2012-11-15T13:13:10-06:00 2011-12-31 861065772 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 191033984 990 2011-01-01 141776186 Seton Health System Inc SETO 5182685520 1300 Massachusetts Avenue Troy NY 12180 Daniel A Kochie CFO 5182685520 2012-11-14 1 William J Homer P00994519 2152462300 2011 2016-02-24 21:20:13Z Scott St George 1300 Massachusetts Avenue Troy NY 12180 136981288 0 0928 X www.setonhealth.org X 1995 NY Seton Health provides residents with exceptional healthcare from 20 locations around the region. 41 35 1681 148 222426 0 1271769 1219813 144283988 133623705 6905188 759948 1279441 1363397 153740386 136966863 12100 750 0 0 83079704 78819200 0 0 0 62167955 54771671 145259759 133591621 8480627 3375242 101035407 105086191 72677004 62331583 28358403 42754608 X 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. Seton Health System, Inc. 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. 0 0 116387911 750 133671767 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. 116387911 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 151 0 1 1681 1 1 1 0 0 0 0 0 0 0 0 0 X 41 35 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Daniel A Kochie 5182685520 1300 Massachusetts Avenue Troy NY 12180 X Altes Jane PhD 1.00 X 0 0 0 Bouchey Steven 1.00 X 0 0 0 Boyle Steven 1.00 X X 0 869274 15412 Bylancik Robert J 1.00 X 0 50000 0 Carletta Charles F 1.00 X 0 0 0 Cartwright Mark 1.00 X 0 0 0 Correia Sr Clarisse DC 1.00 X 0 0 0 Cottrell Barbara 1.00 X 0 0 0 Dake Susan 1.00 X 0 0 0 DiSarro Ann 1.00 X 0 0 0 Doyle Rev Kenneth 1.00 X 0 0 0 Filippone John MD 1.00 X 0 0 0 Foley William J PhD 1.00 X 0 0 0 Fortune Robert 1.00 X 0 0 0 Goldberg Alan 1.00 X 0 0 0 Gordon Harold Esq 1.00 X X 0 0 0 Guzior Ronald L 1.00 X 0 0 0 Hearst George III 1.00 X 0 0 0 Herbert Sr Phyllis 1.00 X 0 0 0 Johnson Robert W III Esq 1.00 X X 0 0 0 Jones Sydney Tucker III 1.00 X X 0 0 0 Joyce Eileen MD 1.00 X 0 0 0 Karpiak Beverly 1.00 X 0 0 0 Keegan Michael 1.00 X X 0 0 0 Khanuja Ajit MD 1.00 X 0 0 0 Lang John M 1.00 X 0 0 0 Marmulstein Michael 1.00 X 0 0 0 Massry Norman 1.00 X 0 0 0 Matonak Andrew 1.00 X 0 0 0 Natwin Sr Kathleen 1.00 X 0 0 0 Nowak Thomas 1.00 X 0 0 0 Opalka Chester 1.00 X 0 0 0 Oster Russell 1.00 X 0 0 0 Peters Sr Sean CSJ 1.00 X 0 0 0 Philip George 1.00 X X 0 0 0 Powell Curtis 1.00 X 0 0 0 Puleo James H MD 1.00 X 0 0 0 Puleo James V MD 1.00 X 0 6250 0 Reed James K MD 1.00 X X 0 815276 37728 Robinson Harry Esq 1.00 X 0 0 0 Rosenberg Stuart MD 1.00 X 0 0 0 Sanders Alan MD 1.00 X 0 0 0 Schneider Donald PhD 1.00 X 0 0 0 Segel Kenneth B 1.00 X 0 0 0 Slavin James MD 1.00 X 0 0 0 Somerville Sr Jane 1.00 X 0 0 0 St George Scott Sch O 37.50 X X 471598 0 73180 Tartaglia Anthony P MD 1.00 X X 0 0 0 Thorn Lisa MD 1.00 X 0 38625 0 Turley Sr Kathleen 1.00 X 0 0 0 Tyrrell Thomas 1.00 X 0 0 0 Walsh James 1.00 X 0 0 0 Brodbeck Kathleen 1.00 X 0 325427 91003 Dascher Norman 1.00 X 0 372840 23209 Gavin James 1.00 X 0 394647 129780 Kochie Daniel A 37.50 X 341886 0 40900 Kuriger Frederick Sch O 37.50 X 342550 0 57188 Silverman Daniel 1.00 X 0 224315 22142 Frenn Debra Sch O 37.50 X 302327 0 47051 Barbarotto Paul Sch 0 37.50 X 289448 0 74690 Corcoran Vincent MD Sch O 37.50 X 408284 0 49509 Hermannsdoerfer Axel MD Sch O 40.00 X 324055 0 72918 Katz Michael MD Sch O 37.50 X 288095 0 74282 Rubin Richard MD Sch O 37.50 X 428019 0 85415 Pazzaglini Gino J 0.00 X 1286817 0 67 4483079 3096654 894474 11 1 1 0 Upstate Anesthesiology Services PC 10 Commerce Drive New Rochelle NY 10801 Anesthesiology services 1523086 Laboratory Corporation of America Holdin PO Box 12140 Burlington NC 27216 Medical services 1223550 Mobile Hyperbaric Centers One Cleveland Center 1375 East 9th Cleveland OH 44114 Medical services 567506 Lithotripsy Services of Troy LLC 1500 West Park Drive Suite 390 Westborough MA 01581 Medical services 319872 Anchor Funding Services LLC PO Box 602151 Charlotte NC 282602151 Nurse Agency 266096 25 1219813 1219813 Net Patient Services 621990 133623705 133623705 133623705 756970 756970 17403 14425 2978 2978 2978 Cafeteria/Vending 722210 493494 493494 Misc Patient Revenue 621990 129638 129638 Net Assets Released 900004 48062 48062 692203 222426 469777 1363397 136966863 133671767 222426 1852857 750 750 1676680 1676680 63121871 57477265 5644606 4115259 3599617 515642 5189274 4552842 636432 4716116 4125187 590929 350544 350544 142513 124656 17857 425021 144087 280934 18494035 18139206 354829 4209366 2867509 1341857 107217 106997 220 330986 229188 101798 1007463 1007463 2174913 2174913 1125706 984655 141051 Bad Debt 6263710 6263710 0 0 Purchased Svcs - Labor 4607877 3147227 1460650 0 Other Purchased Service 3460919 1515245 1945674 0 Physician Fees 3458434 3458434 0 0 8612967 6468960 2144007 133591621 116387911 17203710 0 6371 6005 6487930 9219545 14675792 12396644 102782 0 1585716 1584651 1238794 1279445 65972500 49392591 17571996 16579909 12495 81283 59353531 63938709 101035407 105086191 20146927 18302490 52530077 44029093 72677004 62331583 X 27761272 42126281 97051 127334 500080 500993 28358403 42754608 101035407 105086191 X 3375242 11020963 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 12452 1 0 1 0 1 28745 41197 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations 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. 1123920 15730 1139650 981391 142529 1123920 819881 161510 981391 1080683 -260802 819881 1.00000 0 0 449956 449956 38964110 27239146 11724964 4885791 4511803 373988 20694004 17192180 3501824 978639 449462 529177 16579909 Estimated Settlements from Third Party Payors 877626 Investment program accounts 56524534 Intercompany Receivable Affiliated Management Services Corp. 2307622 Deferred Compensation 2661135 PGL insurance recoverable 89654 Workers comp insurance recoverable 1478138 63938709 Intercompany Debt 33466941 Accrued Pension 5387499 Other Liabilities 5174653 44029093 1 1 1 X 1 X 1 1 0 1 1 2186754 436636 1750118 0.01370 20576198 18561730 2014468 0.01580 22762952 18998366 3764586 0.02950 4252493 3745 4248748 0.03340 700018 700018 0.00550 40731 40731 0.00030 37872 37872 0.00030 5031114 3745 5027369 0.03950 27794066 19002111 8791955 0.06900 58095 58095 0.00050 7835 7835 0.00010 183 183 0.00000 278 278 0.00000 66391 66391 0.00060 1 1893520 920629 49661620 49772806 -111186 X 1 1 1 1 Seton Health System Inc

1300 Massachusetts Avenue Troy NY 12180

X X X Seton Health System Inc 1 1 1 200.000000000000 1 300.000000000000 1 X X 1 1 X X X X X X 1 0 1 X 0 0 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 $6,263,710. 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 14 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 policy. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies. Costing methodology should be the most accurate method available to the organization, including cost accounting system, cost-to-charge ratio, etc. The following steps walk through the IRS's methodology for calculating cost-to-charge ratio and should be used if a more accurate is not available. 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 2011, on an inpatient case basis, Seton's proportionate care of the underserved exceeded all other hospitals in the region (25%). Except that of the region's largest academic and teaching medical center (26%). 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 5: 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 6: Seton Health System, Inc. (the System) was 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. On October 1, 2011, St. Peter's Health Partners was created through the merger of St. Peter's Health Care Services, Northeast Health and Seton Health. We believe that by combining our complementary strengths, we can significantly improve our ability to meet the health care needs of the region. Our primary goal will be to reduce fragmentation of patient care, a fundamental flaw in the American health care system. Focusing on care coordination will lead to higher quality, increased efficiency and improved access. While our new organization has begun operation, full implementation of the merged entity may take up to three years.CATHOLIC HEALTH EAST (CHE) is a multi-institutional Catholic health system, co-sponsored by eight religious congregations and Hope Ministries, a Public Juridic Person within Catholic Health East. Based in Newtown Square, Pennsylvania, the System provides the means to ensure the continuation of the Catholic identity and operational strength of the sponsors' health ministries, which are located in 11 eastern states from Maine to Florida.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. X 1 1 0 1 0 0 0 0 0 0 0 Boyle Steven 0 550014 0 267101 0 52159 0 11025 0 4387 0 884686 0 0 Reed James K MD 0 493493 0 289859 0 31924 0 19524 0 18204 0 853004 0 0 St George Scott Sch O 296284 0 152252 0 23062 0 63829 0 9351 0 544778 0 0 0 Brodbeck Kathleen 0 261271 0 62848 0 1308 0 76826 0 14177 0 416430 0 0 Dascher Norman 0 322139 0 20332 0 30369 0 9800 0 13409 0 396049 0 0 Gavin James 0 290196 0 73799 0 30652 0 113976 0 15804 0 524427 0 0 Kochie Daniel A 304705 0 21631 0 15550 0 32182 0 8718 0 382786 0 0 0 Kuriger Frederick Sch O 221608 0 93467 0 27475 0 42481 0 14707 0 399738 0 0 0 Silverman Daniel 0 210545 0 12480 0 1290 0 8945 0 13197 0 246457 0 0 Frenn Debra Sch O 187300 0 91302 0 23725 0 39646 0 7405 0 349378 0 0 0 Barbarotto Paul Sch 0 199700 0 32944 0 56804 0 49615 0 25075 0 364138 0 0 0 Corcoran Vincent MD Sch O 226130 0 167106 0 15048 0 31324 0 18185 0 457793 0 0 0 Hermannsdoerfer Axel MD Sch O 273099 0 13750 0 37206 0 57688 0 15230 0 396973 0 0 0 Katz Michael MD Sch O 194934 0 32944 0 60217 0 49259 0 25023 0 362377 0 0 0 Rubin Richard MD Sch O 260502 0 129437 0 38080 0 66874 0 18541 0 513434 0 0 0 Pazzaglini Gino J 0 0 293421 0 993396 0 0 0 67 0 1286884 0 0 0 Part I, Line 1a An officer received payments for housing allowance. The amount was included as taxable comepensation on the officer's W-2. Part I, Line 3 Compensation of the organization's top management officials: Scott St. George was compensated by Seton Health System, Inc. Steven Boyle was compensated by CHE. James Reed was compensated by Northeast Health, Inc. through September 30, 2011 and by CHE starting October 1, 2011. Seton Health System, Inc., CHE and Northeast Health, Inc. used some or all of the following to establish his compensation: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey - Approval by the board or compensation committee On an annual basis, the organization uses an independent compensation consultant to review the salaries for other executives and ensure such salaries are consistent with market salaries paid to similarly situated executives. In addition, a compensation committee reviews this information annually and it is then approved by the board or compensation committee. Finally, executives receive a written letter outlining the specifics of their compensation. Part I, Line 4b Supplemental Executive Retirement Plan will provide benefits to certain key executive employees of SPHCS. The Trustee is Charles Schwab Trust Company. The plan type is a 457(f) plan funded through a Rabbi Trust. M&T Bank M. Keegan - Officer 204571 Lease pymts 0 All transactions reported on Part IV were entered into as arms-length for fair market value. Program Service Statement Form 990, Part III, Community Benefit Report Seton Health / St. Mary's Hospital Community Service Plan 2011 Mission Statement On October 1, 2011, St. Peter's Health Partners was created through the merger of St. Peter's Health Care Services, Northeast Health and Seton Health. We believe that by combining our complementary strengths, we can significantly improve our ability to meet the health care needs of the region. Our primary goal will be to reduce fragmentation of patient care, a fundamental flaw in the American health care system. Focusing on care coordination will lead to higher quality, increased efficiency and improved access. While our new organization has begun operation, full implementation of the merged entity may take up to three years. The mission statement for St. Peter's Heath Partners is: Founded in community-based legacies of compassionate healing, we provide the highest quality comprehensive continuum of integrated health care, supportive housing and community services, especially for the needy and vulnerable. Service Area Seton Health serves northern Albany, southern Saratoga and Rensselaer Counties. There has been no change in our service area. Participants and Hospital Role For over 14 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 participates in the Rensselaer County Wellness Committee which brings together a diverse group of community representatives to discuss the critical health issues facing our community. In addition, we rely 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 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. 2012 Update: In the first six months of 2012, 517 new clients referred, 507 new clients enrolled, 1136 prescriptions filled, 800 refilled prescriptions; 51 clients referred to publicly funded insurance programs, 13 clients enrolled. Value of prescriptions dispensed during the time period $852,283. - Increase access to primary care physicians in our service area Measured by growth of visits particularly for Medicaid recipients and uninsured. 2012 Update: There were nearly 208,000 visits to Seton Health primary care offices in 2011. Twenty three percent of the visits were made by individuals who are either uninsured or covered by Medicaid. - 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. 2012 Update: As part of the merger plans to create St. Peter's Health Partners, the obstetric services from both St. Mary's and Samaritan Hospitals were closed. A new maternity hospital, Burdett Care Center, was established and is physically located within Samaritan Hospital. The entire range of pre and post natal education and support programs previously offered by Seton are now available through BCC including childbirth preparation, special siblings, baby basics, breast feeding education and support, infant massage and the award winning Mommy Project for at-risk teen mothers. Seton continues, however, to operate a robust ob/gyn outpatient practice in four locations including Troy, Clifton Park, Latham and Cohoes. Medicaid and self-pay patients account for over 36% of the visits made to these sites. Obstetric patients from this practice deliver at BCC. 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, then 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, 17,307 prescriptions have been dispensed to 4,569 people with a value of $8.1 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 CY 2011, over 208,000 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 expanded to 7 days per week 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 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 the Women, Infants and Children (WIC) program, 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. Since the merger that created St. Peter's Health Partners and the creation of Burdett Care Center, this program is now offered through BCC. 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. 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 was 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 final report was issued in November of 2011. Building upon prior successes improving access to health care through collaboration, the Healthy Capital District Initiative utilized HEAL IX resources to examine individual health care selection patterns and health institution policies to determine major causes of sub-optimal utilization of emergency health care resources. The project identified and implemented interventions that encourage consumer selection of appropriate health resources, which is expected to result in improved population health and reduced costs. The research strategy employed 1) identified subpopulations with the highest primary care treatable ED use, 2) ascertained consumer logic for choosing emergency services, 3) defined health system characteristics that encouraged ED use, and 4) obtained evidence based strategies to increase optimal use of ED services. Utilization data demonstrated that nearly half of ED visits could be effectively treated in a primary care setting; a rate persistent regardless of patient insurance status. Consumer research identified patient convenience as a primary driver of ED use. Issues of insufficient capacity as well as communication barriers between providers and hospitals were highlighted during a gap analysis. Educational initiatives on the value of primary care were implemented, with greater emphasis in high utilization neighborhoods. Current gaps in access to primary care physicians for public insurance beneficiaries were identified and strategies to bridge those gaps have been implemented. Recommendations were developed to support more beneficial ED utilization; these also emphasized the roles regional planning groups (RPGs) and the CON process can play in stimulating health system development to improve population health. Evaluation of the project recognized the success of using thorough data analysis and collaboration to stimulate institutional policies that complement utilization priorities. 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. 2012 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. Community educational events have continued including Diabetes Alert Day, Diabetes Makeover Day, ADA Forums and monthly support groups. Programs include risk assessments, testing, nutritional education and other pertinent information. - Reduce the number of adult smokers Measured by successful implementation of our Center for Smoking Cessation grants. 2012 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. 2012 Update: The CY 2011 30 day readmission rate was 1.5% for the Palliative Care cohort compared to 12.25% 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 worksites as 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: -35 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 94 new health care partners who received training and technical assistance to implement best practices on addressing tobacco use with patients. -Outreach staff conducted 254 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 Mohawk Opportunities in Schenectady to assist them in the process of going tobacco free at 8 of their resident homes. -Revised the Butt Stops Here community cessation program from a 7 session format to open ended. People can join at any time. There were 230 unique program participants. -Technical assistance and oversight was provided to two homeless shelters who provided cessation services for approximately 50 homeless residents. - Obesity Prevention in Pediatric Health Care Settings: A new grant award in 2011, the Pediatric Obesity Prevention Program is funded through the New York State Department of Health. The grant award is $100,000 each year for 5 years. The goal of the program is to work with all pediatric and family practice health care providers in an eight county catchment area. The program provides training for all staff from each health care provider site on: the Expert Committee Recommendations for Pediatric Obesity Prevention, counseling techniques, motivational interviewing, efficient coding, and technical assistance to implement best practices, and signage /educational tools/resources. The program is also working with community organizations in each of the eight counties to create quality resources for health care providers to refer their patients. - 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 2011-2012 include: -Smoke-free Housing- During the 2011-2012 fiscal year, 507 affordable and market rate housing units have implemented a smoke-free policy. The CDTFC has worked successfully with the Schenectady County Municipal Housing Authority and they have decided to implement smoke-free housing policy for all of their downtown properties with an implementation date of April 1, 2013. -Tobacco-Free outdoors - Through the use of community education and mobilization, the CDTFC has assisted with the implementation of tobacco free playgrounds, pools and recreation areas in the City of Albany and the City of Troy. These new policies now allow the 150,000 citizens in those two cities to enjoy clean air when they utilize the facilities in these city parks. Additionally, The College of St. Rose and the Sage Colleges implemented 100% tobacco free grounds policies for their campuses. The CDTFC is also working with SUNY to implement tobacco free grounds policies at all 64 of their campuses by Jan. 2014. Finally, with technical assistance from the CDTFC, Crossgates Mall successfully implemented a curb to curb tobacco free ground policy at their Albany locations. All these policies continue to change the social norm around tobacco use and prevent exposure to harmful secondhand smoke. -Point of Sale- The CDTFC continues to work in Albany and Schenectady County to decrease youth exposure to point of sale marketing and promotion of tobacco products. The 2012 Surgeon General's Report presented conclusive evidence that exposure to tobacco marketing increases youth tobacco use. In Albany County, a proposed local law has been introduced to end the sale of tobacco in pharmacies and all stores that contain a pharmacy and in Schenectady County there is interest in covering up the display of tobacco products at the point of sale. The CDTFC continues to educate the community and decision makers on ways to prevent youth exposure to tobacco marketing. 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. 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 Rensselaer County, in FY 2010 we expanded our arrangements to include Saratoga County. In 2011, 94 women were screened in Rensselaer County and 91 women in Saratoga County for a total in 2011 of 185. 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 monthly walks are led by staff from both organizations and local cardiologists. Each month's walk offers an educational talk on topics such as diabetes, nutrition and hypertension. Following the discussion, walkers are led on a one-mile loop downtown (or in the College of Russell Sage gym during the winter) where they can ask medical questions in an informal, relaxed atmosphere. After the walk, cardiac staff perform blood pressure checks. The walks are open to the public and free for anyone to participate in. 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. 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 second only to the region's academic medical center among all hospitals in the capital region with a ratio of Medicaid/self pay patients to total patients of 24.8%. 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 The merger of Seton Health, Northeast Health and St. Peter's Health Care Services which created St. Peter's Health Partners allows us to combine our complementary strengths to 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. Form 990, Part VI, Section A, line 2 Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship. Form 990, Part VI, Section A, line 4 Yes. As a result of an affiliation on October 1, 2011, the organization became part of St. Peter's Health Partners (SPHP), a newly formed not-for-profit health care system that has received exemption under IRC Sec. 501(c)(3). SPHP in turn is part of Catholic Health East, a Pennsylvania nonprofit corporation that is exempt under IRC Sec. 501(c)(3). In connection with the affiliation, both the certificate of incorporation and bylaws of the organization were amended in 2011. I. The amendments to the certificate of incorporation include, but are not limited to, the following: -to establish Class A (St. Peter's Health Partners) and Class B (Ascension Health) Members; -to provide that the organization will carry out its purposes "in concert with the Catholic health care system governed by Catholic Health East"; -to confer certain reserve powers on Catholic Health East; -to confer certain reserved powers on St. Peter's Health Partners; -to confer certain reserved powers on Ascension Health; -to revise the provision regarding disposition of assets in the event of dissolution, preserving the requirement that distribution shall only to be an organization exempt under IRC Sec. 501(c)(3). II. The amendments to the bylaws were generally consistent with the amended certificate, and include, but are not limited to, the following: -to provide that the organization will carry out its purposes "in concert with the Catholic health care system governed by Catholic Health East"; -to set forth a mission and values for the organization; -to establish Class A (St. Peter's Health Partners) and Class B (Ascension Health) Members; -to confer certain reserved powers on Catholic Health East; -to confer certain reserved powers on St. Peter's Health Partners; -to confer certain reserved powers on Ascension Health; -to revise the provision regarding disposition of assets in the event of dissolution, preserving the requirement that distribution shall only to be an organization exempt under IRC Sec. 501(c)(3). Form 990, Part VI, Section A, line 6 Seton Health System, Inc. had a single corporate member, Ascension Health through September 30, 2011. On October 1, 2011, St. Peter's Health Partners became the sole member. On October 1, 2011, St. Peter's Health Partners was created through the combination of St. Peter's Health Care Services ("SPHCS"), Northeast Health ("NEH"), and Seton Health System, Inc. ("Seton"). Catholic Health East ("CHE") is the sole member of St. Peter's Health Partners. St. Peter's Health Partners, Inc. (the "Corporation") is a not-for-profit corporation formed under New York State law and exempt from federal income taxes under Section 501(C)(3) of the Internal Revenue Code. St. Peter's Health Partners, Inc. exists for the primary purpose of supporting the health care needs of the community and by supporting the charitable purposes, functions and missions of its affiliate organizations. The mission of St. Peter's Health Partners, Inc. is founded in community-based legacies of compassionate healing, providing the highest quality comprehensive continuum of integrated health care, supportive housing and community services, especially for the needy and vulnerable. St. Peter's Health Partners, Inc. is sponsored by Catholic Health East (CHE), a Catholic, multi-institutional health system sponsored by nine religious congregations and Hope Ministries. CHE is a Pennsylvania nonprofit corporation and is the sole member of various health care organizations known as Regional Health Corporations (RHCs) that own and operate health care facilities and provide health care or related services in eleven states. CHE is the sole member of St. Peter's Health Partners, Inc. St. Peter's Health Partners, Inc. is the sole member of multiple not-for-profit membership corporations formed under New York State not-for-profit law including St. Peter's Health Care Services ("SPHCS"), Northeast Health, Inc. ("NEH"), Seton Health System, Inc. ("Seton"), and such other charitable, tax-exempt organizations as have SPHCS, NEH, or Seton through a direct chain of subsidiary membership relationships (collectively, the "Supported Affiliates"), with CHE as the sole member of the of the Corporation and with the Corporation as a "Regional Health Corporation" of CHE. There was no change in control for SPHCS as CHE was the sole member of SPHCS at October 1, 2011; the change in control of NEH and Seton was accounted for under the acquisition method. Form 990, Part VI, Section A, line 7a Seton Health System, Inc.'s single corporate member through September 30, 2011, Ascension Health, had the ability to elect members to the governing body of Seton Health System, Inc. Effective October 1, 2011, St. Peter's Health Partners, Inc. began approving the appointment of the members of the governing body. Form 990, Part VI, Section A, line 7b St. Peter's Health Partners, its subsidiaries, and/or Catholic Health East, may have limited reserved powers to approve decisions of the governing body. Form 990, Part VI, Section B, line 11 Form 990 was made available on the board website for all board members to review. 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 conflict-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 The organization relied on related organizations to establish the compensation of its top management officials as described in Form 990, Schedule J, Part III. In addition, CHE's determination of compensation includes review by an independent compensation committee, which reviews and approves all elements of remuneration. The committee has an established compensation philosophy, which details the objects of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. The compensation of other officers and key employees of the organization are reviewed by an independent compensation consultant who reviews the salaries to ensure they are within market and market competitive. This is done on an annual basis, reviewed by either the organization's or a related organization's compensation committee and communicated to the other officers and key employees. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Avg hours devoted to related org(s) when related comp is reported: Form 990, Part VII, Section A: Officers (as noted with "Sch O") for Seton Health System, Inc. provide services to Seton Health System, Inc. 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 138,786. Transfer to/from former Affiliate 438,490. Deferred Pension Costs 9,942,717. Other 466,731. Contributions 34,239. Total to Form 990, Part XI, Line 5: 11,020,963. 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. Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited and Chestnut Risk Services, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 232929748 Management Services PA 501(c)(3) Line 11a, I N/A 1 Continuing Care Management Services Network 3805 West Chester Pike Suite 100 Newtown Square PA 19073 352336834 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 Mercy Health System of Maine 144 State Street Portland MA 04101 010484074 Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East 1 Mercy Hospital 144 State Street Portland MA 04101 010211534 Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine 1 St Peter's Health Partners 315 South Manning Blvd Albany NY 12208 453570715 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St Peter's Health Care Services 315 South Manning Blvd Albany NY 12208 222702507 Management & Support Services NY 501(c)(3) Line 9 St Peter's Health Partners 1 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 141348692 Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services 1 St Peter's Hospital Foundation Inc 319 South Manning Blvd Suite 309 Albany NY 12208 222262982 Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services 1 Eddy Licensed Home Care Agency 433 River St Suite 3000 Troy NY 12180 141818568 Home Health NY 501(c)(3) Line 3 LTC(Eddy) Inc 1 The Community Hospice Foundation Inc 295 Valley View Blvd Rensselaer NY 12144 222692940 Fundraising & Public Relations NY 501(c)(3) Line 7 The Community Hospice Inc 1 The Community Hospice Inc 295 Valley View Blvd Rensselaer NY 12144 141608921 Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services 1 Villa Mary Immaculate 301 Hackett Blvd Albany NY 12208 141438749 Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Hospital 1 Warde Service Corporation Inc 159 Wolf Road 3rd Floor Albany NY 12205 141732097 Supporting & strengthing the ministries of rel. sr. mercy NY 501(c)(3) Line 9 St Peter's Health Care Services 1 Mercy Care for Kids Inc 310 South Manning Blvd Albany NY 12208 141717564 Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services 1 Our Lady of Mercy Life Center 2 Mercycare Lane Guilderland NY 12084 141743506 Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services 1 St Peter's Auxiliary 315 South Manning Blvd Albany NY 01228 222843206 Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services 1 Memorial Hospital Albany NY 600 Northern Blvd Albany NY 12204 141338457 General Hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Beechwood Inc 2212 Burdett Ave Troy NY 12180 141651563 Real estate holding NY 501(c)(2) N/A LTC (Eddy) Inc 1 Beverwyck Inc 40 Autumn Drive Slingerlands NY 12159 141717028 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Capital Region Geriatric Center Inc 421 West Columbia St Cohoes NY 12047 141701597 Nursing Home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Senior Care Connection Inc 504 State St Schenectady NY 12305 141708754 PACE Program NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Glen Eddy Inc One Glen Eddy Drive Niskayuna NY 12309 141794150 Independent/Assisted Living Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Hawthorne Ridge Inc 30 Community Way East Greenbush NY 12061 800102840 Independent/Assisted Living Retirement Community NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Heritage House Nursing Center Inc 2920 Tibbits Ave Troy NY 12180 141725101 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Home Aid Service of Eastern New York Inc 433 River St Suite 3000 Troy NY 12180 141514867 Home care NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 James A Eddy Memorial Geriatric Center Inc 2256 Burdett Ave Troy NY 12180 222570478 Nursing home NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 LTC (Eddy) Inc 2212 Burdett Ave Troy NY 12180 222564710 Elderly health/housing supporting org NY 501(c)(3) Line 11a, I Northeast Health Inc 1 The Marjorie Doyle Rockwell Center Inc 421 West Columbia St Cohoes NY 12047 141793885 Adult Home/Alzheimers NY 501(c)(3) Line 9 LTC (Eddy) Inc 1 Samaritan Hospital of Troy New York 2215 Burdett Ave Troy NY 12180 141338544 General hospital NY 501(c)(3) Line 3 Northeast Health Inc 1 Shaker Properties Inc 2212 Burdett Ave Troy NY 12180 223119822 Real Estate holding NY 501(c)(2) N/A Northeast Health Inc 1 Sunnyview Hospital & Rehabilitation Ctr 1270 Belmont Ave Schenectady NY 12308 141338386 Rehabilitation hospital NY 501(c)(3) Line 3 LTC (Eddy) Inc 1 Sunnyview Hospital & Rehabilitation Center Foundation 1270 Belmont Ave Schenectady NY 12308 222505127 Supporting foundation NY 501(c)(3) Line 11a, I Sunnyview Hospital & Rehabilitation Ctr 1 Empire Home Infusion Service Inc 10 Blacksmith Drive Malta NY 12020 141795732 Home care NY 501(c)(3) Line 9 Home Aid Service of Eastern New York Inc 1 Samaritan Child Care Center Inc 2213 Burdett Ave Troy NY 12180 141710225 Child day care NY 501(c)(3) Line 9 Northeast Health Inc 1 The Northeast Health Foundation Inc 2224 Burdett Ave Troy NY 12180 222743478 Supporting foundation NY 501(c)(3) Line 7 Northeast Health Inc 1 Northeast Health Inc 2212 Burdett Ave Troy NY 12180 042450756 Supporting Organization NY 501(c)(3) Line 11b, II St Peter's Health Partners 1 Seton Auxiliary Inc 1300 Massachusetts Avenue Troy NY 12180 141505031 Supporting Organization NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health at Schuyler Ridge Residential Healthcare 1 Abele Blvd Clifton Park NY 12065 141756230 Skilled Nursing NY 501(c)(3) Line 9 Seton Health System Inc 1 Seton Health Foundation 1300 Massachusetts Avenue Troy NY 12180 222345416 Supporting Organization NY 501(c)(3) Line 11a, I Seton Health System Inc 1 Seton Licensed Home Care Inc 1300 Massachusetts Avenue Troy NY 12180 141809134 Licensed Home Health Agency NY 501(c)(3) Line 3 Seton Health System Inc 1 Vincentian Health Services 1300 Massachusetts Avenue Troy NY 12180 141685163 Discontinued Operations NY 501(c)(3) Line 11a, I Seton Health System Inc 1 St Mary's Woodland Village Inc 1300 Massachusetts Avenue Troy NY 12180 141675183 Discontinued Operations NY 501(c)(3) Line 9 Seton Health System Inc 1 Brightside Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042182395 Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 Farren Care Center Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 042501711 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Mercy Hospital Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398280 Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Mercy Specialist Physicians Inc c/o SPHS 1221 Main Street No 108 Holyoke MA 01040 264033168 Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Sisters of Providence Care Centers Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 222541103 Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc 1 Sisters of Providence Health System Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 01040 043398374 Management & Support Services MA 501(c)(3) Line 11a, I Catholic Health East 1 McAuley Center Inc 275 Steele Road West Hartford CT 06117 061058086 Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Community Health Inc 2021 Albany Avenue West Hartford CT 06117 061492707 Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East 1 Mercy Community HomeCare Services 2021 Albany Avenue West Hartford CT 06117 061488137 In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc 1 Mercy Services 2021 Albany Avenue West Hartford CT 06117 061453323 Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc 1 Mercyknoll Inc 2021 Albany Avenue West Hartford CT 06117 060757380 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Saint Mary Home II Inc 2021 Albany Avenue West Hartford CT 06117 061164104 Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc 1 St Mary Home Incorporated 2021 Albany Avenue West Hartford CT 06117 060646843 Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc 1 Mercy Healthcare Center 114 Wawbeek Avenue Tupper Lake NY 12986 150532211 Hospital NY 501(c)(3) Line 3 Catholic Health East 1 Mercy Uihlein Health Corporation 185 Old Military Road Lake Placid NY 12946 161535133 Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center 1 Uihlein Mercy Center 185 Old Military Road Lake Placid NY 12946 150532190 Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center 1 St James Mercy Foundation Inc 411 Canisteo Street Hornell NY 14843 161486437 Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc 1 St James Mercy Health System Inc 411 Canisteo Street Hornell NY 14843 223127184 Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East 1 St James Mercy Hospital 411 Canisteo Street Hornell NY 14843 160743310 Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc 1 Marian Community Hospital 100 Lincoln Avenue Carbondale PA 18407 240711230 Hospital PA 501(c)(3) Line 3 Maxis Health System 1 Marian Community Hospital Auxiliary 100 Lincoln Avenue Carbondale PA 18407 251874733 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Foundation 100 Lincoln Avenue Carbondale PA 18407 232330090 Fundraising PA 501(c)(3) Line 11b, II Maxis Health System 1 Maxis Health System 100 Lincoln Avenue Carbondale PA 18407 911940902 Health Care System PA 501(c)(3) Line 11b, II Catholic Health East 1 Maxis Medical Services 100 Lincoln Avenue Carbondale PA 18407 232577185 Physician Practices PA 501(c)(3) Line 3 Maxis Health System 1 Tri-County Human Services Center Inc PO Box 517 Carbondale PA 18407 231938528 Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System 1 Columbus Acquisition Corp 1160 Raymond Boulevard Newark NJ 07102 262616342 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 Saint Michaels Medical Center 111 Central Avenue Newark NJ 07102 262616046 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 St James Care Inc 1160 Raymond Boulevard Newark NJ 07102 262616230 Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center 1 St Michaels Medical Center Foundation 1160 Raymond Boulevard Newark NJ 07102 223311976 Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center 1 University Heights Property Company Inc 1160 Raymond Boulevard Newark NJ 07102 223100162 Medical Property Holding Company NJ 501(c)(2) N/A Saint Michaels Medical Center 1 Life St Francis Corporation 601 Hamilton Avenue Trenton NJ 08629 222797282 Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Foundation NJ 601 Hamilton Avenue Trenton NJ 08629 521025476 Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ 1 St Francis Medical Center Trenton NJ 601 Hamilton Avenue Trenton NJ 08629 223431049 Hospital NJ 501(c)(3) Line 3 Catholic Health East 1 Langhorne MRI Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232519529 Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center 1 Langhorne Physician Services Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232571699 Physician Services PA 501(c)(3) Line 9 St Mary Medical Center 1 LIFE St Mary 1201 Langhorne-Newtown Road Langhorne PA 19047 262976184 Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center 1 St Mary Medical Center 1201 Langhorne-Newtown Road Langhorne PA 19047 231913910 Hospital PA 501(c)(3) Line 3 Catholic Health East 1 St Mary Medical Center Foundation Inc 1201 Langhorne-Newtown Road Langhorne PA 19047 232567468 Foundation PA 501(c)(3) Line 7 St Mary Medical Center 1 East Norriton Physician Services c/o One West Elm Street Conshohocken PA 19428 232515999 Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Catholic Medical Center of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 231352191 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Mercy Family Support 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325059 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Foundation of Southeastern Pennsylvania c/o MHS One West Elm Street Conshohocken PA 19428 232829864 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health Plan c/o One West Elm Street Conshohocken PA 19428 222483605 Health Plans PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Health System of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232212638 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 Mercy Home Health 1001 Baltimore Pike Suite 310 Springfield PA 19064 231352099 Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania 1 Mercy Home Health Services 1001 Baltimore Pike Suite 301 Springfield PA 19064 232325058 Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Management of Southeastern Pennsylvania One West Elm Street Conshohocken PA 19428 232627944 Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Mercy Suburban Hospital One West Elm Street Conshohocken PA 19428 231396763 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Health Care Foundation 2701 Holme Avenue Philadelphia PA 19152 232300951 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Nazareth Hospital 2601 Holme Avenue Philadelphia PA 19152 232794121 Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 Nazareth Physician Services Inc 2601 Holme Avenue Philadelphia PA 19152 203261266 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 NE Physician Services 2601 Holme Avenue Philadelphia PA 19152 232497355 Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center 1900 S Broad Street Philadelphia PA 19145 232840137 Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania 1 St Agnes Continuing Care Center Foundation 1900 S Broad Street Philadelphia PA 19145 232415137 Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania 1 Life at Lourdes Inc 1600 Haddon Avenue Camden NJ 08108 261854750 Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Ancillary Services 1600 Haddon Avenue Camden NJ 08103 222568525 Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services 1 Lourdes Dialysis at Innova Inc 1600 Haddon Avenue Camden NJ 08108 263237625 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Lourdes Medical Center Burlington County 218 Sunset Road Willingboro NJ 08046 223612265 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Health Care Services 1600 Haddon Avenue Camden NJ 08103 222568528 Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East 1 Our Lady of Lourdes Health Foundation Inc 1600 Haddon Avenue Camden NJ 08103 222351960 Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services 1 Our Lady of Lourdes Medical Center 1600 Haddon Avenue Camden NJ 08103 210635001 Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services 1 Franciscan Eldercare Corporation PO Box 2500 Wilmington DE 19805 223008680 Eldercare DE 501(c)(3) Line 9 St Francis Hospital 1 St Francis Foundation PO Box 2500 Wilmington DE 19805 510374158 Foundation DE 501(c)(3) Line 11b, II St Francis Hospital 1 St Francis Hospital PO Box 2500 Wilmington DE 19805 510064326 Hospital DE 501(c)(3) Line 3 Catholic Health East 1 LIFE at St Francis Healthcare Inc 7th Clayton Streets Wilmington DE 19805 452569214 Elderly Care DE 501(c)(3) Line 3 St Francis Hospital 1 McAuley Ministries McAuley Hall 3333 Fifth Avenue Pittsburgh PA 15213 943436142 Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Jeannette Hospital 3805 West Chester Pike Newtown Square PA 19073 251310602 Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Mercy Life Center Corporation 1200 Reedsdale Street Pittsburgh PA 15233 251604115 Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System 1 Pittsburgh Mercy Health System 3333 5th Avenue Pittsburgh PA 15213 251464211 Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East 1 St Joseph's of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 560694200 Hospital NC 501(c)(3) Line 3 Catholic Health East 1 Life St Joseph of the Pines Inc 100 Gossman Drive Suite B Southern Pines NC 28387 272159847 Healthcare Services NC 501(c)(3) Line 3 St Joseph's of the Pines Inc 1 Mercy Senior Care Inc 212 West Third Street PO Box 866 Rome GA 30162 581366508 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Good Samaritan HospitalInc 1201 Siloam Road Greensboro GA 30462 261720984 Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc 1 Saint Joseph's Health System Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581744848 Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East 1 Saint Joseph's Mercy Care Services Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581752700 Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc 1 Saint Joseph's Mercy Foundation Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 581448522 Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 Mercy Services Downtown Inc 5673 Peachtree-Dunwoody Road Suite Atlanta GA 30342 272046353 Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc 1 St Mary's Health Care System Inc 1230 Baxter Street Athens GA 30606 580566223 Hospital GA 501(c)(3) Line 3 Catholic Health East 1 St Mary's Foundation Inc 1230 Baxter Street Athens GA 30606 582544232 Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc 1 St Mary's Highland Hills Inc 1230 Baxter Street Athens GA 30606 020576648 Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 St Mary's Medical Group Inc 1230 Baxter Street Athens GA 30606 261858563 Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc 1 Mercy Medical Corporation PO Box 1090 101 Villa Drive Daphne AL 36526 636002215 Hospital AL 501(c)(3) Line 3 Catholic Health East 1 Mercy LIFE of Alabama PO Box 1090 101 Villa Drive Daphne AL 36526 273163002 Hospital AL 501(c)(3) Line 3 Mercy Medical Corporation 1 Allegany Franciscan Ministries Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 581492325 Management & Support Services FL 501(c)(3) Line 11b, II Catholic Health East 1 St Francis Hospital Inc 33920 US Highway 19 North Suite 269 Palm Harbor FL 34684 590624442 Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc 1 Holy Cross Hospital Inc 4725 North Federal Highway Ft Lauderdale FL 33308 590791028 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Holy Cross Long-Term Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650787320 Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc 1 Holy Cross Medical Properties Inc 4725 North Federal Highway Ft Lauderdale FL 33308 650666283 Medical Building Real Estate Management FL 501(c)(2) N/A Holy Cross Hospital Inc 1 Mercy Hospital Foundation Inc 3663 South Miami Avenue Miami FL 33133 591709438 Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc 1 Mercy Hospital Inc 3663 South Miami Avenue Miami FL 33133 590791034 Hospital FL 501(c)(3) Line 3 Catholic Health East 1 Mercy Medical Development Inc 3663 South Miami Avenue Miami FL 33133 592789194 Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc 1 Mercy Mission Services Inc 3663 South Miami Avenue Miami FL 33133 650435764 Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc 1 Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital 3663 South Miami Avenue Miami FL 33133 510461511 Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc 1 Global Health Ministry 3805 West Chester Pike Suite 100 Newtown Square PA 19073 233068656 Health Care PA 501(c)(3) Line 7 Catholic Health East 1 VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine 1 Providence Place Inc 5 Gamelin Street Holyoke MA 01040 043404084 Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc 1 Intercoastal Health Systems 3805 West Chester Pike Suite 100 Newtown Square PA 19073 650556413 Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East 1 Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO 501(c)(3) Line 11a, I N/A 0 St Peter's Ambulatory Surgery Center LLC 1375 Washington Avenue Ste 201 Albany NY 12206 460463892 Surgery NY N/A Catherine Horan Building Limited Partnership 1221 Main Street Room 108 Holyoke MA 010400000 042723429 Property Management MA N/A Western Massachusetts PETCT Imaging Center LLC 100 Bayview Circle Ste 400 Newport Beach CA 92660 204744663 Outpatient Medical Services DE N/A Central New Jersey Heart Services LLC 10720 Sikes Places Ste 300 Charlotte NC 28277 208525458 Cardiac Program NJ N/A Langhorne MOB Partners LP 1201 Langhorne-Newtown Road Langhorne PA 19047 232622772 Investment and operation of a medical building PA N/A SMMC MOB II LP 1201 Langhorne-Newtown Road Langhorne PA 19047 364559869 Investment and operation of a medical building PA N/A The Ambulatory Surgery Center at St Mary LLC 1203 Langhorne-Newton Road Langhorne PA 19047 232871206 Outpatient Surgery PA N/A AmeriHealth Mercy Health Plan 200 Stevens Drive Suite 350 Philadelphia PA 19113 232859523 Medicaid Managed Care Organization PA N/A Amerihealth Mercy of Indiana LLC 200 STEVENS DRIVE Suite 350 Philadelphia PA 19113 204948091 PREPAID HEALTH CARE SERVICES IN N/A East Norriton Medical Associates One West Elm Street Conshohocken PA 19428 232319531 Medical Office Building PA N/A East Norriton Medical Associates One West Elm Street Conshohocken PA 19428 232319531 Medical Office Building PA N/A Gateway Health Plan 300 Grant Street Pittsburgh PA 15219 251691945 Medicaid & Medicare/Special Needs Managed Care Organization PA N/A Keystone Mercy Health Plan 100 Stevens Drive Philadelphia PA 19113 232842344 Medicaid Managed Care Organization PA N/A MercyManor Partnership PO Box 10086 Toledo OH 436990086 521931012 Nursing Home PA N/A St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A Nazareth Medical Office Building Associates LP c/o Nazareth Hospital 2601 Holme Av Philadelphia PA 19152 232388040 Medical Office Building PA N/A St Agnes Long Term Intensive Care LLP 1900 S Broad Street Philadelphia PA 19145 200984882 Long Term Intensive Care PA N/A SJV Management LLC 200 Century Pkwy Ste 200E Mount Laurel NJ 08054 202273476 Radiology NJ N/A Physicians Outpatient Surgery Center LLC 1000 NE 56th Oakland Park FL 33334 352325646 Ambulatory Surgery Center FL N/A Center for Surgery & Digestive Orders 3641 South Miami Avenue Miami FL 33133 510438152 Outpatient Medical Services FL N/A Samaritan Medical Office Building Inc 2212 Burdett Avenue Troy NY 12180 141607244 Real Estate NY N/A C Affiliated Management Services Corporation Inc 1300 Massachusetts Avenue Troy NY 12180 141668024 Real Estate NY Seton Health System Inc C 92930 4903330 1.00000 Catherine Horan Building Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938180 Building Management MA N/A C Diversified Community Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043128890 Medical Services MA N/A C Mercy Inpatient Medical Associates Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043029829 Medical Services MA N/A C Providence Home Care Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 043317426 Health Care Services MA N/A C System Coordinated Services Inc c/o SPHS 1221 Main Street Suite 108 Holyoke MA 010400000 042938181 Lab Services MA N/A C Physicians Medical Office Building Condominium Trust 1221 Main Street Room 108 Holyoke MA 010400000 046608649 Property Management MA N/A C SJM Properties Inc 411 Canisteo Street Hornell NY 148482104 161294991 Property Holdings NY N/A C Carbondale Area Physicians' Association PC 100 Lincoln Ave Carbondale PA 18407 232801677 Medical Insurance Contracting PA N/A C Carbondale Area Physicians' PHO Inc 100 Lincoln Ave Carbondale PA 18407 232801676 Inactive PA N/A C Carbondale Physicians' Services Inc 100 Lincoln Ave Carbondale PA 18407 232365077 Pharmacy PA N/A C Chestnut Risk Services Ltd 11 Victoria Street Hamilton BD Insurance BD N/A C LifeCare Physicians PC 601 Hamilton Avenue trenton NJ 086291986 261649038 Health Care Services NJ N/A C Multicare Plus Inc 601 Hamilton Avenue Trenton NJ 086291986 223435844 Inactive NJ N/A C Langhorne Services II Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 253795549 General Partner of LMOB Partners, II PA N/A C Langhorne Services Inc 1201 Langhorne-Newtown Road Langhorne PA 190470000 232625981 General Partner of LMOB Partners PA N/A C AMHP Holdings Corp 200 Stevens Drive Philadelphia PA 19113 261144363 Behavorial Health PA N/A C Select Health of South Carolina Inc 4390 Belle Oaks Drive Suite 400 Charleston SC 29405 571032456 Health Maintenance Organization SC N/A C Gateway Health Plan Inc 600 Grant Street Pittsburgh PA 15219 251505506 Health Care PA N/A C Gateway Health Plan Inc of Ohio 600 Grant Street Pittsburgh PA 15219 300282076 Health Care PA N/A C MCMC Eastwick Inc c/o MHS One West Elm Street Conshohocken PA 19428 232184261 Medical Office Buildings PA N/A C Community Behavorial Healthcare Network of PA Inc 8040 Carlson Road Harrisburg PA 17112 251765391 Behavorial Health PA N/A C Health Management Services Org Inc 500 Grove Street Suite 100 Haddon Heights NJ 08035 223366580 Health Care Billing NJ N/A C Jeannette Medical Providers 3805 West Chester Pike Newtown Square PA 19073 251787334 Holding Company PA N/A C Jeannette OBGYN Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890748 Holding Company PA N/A C Jeannette Primary Care Group 1 Inc 3805 West Chester Pike Newtown Square PA 19073 232890743 Holding Company PA N/A C Georgia Health Enterprises LLC 11440 Commerce Park Drive Reston VA 20191 541806329 Healthcare VA N/A C St Mary's Highland Hills Village Inc 1660 Jennings Mill Pkly Bogart GA 30622 582276801 Assisted Living GA N/A C GHE Physicians PC 3500 Piedmont Road Atlanta GA 30305 582277939 Practice Management GA N/A C Nursing Network Inc 4725 North Federal Highway Fort Lauderdale Highwa FL 333080000 591145192 Medical Services FL N/A C Mercy Physician Group Inc 3663 South Miami Avenue Miami FL 33133 202970015 Health Care FL N/A C Stella Maris Insurance Company Limited PO Box 69 Grand Cayman Cayman Islands CJ KY1-1102 980078266 Insurance CJ N/A C Catholic Health East Senior Services 3805 West Chester Pike Suite 100 Newtown Square PA 19073 371572595 Senior Services PA N/A C 1 0 1 0 0 1 0 0 1 1 1 1 1 1 1 1 1 1 The Community Hospice Inc K 354118 FMV Affiliated Management Services Corp J 403683 FMV Seton Health at Schuyler Ridge Residential Healthcare N 451067 FMV Seton Health Foundation O 234424 FMV Seton Health at Schuyler Ridge Residential Healthcare R 85619 FMV Seton Health at Schuyler Ridge Residential Healthcare O 1967042 FMV St Peter's Hospital N 100400 FMV