2011-11-14T09:02:58-06:00 2010-12-31 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2010-01-01 222345416 Seton Health Foundation Inc SETO 5182685503 1300 Massachusetts Avenue Troy NY 12180 Scott St George 5182685503 2011-11-11 1 Alicia Janisch 5137847100 2010 2016-03-07 17:11:31Z Scott St George 1300 Massachusetts Avenue Troy NY 12180 3481432 0 0928 X N/A X 1945 NY To raise and distribute resources to Seton Health System, and its Affiliates. 20 17 0 17 0 0 538871 647930 0 0 125851 108421 54107 12000 718829 768351 65604 221414 0 0 0 0 0 0 0 496820 518231 562424 739645 156405 28706 5123212 5479940 290497 497375 4832715 4982565 The sole purpose is to raise and distribute resources to Seton Health System, Inc. of Troy, NY and its affiliated Section 501(C)(3) health care organizations. 0 0 221414 221414 The sole purpose is to raise and distribute resources to Seton Health System, Inc. of Troy, NY and its affiliates, all of which are section 501(C)(3) health care organizations. 221414 1 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 X 20 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Daniel A Kochie 5182685520 1300 Massachusetts Ave Troy NY 12180 Sr Clarisse Correia DC 0.50 X 0 0 0 Dr Allen Zieker 0.50 X 0 0 0 Dr Christopher Fatone 0.50 X 0 0 0 Denise M Padula 0.50 X 0 0 0 Donald E Fane 0.50 X 0 0 0 Frederick A Miller 0.50 X 0 0 0 Gerard J McGarvey 0.50 X 0 0 0 Jennifer Hill 0.50 X 0 0 0 John Daniels 0.50 X 0 0 0 John J Sandvidge Jr 0.50 X 0 0 0 Joseph Fleming 0.50 X 0 0 0 Matthew Clarke 0.50 X 0 0 0 Maureen Noonan 0.50 X 0 0 0 Norman Massry 0.50 X 0 0 0 Paul M Macari 0.50 X 0 0 0 Richard E Rowlands 0.50 X 0 0 0 Stephen P Retzlaff 0.50 X 0 0 0 Steven B Bouchey 0.50 X 0 0 0 Gino J Pazaglini Sch O 37.50 X X 0 700146 65281 Scott St George Sch O 37.50 X X 0 254687 66651 Daniel A Kochie Sch O 37.50 X X 0 98151 16144 0 1052984 148076 0 0 1 0 Seton Health System Inc 1300 Massachusetts Ave Troy NY 12180 Fundraising & Management Staff 223543 1 49200 598730 647930 36955 36955 12000 12000 12000 12000 2784547 2713081 71466 71466 71466 768351 0 0 120421 221414 221414 16583 16583 37463 37463 19377 19377 699 699 863 863 24108 24108 12360 12360 3188 3188 Fundraising Mgmt/Staff 233652 233652 Fundraising Event Exp. 96308 96308 Fundraising Consulting 56004 56004 Other Expenses 17626 17626 739645 221414 518231 0 211157 230069 4769 5969 131470 23470 108000 108000 1361670 1491620 3437616 3644282 5123212 5479940 10697 7483 279800 489892 290497 497375 X 1995099 2138283 2817616 2824282 20000 20000 4832715 4982565 5123212 5479940 X 28706 121144 X 0 1 1 X 0 X X X 0 0 0 Seton Health System Inc 141776186 Line 3 1 1 1 739645 Seton Auxiliary Inc 141505031 Line 9 1 1 1 0 Seton Health at Schuyler Ridge Residential Healthcare 141756230 Line 9 1 1 1 0 Seton Licensed Home care Inc 141809134 Line 3 1 1 1 0 St Mary's Woodland Village Inc 141675183 Line 9 1 1 1 0 5 739645 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20000 20000 20000 20000 20000 20000 1.00000 0 0 108000 108000 1497 1497 0 17256 17256 0 4717 4717 0 108000 Restricted Cash and Investments 2484945 Net Restricted Pledges Receivable 359337 Board Designated Investments 800000 3644282 Due to Seton Health 489892 489892 Description of Intended Use of Endowment Funds: Part V, Line 4: Endowment Fund exists to generate interest earnings to be used for the benefit of pediatric services at Seton Health System. 1 Seton Health System Inc 1300 Massachussetts Avenue Troy NY 12180 141776186 501(c)(3) 221414 Support of Charitable goals and services of Seton Health. 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Specific Criteria (for example, meeting the intended purpose of the donor) must be met by organizations who are to receive funds from Seton Health Foundation. 1 1 0 0 0 0 0 0 0 Gino J Pazaglini Sch O 0 266024 0 228203 0 205919 0 53093 0 12188 0 765427 0 0 Scott St George Sch O 0 240098 0 7000 0 7589 0 58293 0 8358 0 321338 0 6717 Supplemental Information Part III Part I, Line 3: Seton Health Foundation, Inc. relied on a related organization (Seton Health System, Inc.) that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation consultant - Compensation study or survey - Approval by the board or compensation committee Part I, Line 4a: Gino J. Pazzaglini received severance payments totaling $60,189 during the 2010 calendar year. Part I, Line 4b: Gino J. Pazzaglini received a payment of $82,015 during the 2010 calendar year that represents amounts previously deferred under a non-qualified plan. Part II: Deferred Compensation amounts reported in Schedule J do not include amounts where the entitlement of future payment is contingent on satisfaction of specific performance criteria. Form 990, Part VI, Section A, line 6 Seton Health Foundation, Inc. has a single corporate member, Seton Health System, Inc. Form 990, Part VI, Section A, line 7a Seton Health Foundation, Inc. has a single corporate member, Seton Health System, Inc., who has the ability to elect members to the governing body of Seton Health Foundation, Inc. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to Seton Health Foundation, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Seton Health System, Inc. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's top management official, the process performed by Seton Health System (a related organization who paid the top management official) included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive committee reviewed and approved the compensation. In the review of the compensation, the top management official was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. Individual was not present when his compensation was decided. In determining compensation of the other officers of the organization, the process performed by Seton Health System (a related organization who paid the other officers) included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The executive committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to other organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the executive committee minutes. Individuals were not present when their compensation was decided. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 121,144. 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 Foundation, Inc. provide services to Seton Health System and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore 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. Ascension Health 4600 Edmundson Road St Louis MO 63134 311662309 National Health System MO section 501(c)(3) Schedule A, Line 11a N/A 0 Seton Health System Inc 1300 Massachusetts Avenue Troy NY 12180 141776186 Hospital NY section 501(c)(3) Schedule A, Line 3 Ascension Health 0 Seton Health at Schuyler Ridge 1 Abele Blvd Clifton Park NY 12065 141756230 Nursing Home NY section 501(c)(3) Schedule A, Line 9 Seton Health System Inc 1 Vincentian Health Services Inc 1300 Massachusetts Avenue Troy NY 12180 141685163 Discontinued Operation NY section 501(c)(3) Schedule A, Line 11a Seton Health System Inc 1 Seton Licensed Home Care Inc 1300 Massachusetts Avenue Troy NY 12180 141809134 Licensed Home Health Agency NY section 501(c)(3) Schedule A, Line 3 Seton Health System Inc 1 Seton Auxiliary 1300 Massachusetts Avenue Troy NY 12180 141505031 Support of Seton Health System, Inc. NY section 501(c)(3) Schedule A, Line 9 Seton Health System Inc 1 St Mary's Woodland Village 1300 Massachusetts Avenue Troy NY 12180 141675183 Discontinued Operation NY section 501(c)(3) Schedule A, Line 8 Seton Health System Inc 1 Affiliated Management Services Corp 1300 Massachusetts Avenue Troy NY 12180 141668024 Real estate NY N/A C 0 1 1 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 Seton Health System Inc B 221414 FMV Seton Health System Inc N 256938 FMV