 clients enrolled. Value of prescriptions dispensed during the time period $1.22 million. - Increase access to primary care physicians in our service area Measured by growth of visits particularly for Medicaid recipients and uninsured. 2011 Update: There were nearly 191,000 visits to Seton Health primary care offices in 2010. Visits by individuals who are either uninsured or covered by Medicaid grew 9%. - Increase access to care for special populations including pregnant women and low-income individuals who are substance abusers. Measured by discharges and successful implementation of an outpatient program for opiate-addicted individuals. 2011 Update: The Childbirth Center volume was 718 births. Fully 51% of the births are to patients who are Medicaid or uninsured. There were 22,000 outpatient visits to the four Seton Health OB/Gyn offices. Although discharges for detox services were down, alcohol rehab discharges were 369, a 35% increase from 2009. In 2009, Seton had put a voluntary hold on admissions in order to recruit additional staff and make programmatic changes. These changes are in place and volume is returning to pre-hold levels. We hope to begin the outpatient program for opiate-addicted individuals in the next fiscal year. Our initiatives with regard to Access to Care include the following: - Rensselaer Cares Prescription Assistance Program (RCPAP) (Prevention Agenda Priority: Access to Quality Health Care): In 2007, the RCPAP was established for underinsured and uninsured Rensselaer County residents. It grew out of a Troy-based 100% access coalition initiated by Gino J. Pazzaglini, CEO of Seton Health and includes chief executives from Northeast Health, the Rensselaer County Medical Society, and Whitney M. Young, Jr. Health Center. RCPAP is open to anyone without prescription coverage that is affiliated with one of the coalition providers. Additional eligibility criteria include earning no more than 200% of the poverty level (for example, a single person earning $21,660 or less a year). Most pharmaceutical companies have programs that make their drugs available at little or no cost to eligible recipients. However, accessing the programs and completing the applications is very difficult - particularly for patients on multiple medications. RCPAP streamlines the process. Those enrolled in the program simply provide demographic and income information and a list of medications to the program coordinator. The coordinator then, with the assistance of inexpensive software, completes the applications, acquires the required physician signatures and submits the requests. The drugs are then mailed to the doctor or directly to the patient, depending on the company. The software stores and tracks patient information and includes prompts for refill ordering. Although funded by grants for the first two years, we have been unable to secure sustainable funding. Since January 2009, Seton Health has self-funded the program. Recently we received two grants which will partially offset the cost but we will continue to ensure full funding until grant funding is secured or we are unable to accommodate the additional cost. Since the program's inception, 13,572 prescriptions have been dispensed to 3,600 people with a value of $6.4 million.
		- Provision of Primary Care Services (Prevention Agenda Objective 2013: increase the percentage of adult New Yorkers who have a regular health care provider to 96%): Access to primary care is critical to a healthy community. Seton Health currently operates 15 physician offices (family practice, internal medicine, pediatrics, OB/GYN and urgent care) including sites in Troy, Mechanicville, Stillwater, Schaghticoke, East Greenbush, Cohoes and Clifton Park. Staffed by board certified physicians, these sites provide high quality, accessible care to all patients regardless of their ability to pay. We continue to expand and reconfigure our services as is warranted by the communities we serve. We have added physicians to many of our practices and expanded our evening and weekend hours. We have also responded to patient needs by providing social work services and support groups - services not typically offered by private physician offices. Additionally, we continue to bring a variety of diagnostic services to the individual locations to provide "one-stop" healthcare for our patients. In FY 2011, over 206,000 patient visits were made to Seton Health sites. In addition, Seton Health has been providing a free weekly walk-in clinic at the Roarke Center in downtown Troy. The Center provides basic medical care for people currently receiving little or no care and is staffed by volunteer physicians, nurses and allied health professionals from Seton Health. A valuable component of the Clinic is the ability to provide pre-employment physicals at no charge. Follow-up care is provided by one of the Seton Health primary care practices. Free prescriptions are financed jointly by Seton Health and the Roarke Center. If a clinic participant is eligible and so desires, the person is referred to a facilitated enroller. Patients without access to a primary care physician often seek inappropriate care at an emergency department for illnesses or injuries that could be cared for in a physician's office. Seton Health currently provides urgent care services in Clifton Park and in FY 2010 opened a weekend urgent care service at our existing primary care site in East Greenbush. This service will expand to a 7 day per week operation in the Fall of 2011. - Substance Abuse Services (Prevention Agenda Priority: Mental Health and Substance Abuse): Seton Health has long been a leader in the provision of comprehensive chemical dependency services. As the only provider of inpatient services in Rensselaer County, we fill a critical need in the community. We have continued this commitment even though the rebasing proposal included in the 2009 budget reduced our Medicaid revenue for this service by 56%. Seton was the most negatively impacted alcohol rehabilitation provider in all of NYS. The next most impacted providers will see reductions of 31% and 20%, respectively. Our rate will be 46% of the NYS average and 58.6% of our regional average. In 2010, we collaborated with St. Peter's Health Care Addiction Services to enhance the level of service available on our Addictions Unit. Staff received additional training to improve the therapeutic environment and the patient experience. We also provided staff with additional resources in dealing with patients who also have a mental health diagnosis. In response to a report jointly issued by the NYS Office of Alcoholism and Substance Abuse Services and the DOH, and the stated needs of the counties we serve, Seton Health intends to provide medically supervised outpatient treatment for patients withdrawing from opiate addiction in the future. This model provides an alternative to the current inpatient framework and is more family/work-friendly and much less costly. - Access to Healthcare Coverage (Prevention Agenda Objective 2013: increase the percentage of adult New Yorkers with health care coverage to 100%): As a member of HCDI, Seton Health fully supports the Facilitated Enrollment project which provides assistance to families and individuals who may be eligible for Medicaid, Child Health Plus or Family Health Plus. We also partner with Fidelis Care to locate an enroller full time at St. Mary's Hospital and at several of our primary care locations on a regularly scheduled basis. Each year we participate in the national "Cover the Uninsured Week" by holding enrollment fairs and educating our patients and associates. We actively support the 100% access and 100% coverage agenda of Ascension Health and the Catholic Health Association by advocating for these issues at both the local and national levels. - Services to At-Risk Pregnant Women (Prevention Agenda Objectives 2013, increase the percentage of women in New York who have received prenatal care in the first trimester to at least 90%;reduce the percent of New York births that are low birth weight (<2,500 grams) to no more than 5%): The Mommy Project is a program of specially designed classes for teenage mothers-to-be that teaches these young women how to balance the stresses of adolescence and parenthood and prepares them to be caring, responsive caregivers of their new children. A team-based approach is used to provide each educational series, which consists of six classes. A certified childbirth educator (RN) teaches the medical and clinical aspects of the class. Our obstetrical social worker focuses on the emotional and social side of childbirth and parenting. The program was developed in response to a need identified by the nurses and social workers working in the Seton Health Childbirth Center at St. Mary's Hospital. They observed the teen mothers arriving at the Childbirth Center with no childbirth instruction, in less than optimal health and emotionally and financially unprepared for motherhood. The Mommy Project uses an incentives system to encourage targeted pregnant teens to attend and/or participate in Seton-sponsored educational activities. Participants who complete a set number of classes, enroll in Women, Infants and Children (WIC), obtain insurance, gain employment or enroll in school, and find a pediatrician, receive "Baby Bucks." These may be exchanged for safety equipment and devices. The Mommy Project is a significant effort to improve the birth outcomes of the young women we serve and a means to enhance their access to care. Seton Health also implemented a grant from the March of Dimes New York State Chapter to support Seton Health OB/GYN's new "Full Circle Pregnancy Program" aimed at underserved maternal and child health needs in our service area. This program provides empowerment to patients to be proactive in their own care and the care of their unborn child, allowing interaction with other mothers to enrich their birth experience. This new model program is offered at Seton Health OB/GYN in Troy - one of Seton Health's four OB/GYN practices. With the March of Dimes grant, we were able to send several of our staff to a very intensive training course, ultimately allowing us to provide patients with another enhanced OB/GYN service.
		- Faith Community Nursing: The Seton Health Faith Community Nursing program is a lay ministry designed to promote health and wellness within the values, beliefs, and practices of local faith communities. The program encompasses all faith communities and denominations, encouraging individuals to care for their physical, spiritual, and psychosocial wellbeing. As registered professional nurses, Faith Community Nurses emphasize wellness and preventative medicine, empower people to take control of their own healthcare, and promote health and spiritual healing within their faith communities. The nurse works with the leaders and members of the faith community to identify the individual and congregation needs and together develop a plan for programs, interventions, and activities that will address these needs. The Faith Community Nurse does not take the place of traditional healthcare or provide hands-on care, rather the nurse enhances it. These faith community/Seton Health partnerships attempt to bridge the gap that exists between healthcare services and the community. Seton Health Faith Community Nurses are now a part of 27 faith communities in four counties. The Seton Health Faith Community Nursing program is the only full-time parish nurse/health ministry in the Capital District. Through a variety of educational programs and support groups as well as blood pressure screenings, flu clinics and health fairs, it is fair to say that over thousands of lives are touched by this program each year. - Appropriate Use of the Emergency Room: Seton Health is an active participant in HCDI's HEAL-NY Phase 9 grant to develop systematic solutions to mitigate the trend of over-use of emergency departments for ambulatory sensitive conditions. The grant encourage patients to establish a medical home for primary/preventive care and choose the appropriate level of care for their health needs when they arise, reducing the advantages of using emergency services for non-urgent care needs, and improving access to urgent care. Chronic Disease: Chronic diseases, among the most preventable of all diseases, account for 70% of all deaths that occur in New York. Adopting healthy behaviors can dramatically reduce one's risk for developing a chronic illness. Our priorities with regard to Chronic Disease include the following: - Improve care for persons with diabetes and reduce the incidence of major complications Measured by successful NCQA Diabetes Physician Recognition. 2011 Update: In 2010, seven Seton Health primary care physicians received this prestigious recognition. In 2011, we received accreditation from the American Association of Diabetes Educators. - Reduce the number of adult smokers: Measured by successful implementation of our Center for Smoking Cessation grants. 2011 Update: Activities continue to exceed program goals. See summary below. - Improve end-of-life care for individuals with chronic disease: Measured by reduced hospitalizations of program participants. 2011 Update: In CY2010 the CHF length of stay (LOS) for Palliative Care patients was 3.10 compared to 5.35 for other CHF patients.The 30 day readmission rate was 4.1% for the Palliative Care cohort compared to 29.2%. Our initiatives with regard to Chronic Disease include the following: - Defy Diabetes(Prevention Agenda Objectives 2013: reduce the prevalence of adult diabetes and hospital complications of diabetes in New York so that the percent of adults with diabetes is no more than 5.7% and the rate of hospitalizations for short-term complications of diabetes are no more than 2.3 per 10,000 (ages 6-1) and 3.9 per 10,000 (ages 18+): DEFY DIABETES! is a comprehensive strategy for diabetes detection and management in adults that is improving public health, engaging primary care practitioners and reducing medical costs. DEFY DIABETES! implements a community-based program that seeks to improve primary care and increase community resources in six low-income communities throughout three counties. Utilizing and building upon the Faith Community Nurse program that Seton Health pioneered 20 years ago, DEFY DIABETES! aims to bring about improved prevention and disease management. The project provides stipends, training and curriculum to the faith community nurses located in churches and places of worship in high-risk communities. The nurses employ the STEP program - which emphasizes Screening, Testing, Education, and Prevention - to help people with diabetes and those at risk of developing diabetes to make modest lifestyle changes that can prevent or delay the onset of Type 2 diabetes. The faith community nurses are all Registered Nurses and see their role as public health nurses with a holistic spiritual perspective. Through emphasizing a "high talk" approach to diabetes prevention and treatment versus a "high-tech" method, the nurses are empowering individuals to take direct control over their health. The program also works with primary care practices to improve the management of patients with diabetes through the role of a nurse champion and innovative chart reviews. The in-house practice "champions" work to increase primary care compliance with American Diabetes Association recommendations for the treatment of patients with diabetes. The chart reviews enable the program to track the compliance progress. Along with the faith community nurses, these champions will serve to populate patient data in a diabetes data registry to track progress and outcomes over time. DEFY DIABETES! promotes the American Diabetes Association's (ADA) best practices and hopes to become a replicable model with demonstrated outcomes that show: 1) a reduction in diabetes risk factors by people with diabetes and/or pre-diabetes conditions and 2) enhanced primary care protocols. DEFY DIABETES! is a significant chronic care model and is creating a transformative and unique vision for diabetes self management. In FY2009-2010, seven Seton Health physicians received the prestigious National Committee for Quality Assurance (NCQA) Diabetes Physician Recognition. We hope to apply for all of our family practice and internal medicine practices within the next 2 years. The recognition measures structure, process and outcomes of excellent care management. Our effort is supported by The Diabetes Campaign. The Diabetes Campaign is sponsored by the New York State Health Foundation (NYSHF) and is a joint program of the Healthcare Association of New York State (HANYS) Quality Institute, Community Health Center Association of New York State, the Institute for Family Health, and the New York State Chapters of the American College of Physicians and Academy of Family Practice. The Diabetes Center builds upon the work of the Defy Diabetes Grant and leverages these existing resources within Seton Health to implement a comprehensive, multi disciplinary program for diabetes detection and management. The Diabetes Center embraces and implements the chronic care model in a holistic, culturally sensitive way to promote safe, high quality care which improves outcomes, increases access, and reduces costs. - Smoking Cessation (Prevention Agenda Objective 2013: reduce the prevalence of smoking in New Yorkers so that the percent of adults who smoke is no more than 12%): The Seton Health Center for Smoking Cessation is now operating three distinct programs all of which are focused on efforts to reduce the rate of tobacco use. A fourth grant funds community partnership efforts. - Cessation Center Healthcare Providers Grant: The primary focus of this grant is to assist healthcare sites, including hospitals and primary care physician offices, to address tobacco use with their patients at every visit, and to refer patients who want to quit to the New York State Smokers' Quitline. This contract also supports the Seton Health developed The Butt Stops Here smoking cessation program, which is conducted at five locations throughout the community on an ongoing basis and offered at worksitesas well. Four times a year, the Center provides a certification program for The Butt Stops Here facilitators, extending the reach of this very successful program to many other businesses and locations throughout the region.
		Successes in 2010-2011 include: - 32 of our partnering healthcare sites were elevated to "maintenance" status, which means they have implemented best practices on addressing tobacco use with patients as a system and are consistently intervening with patients. - The Center established 80 new health care partners who received training and technical assistance to implement best practices on addressing tobacco use with patients. - Outreach staff conducted 237 technical assistance events, which consists of follow-up site visits, training new champions when needed, and attending to other miscellaneous site needs. - Trained staff at Catholic Charities in Albany to assist them in the process of going tobacco free at 8 of their resident homes. - Conducted 30 Butt Stops Here Programs and treated 240 participants. - Comprehensive School Health Policies for Tobacco, Physical Activity and Nutrition Project: This project works with school districts within 5 counties to establish programs to prevent and reduce tobacco use, improve healthful eating, and increase opportunities for physical activity in New York State schools through the implementation of sustainable school health policy and practice changes. The program is funded for five years and began July 1st, 2010. This project in the Capital District will support the prevention and reduction of tobacco use, and increase healthful eating and physical activity opportunities through the implementation of sustainable policy, systems and environmental changes. - The Courage to Quit: The Courage to Quit was originally a two-year project funded by the American Legacy Foundation. It targeted six homeless shelters in the Capital District and provided on-site on-going cessation counseling and cessation medication for residents who want to quit smoking. This unprecedented project began in December 2008. This program has proved quite successful in reaching homeless individuals. We continue to conduct on-going technical assistance to two homeless shelter sites which provide on-going weekly counseling for residents who want to quit smoking. We secured a small grant in 2010 to help to support these services and solidify the program's sustainability. - The Capital District Tobacco-Free Coalition: The Capital District Tobacco-Free Coalition (CDTFC) is a New York State Department of Health Tobacco Control Program community partnership grant that covers Albany, Schenectady and Rensselaer counties. The mission of the CDTFC is to reduce adolescent and adult use of tobacco through cooperative programs in prevention, cessation, advocacy and community education. Since 1993 the Coalition has been working in the community to eliminate exposure to secondhand smoke, decrease the social acceptability of tobacco use, promote cessation of tobacco use and prevent the initiation of tobacco use among youth and young adults. Seton Health became the fiscal agent for the CDTFC in 2006, providing resources and support to meet the goals of the Coalition work plan. Successes in 2010-2011 include: - Smokefree Housing - worked with nine market-rate and one affordable housing units who have now adopted tobacco free policies for their units. Seven of these were in Albany County, three were in Rensselaer County. - Tobacco-Free outdoors - worked with three municipalities to adopt tobacco free parks policies and eighteen businesses to adopt tobacco free grounds policies. - Point of Sale - Worked with Hannaford stores who have agreed to cover up tobacco displays in any new store or store that has a major remodel. Also worked with Schenectady county and Albany County re: ending the sale of tobacco in pharmacies. Palliative Care: Seton Health developed its Palliative Care Program in 2004 using the HOPE philosophy (H-helping with decision making, O-optimizing function, P-providing opportunities for personal growth, E-enhancing the quality of life for the patient and family). Initially targeted for patients with Chronic Heart Failure (CHF), it now includes patients with chronic obstructive pulmonary disease (COPD) and other conditions. The multidisciplinary team utilizes non-traditional therapies in a medical setting to improve the patient's overall sense of wellbeing while decreasing pain, stress and anxiety. The Palliative Care team provides emotional and psychological support, and develops treatment and discharge plans for those who are chronically ill. Our program is home-based and relies on home visits by the nurse practitioner and chaplain. Success of our program is measured by aggressive symptom management and pain control to prevent re-hospitalizations. Care is individualized and based on the circumstances and the severity of their illness. Quality of life is the primary objective funded by the hospital through cost avoidance and minimally through insurance billing. The program has tracked length of stay for the CHF and COPD as well as readmission statistics for the patients in the program. There has been a significant reduction in readmission rates for the Palliative Care patients resulting in reduced health care costs. PACE: Seton Health and the Roman Catholic Diocese of Albany are partnering to develop a PACE (Program for All-Inclusive Care for the Aging) program in Rensselaer County. PACE provides integrated acute and long-term care to a frail elderly population who are at higher risk of institutionalization. The goal is to keep them well and in their home settings. Seton Health was awarded a HEAL NY grant from the NYS Department of Health for nearly $1 million in order to develop the PACE program. We have also received designation under Article 4403-f of the Public Health Law as a Managed Long Term Care Plan (MLTCP), a key component of the PACE development. A site in Albany has been identified and construction will begin later this year. Enrollment is expected to begin in the first quarter of 2012. - Cancer Services Program (Prevention Agenda Objectives 2013: reduce the age-adjusted cancer mortality rate to no more than: 21.3 per 100,000 females for breast cancer; 2.0 per 100,000 females for cervical cancer and 13.7 per 100,000 for colorectal cancer): Seton Health has long been a partner with the state and local health departments in this important program which provides free breast, cervical, colorectal cancer screening, diagnostic, treatment and support services for uninsured and underinsured individuals. Already collaborating with Albany and Rensselaer counties, in FY 2010 we expanded our arrangements to include Saratoga County. New Initiative 2011: - Healthy Hearts: Healthy Hearts is a joint educational initiative of Seton Health/St. Mary's and Samaritan hospitals. The free and informative programs provide the community suggestions and strategies to live a healthier life. The program consisted of five educational seminars from May through November, led by local physicians and specialists. Topics discussed included the effect of sleep apnea on heart disease, cooking tips for a healthy heart, the effects of cholesterol, peripheral vascular disease and coronary artery disease. Seton Health and Northeast Health also partnered to offer the joint initiative Just Walk With A Doc program in downtown Troy. Just Walk With A Doc is a national initiative designed to educate and encourage physical activity to improve health. The six walks from May through October were led by staff from both organizations and local cardiologists. Each month's walk offered an educational talk on topics such as diabetes, nutrition and hypertension. Following the discussion, walkers were led on a one-mile loop downtown where they could ask medical questions in an informal, relaxed atmosphere. After the walk, cardiac staff performed blood pressure checks. The walks were open to the public and free for anyone to participate in. Participation in the walks grew steadily to approximately 150 walkers. Staff from Seton Health and Northeast Health promoted the community initiative by working with area businesses and civil service organizations to publicize each walk. Public Distribution of the Community Service Plan: The Seton Health Community Service Plan is available on the Seton Health website at http://www.setonhealth.org/about/subpage.cfm?ID=46. Both the full report as well as a summary brochure can be accessed. In addition, the Winter 2010 edition of the community newsletter, News from Seton Health, featured a story about the plan (http://www.setonhealth.org/img/document_files/Community%20Newsletter_ Winter2010.pdf). Over 50,000 copies of the newsletter are printed and distributed throughout our service area as an insert in the Times Union and the Community News.
		Financial Aid Program: Seton Health has been very successful in the implementation of its financial aid program. It should be noted that, on an inpatient basis, Seton Health's proportionate care for the underserved ranks first among all hospitals in the capital region with a ratio of Medicaid/self pay patients to total patients of 26.64%. Signage and brochures with information about the program are available in all departments. There is also information about how to access the program on every bill that is sent out from Seton Health. For patients who are uninsured, we automatically apply a discount of up to 20% (25% with prompt pay). We also allow payment plans without any interest or penalty. The application for patients who wish to apply for financial assistance is very simple. We only consider monthly income (not assets). On the inpatient side, the system automatically prints out an application for the uninsured when they register. Our biggest challenge is encouraging patients to comply with the program. That is, many don't fill out the forms and provide the necessary income documents. They just refuse to pay and, depending on the circumstances, can end up in collections when they actually would have qualified for the program. The program is well-known within in the community and frequently receives referrals from community providers, social service agencies and others. Our case managers work closely with patients to help them understand and make use of the program. We also refer all of our uninsured patients to facilitated enrollers who can help them ascertain whether they might be eligible for government-sponsored insurance. A facilitated enroller is available full-time, weekdays at St. Mary's Hospital. An enroller is also available on a scheduled basis at several of our primary care locations throughout the region. Changes Impacting Community Health/Provision of Charity Care/Access to Services: Seton Health, Northeast Health and St. Peter's Health Care Services have affiliated with the merger on October 1, 2011. The rationale for the affiliation, at its core, is simple: we believe that, by combining complementary strengths, we can significantly improve our ability to meet the health care needs of the region. The intention is to: - Develop collaborative ways to deliver health care in a more coordinated, seamless fashion, - Improve efficiency and eliminate fragmentation of patient care, and - Improve access to care by the poor and underserved people in the Capital Region and beyond. A binding agreement was signed in June, 2010. In April, 2011, the Federal Trade Commission (FTC) completed its review and decided not to challenge the merger. Work has begun to prepare the legal and financial documents necessary to complete the transaction and operational planning is well underway. The new company was formed on October, 1, 2011.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
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OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Seton Health System Inc

Employer identification number

14-1776186

Part I

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

(a) Name, address, and EIN 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 organization
(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) Ascension Health PO Box 45998 St Louis,MO63134 31-1662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	N/A		No
(2) Seton Auxiliary Inc 1300 Massachusetts Ave Troy,NY12180 14-1505031	Support of Seton Health System, Inc.	NY	Section 501(c)(3)	Schedule A, Line 9	Seton Health System Inc	Yes
(3) Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Blvd Clifton Park,NY12065 14-1756230	Skilled Nursing Facility	NY	Section 501(c)(3)	Schedule A, Line 9	Seton Health System Inc	Yes
(4) Seton Health Foundation Inc 1300 Massachusetts Ave Troy,NY12180 22-2345416	Support of Seton Health System, Inc.	NY	Section 501(c)(3)	Schedule A, Line 11a	Seton Health System Inc	Yes
(5) Seton Licensed Home Care Inc 1300 Massachusetts Ave Troy,NY12180 14-1809134	Licensed Home Health Agency	NY	Section 501(c)(3)	Schedule A, Line 3	Seton Health System Inc	Yes
(6) St Mary's Woodland Village Inc 1300 Massachusetts Ave Troy,NY12180 14-1675183	Discontinued Operations	NY	Section 501(c)(3)	Schedule A, Line 9	Seton Health System Inc	Yes
(7) Vincentian Health Services Inc 1300 Massachusetts Ave Troy,NY12180 14-1685163	Discontinued Operations	NY	Section 501(c)(3)	Schedule A, Line 11a	Seton Health System Inc	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2010

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 VUBI 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 VUBI 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
(1) Affiliated Management Services Corp 1300 Massachusetts Ave Troy,NY12180 14-1668024	Real Estate	NY	Seton Health System Inc	C	80,406	4,620,907	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

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

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

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 (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

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

Yes

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

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

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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 other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Ascension Health	Q	1,979,709	Cash Transfers
(2) Affiliated Management Services Corp	I	403,683	Journal Entry Transactions
(3) Seton Health Foundation Inc	P	247,222	Cash Transfers and Entries
(4) Seton Health at Schuyler Ridge Residential Healthcare	P	2,126,636	Cash Transfers and Entries
(5) Seton Health at Schuyler Ridge Residential Healthcare	R	123,132	Cash Transfers and Entries
(6) Seton Health at Schuyler Ridge Residential Healthcare	N	434,727	Cash Transfers and Entries
(7) Seton Health Foundation Inc	N	81,936	Cash Transfers and Entries

Schedule R (Form 990) 2010

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

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Seton Health provides residents with exceptional healthcare from 20 locations around the region.
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	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,725
6	Total number of volunteers (estimate if necessary) ....	6	144
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	262,861
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-477,836

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,379,154	1,271,769
9	Program service revenue (Part VIII, line 2g) .........	139,825,819	144,283,988
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,565,776	6,905,188
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,338,791	1,279,441
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	148,109,540	153,740,386
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,450	12,100
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)	80,867,346	83,079,704
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–24f)....	58,822,817	62,167,955
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	139,695,613	145,259,759
19	Revenue less expenses. Subtract line 18 from line 12......	8,413,927	8,480,627
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	92,005,735	101,035,407
21	Total liabilities (Part X, line 26)............	72,819,850	72,677,004
22	Net assets or fund balances. Subtract line 21 from line 20 .....	19,185,885	28,358,403

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 126,876,853 including grants of $ 12,100 ) (Revenue $ 144,345,363 )
	Seton Health is a comprehensive, integrated, Catholic healthcare system, anchored by St. Mary's Hospital of Troy. We provide medical healthcare services to inpatients and outpatients with exceptional care from 20 locations around the region. Our community service plan asserts our commitment to the people we serve, outlines our assessment of the health status of our community, and enumerates the activities undertaken to care for our neighbors. All of these activities are underlined by the most basic tenet of our mission - to serve all persons, with special attention to those who are poor and vulnerable and to be advocates for a compassionate and just society.See Schedule O for Seton Health's complete community service plan.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 126,876,853

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Frederick Kuriger Executive VP/COO	37.50	X			225,178	0	59,171
(19) Debra Frenn Chief Nurse Executive	37.50		X		191,294	0	44,922
(20) Paul Barbarotto Physician	37.50			X	259,371	0	72,297
(21) Deborah Basso MD Physician	37.50			X	296,150	0	54,431
(22) Vincent Corcoran MD Physician	37.50			X	402,604	0	55,118
(23) Axel Hermannsdoerfer MD Physician	40.00			X	382,867	0	69,357
(24) Ahad Makarachi Physician	37.50			X	261,782	0	55,381

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,072,230	0	558,753

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		1,236,206

f	All other contributions, gifts, grants, and similar amounts not included above1f		35,563
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,271,769
			Business Code
2a	Net Patient Services		621,990	144,283,988	144,283,988
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			144,283,988
3	Investment income (including dividends, interest
	and other similar amounts).....			6,990,238			6,990,238
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		2,500
b	Less: cost or other basis and sales expenses		87,550
c	Gain or (loss)		-85,050
d	Net gain or (loss)..........			-85,050			-85,050
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Cafeteria/Vending		722,210	546,093			546,093
b	Misc Patient Revenue		621,990	130,089			130,089
c	Net Assets Released		900,004	61,375	61,375
d	All other revenue ....			541,884		262,861	279,023
e	Total. Add lines 11a–11d ......			1,279,441
12	Total revenue. See Instructions....			153,740,386	144,345,363	262,861	7,860,393


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			6,221	1	6,371
2	Savings and temporary cash investments .......			7,970,976	2	6,487,930
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			16,784,978	4	14,675,792
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			114,209	7	102,782
8	Inventories for sale or use ..............			1,754,363	8	1,585,716
9	Prepaid expenses and deferred charges ............			1,154,051	9	1,238,794
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	64,972,010
b	Less: accumulated depreciation. .....	10b	47,400,014	16,718,663	10c	17,571,996
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			-690	12	12,495
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			47,502,964	15	59,353,531
16	Total assets. Add lines 1 through 15 (must equal line 34)...			92,005,735	16	101,035,407
17	Accounts payable and accrued expenses .			20,829,069	17	20,146,927
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			51,990,781	25	52,530,077
26	Total liabilities. Add lines 17 through 25.....			72,819,850	26	72,677,004
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			18,600,368	27	27,761,272
28	Temporarily restricted net assets .....			86,816	28	97,051
29	Permanently restricted net assets .....			498,701	29	500,080
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			19,185,885	33	28,358,403
34	Total liabilities and net assets/fund balances .....			92,005,735	34	101,035,407