SETON HEALTH SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SETON HEALTH SYSTEM INC (EIN 14-1776186)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201143189349301614
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T09:02:58-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 East Fifth East Street Suite 19	AddressLine1
City	Cincinnati	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	141776186	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Seton Health System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SETO	NameControl
Phone	5182685520	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 Massachusetts Avenue	AddressLine1
City	Troy	City
State	NY	State
ZIP Code	12180	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Daniel Kochie	Name
Title	CFO	Title
Phone	5182685520	Phone
Date Signed	2011-11-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Alicia Janisch	Name
Phone	5137847100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Scott St George	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1300 Massachusetts Avenue	AddressLine1
City	Troy	City
State	NY	State
ZIP Code	12180	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	153827936	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.setonhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	Seton Health provides residents with exceptional healthcare from 20 locations around the region.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1725	TotalNbrEmployees
Total Nbr Volunteers	144	TotalNbrVolunteers
Total Gross UBI	262861	TotalGrossUBI
Net Unrelated Business Txbl Income	-477836	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1379154	ContributionsGrantsPriorYear
Contributions Grants Current Year	1271769	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	139825819	ProgramServiceRevenuePriorYear
Program Service Revenue CY	144283988	ProgramServiceRevenueCY
Investment Income Prior Year	5565776	InvestmentIncomePriorYear
Investment Income Current Year	6905188	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1338791	OtherRevenuePriorYear
Other Revenue Current Year	1279441	OtherRevenueCurrentYear
Total Revenue Prior Year	148109540	TotalRevenuePriorYear
Total Revenue Current Year	153740386	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5450	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	12100	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	80867346	SalariesEtcPriorYear
Salaries Etc Current Year	83079704	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	58822817	OtherExpensePriorYear
Other Expenses Current Year	62167955	OtherExpensesCurrentYear
Total Expenses Prior Year	139695613	TotalExpensesPriorYear
Total Expenses Current Year	145259759	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8413927	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8480627	RevenuesLessExpensesCY
Total Assets BOY	92005735	TotalAssetsBOY
Total Assets EOY	101035407	TotalAssetsEOY
Total Liabilities BOY	72819850	TotalLiabilitiesBOY
Total Liabilities EOY	72677004	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	19185885	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	28358403	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. Based on the foundation of our membership in Ascension Health, a sponsored health ministry of the Daughters of Charity, and the Sisters of St. Joseph, Seton Health System is dedicated to excellence, innovation, accountability and the prevention of illness in response to the community's changing healthcare needs. Our vision is to create a unified system of comprehensive healthcare services through collaboration with those who share our vision.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	126876853	Expense
Grants	12100	Grants
Revenue	144345363	Revenue
Description	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.	Description
Total Program Service Expense	126876853	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	147	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1725	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Daniel A Kochie	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5182685520	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1300 Massachusetts Avenue	AddressLine1
City	Troy	City
State	NY	State
ZIP Code	12180	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Sr Clarisse Correia DC
Board Chair	0.50	X	0	0	0
Donald Schneider PhD
Vice Chair	0.50	X	0	0	0
Kenneth B Segel
Secretary	0.50	X	0	0	0
Sr Sean Peters CSJ
Treasurer	0.50	X	0	0	0
Steven Bouchey
Board Member	0.50	X	0	0	0
Charles F Carletta
Board Member	0.50	X	0	0	0
Sr Jane Graves thru 610
Board Member	0.50	X	0	0	0
Beverly Karpiak
Board Member	0.50	X	0	0	0
Michael Keegan
Board Member	0.50	X	0	0	0
Ajit Khanuja MD
Board Member	0.50	X	0	0	0
Michael Marmulstein
Board Member	0.50	X	0	0	0
Andrew Matonak
Board Member	0.50	X	0	0	0
Curtis Powell
Board Member	0.50	X	0	0	0
James Walsh
Board Member	0.50	X	0	0	0
Scott St George Sch O
CFO/CEO (end/beg. 08/10)	37.50	X	254687	0	66651	X
Gino J Pazzaglini Sch O
CEO (end 08/10)	37.50	X	700146	0	65281	X
Daniel A Kochie Sch O
CFO (beg. 08/10)	37.50		98151	0	16144	X
Frederick Kuriger
Executive VP/COO	37.50		225178	0	59171	X
Debra Frenn
Chief Nurse Executive	37.50		191294	0	44922		X
Paul Barbarotto
Physician	37.50		259371	0	72297			X
Deborah Basso MD
Physician	37.50		296150	0	54431			X
Vincent Corcoran MD
Physician	37.50		402604	0	55118			X
Axel Hermannsdoerfer MD
Physician	40.00		382867	0	69357			X
Ahad Makarachi
Physician	37.50		261782	0	55381			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3072230	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	558753	TotalOtherCompensation
Number Individuals GT100 K	83	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Upstate Anesthesiology Services PC
10 Commerce Drive	New Rochelle	NY	10801	Anesthesiology Services	1296750
Mobile Hyperbaric Centers
1375 E 9th St 1850	Cleveland	OH	44114	Medical Services	767434
Laboratory Corporation of America Holdin
PO Box 12140	Burlington	NC	272162140	Medical Services	649578
Innovative Discovery
1700 N Moore Street Suite 1510	Arlington	VA	22209	Document Discovery Services	416417
Samaritan Hospital
2215 Burdette Avenue	Troy	NY	12180	Medical Services	315031

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
Government Grants	1236206	GovernmentGrants
All Other Contributions	35563	AllOtherContributions
Total Contributions	1271769	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Net Patient Services	Description
Business Code	621990	BusinessCode
Total Revenue Column	144283988	TotalRevenueColumn
Related Or Exempt Function Income	144283988	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	144283988	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6990238	TotalRevenueColumn
Exclusion	$6,990,238	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	87550	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-85050	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-85050	TotalRevenueColumn
Exclusion	-$85,050	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria/Vending	722210	546093	$546,093
Misc Patient Revenue	621990	130089	$130,089
Net Assets Released	900004	61375		61375

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	541884	TotalRevenueColumn
Unrelated Business Revenue	262861	UnrelatedBusinessRevenue
Exclusion	$279,023	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1279441	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	153740386	TotalRevenueColumn
Related Or Exempt Function Income	144345363	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	262861	UnrelatedBusinessRevenue
Exclusion	$7,860,393	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	12100	Total
Program Services	12100	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1721625	Total
Management And General	1721625	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	66261999	Total
Program Services	61066686	ProgramServices
Management And General	5195313	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5198408	Total
Program Services	4505401	ProgramServices
Management And General	693007	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4932712	Total
Program Services	4334233	ProgramServices
Management And General	598479	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4964960	Total
Program Services	4339872	ProgramServices
Management And General	625088	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	534984	Total
Management And General	534984	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	55804	Total
Program Services	48718	ProgramServices
Management And General	7086	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	558652	Total
Program Services	239064	ProgramServices
Management And General	319588	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	21702413	Total
Program Services	20657347	ProgramServices
Management And General	1045066	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4307975	Total
Program Services	2908280	ProgramServices
Management And General	1399695	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	284454	Total
Program Services	284454	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	402233	Total
Program Services	265608	ProgramServices
Management And General	136625	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1068744	Total
Program Services	1068744	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2452020	Total
Program Services	2452020	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1654196	Total
Program Services	1446926	ProgramServices
Management And General	207270	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	9690653	9690653	0
Other Purchased Service	4250680	1503493	2747187
Purchased Svcs-Labor	4126676	2844956	1281720
Physician Fees	2943765	2943765	0
Service Contracts	1902485	1642761	259724

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6232221	Total
Program Services	4621772	ProgramServices
Management And General	1610449	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	145259759	Total
Program Services	126876853	ProgramServices
Management And General	18382906	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6221	BOY
EOY	6371	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7970976	BOY
EOY	6487930	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16784978	BOY
EOY	14675792	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	114209	BOY
EOY	102782	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1754363	BOY
EOY	1585716	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1154051	BOY
EOY	1238794	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	64972010	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	47400014	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	16718663	BOY
EOY	17571996	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	-690	BOY
EOY	12495	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	47502964	BOY
EOY	59353531	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	92005735	BOY
EOY	101035407	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20829069	BOY
EOY	20146927	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	51990781	BOY
EOY	52530077	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	72819850	BOY
EOY	72677004	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18600368	BOY
EOY	27761272	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	86816	BOY
EOY	97051	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	498701	BOY
EOY	500080	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19185885	BOY
EOY	28358403	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	92005735	BOY
EOY	101035407	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8480627	ReconcilationRevenueExpenses
Reconcilation Other Changes	691891	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$34,891	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$0	RalliesDemonstrationsAmount
Other Activities	1	OtherActivities
Other Activities	$27,097	OtherActivitiesAmount
Total Lobbying Expenditures IIB	61988	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	981391	BeginningOfYearBalance
Investment Earnings Or Losses	142529	InvestmentEarningsOrLosses
End Of Year Balance	1123920	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	819881	BeginningOfYearBalance
Investment Earnings Or Losses	161510	InvestmentEarningsOrLosses
End Of Year Balance	981391	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1080683	BeginningOfYearBalance
Investment Earnings Or Losses	-260802	InvestmentEarningsOrLosses
End Of Year Balance	819881	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	449956	OtherCostOrOtherBasis
Book Value	449956	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38582431	OtherCostOrOtherBasis
Depreciation	26292947	Depreciation
Book Value	12289484	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4795729	OtherCostOrOtherBasis
Depreciation	4318646	Depreciation
Book Value	477083	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19409070	OtherCostOrOtherBasis
Depreciation	16400224	Depreciation
Book Value	3008846	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1734824	OtherCostOrOtherBasis
Depreciation	388197	Depreciation
Book Value	1346627	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	17571996	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Estimated Settlements from Third Party Payors	709325
Health System Depository Account	53769847
Intercompany Receivable Affiliated Management Services Corp.	2086450
Deferred Compensation	2787909

Field	Value	IRS element (for citing)
Total Book Value Other Assets	59353531	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Intercompany Debt with Ascension	$33,522,690
Accrued Pension	$14,598,011
Other Liabilities	$4,409,376

Field	Value	IRS element (for citing)
Total Of Amounts	52530077	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2425422	TotalCommunityBenefitExpense
Net Community Benefit Expense	2425422	NetCommunityBenefitExpense
Percent Of Total Expense	0.01790	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21705859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22161736	DirectOffsettingRevenue
Net Community Benefit Expense	-455877	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24131281	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22161736	DirectOffsettingRevenue
Net Community Benefit Expense	1969545	NetCommunityBenefitExpense
Percent Of Total Expense	0.01790	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3054028	TotalCommunityBenefitExpense
Net Community Benefit Expense	3054028	NetCommunityBenefitExpense
Percent Of Total Expense	0.02250	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	781666	TotalCommunityBenefitExpense
Net Community Benefit Expense	781666	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6632	TotalCommunityBenefitExpense
Net Community Benefit Expense	6632	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32483	TotalCommunityBenefitExpense
Net Community Benefit Expense	32483	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3874809	TotalCommunityBenefitExpense
Net Community Benefit Expense	3874809	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	28006090	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22161736	DirectOffsettingRevenue
Net Community Benefit Expense	5844354	NetCommunityBenefitExpense
Percent Of Total Expense	0.04640	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	29048	TotalCommunityBuildingExpense
Net Community Building Expense	29048	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	650	TotalCommunityBuildingExpense
Net Community Building Expense	650	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	42096	TotalCommunityBuildingExpense
Net Community Building Expense	42096	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1224	TotalCommunityBuildingExpense
Net Community Building Expense	1224	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	73018	TotalCommunityBuildingExpense
Net Community Building Expense	73018	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,271,564	BadDebtExpenseAmount
Amount Attributable To	1665553	AmountAttributableTo
Amount Reimbursed By Medicare	63058666	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	55141462	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	7917204	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	0	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Seton Health System Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1300 Massachusetts Avenue	AddressLine1
City	Troy	City
State	NY	State
ZIP Code	12180	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Scott St George Sch O
240098	0	7000	0	7589	0	58293	0	8358	0	321338	0	6717	0
Gino J Pazzaglini Sch O
266024	0	228203	0	205919	0	53093	0	12188	0	765427	0	0	0
Frederick Kuriger
206691	0	6800	0	11687	0	42000	0	17171	0	284349	0	0	0
Debra Frenn
178575	0	5642	0	7077	0	35554	0	9368	0	236216	0	0	0
Paul Barbarotto
192175	0	29469	0	37727	0	49100	0	23197	0	331668	0	0	0
Deborah Basso MD
215212	0	78688	0	2250	0	34537	0	19894	0	350581	0	0	0
Vincent Corcoran MD
209190	0	178585	0	14829	0	37920	0	17198	0	457722	0	0	0
Axel Hermannsdoerfer MD
246682	0	0	0	136185	0	55373	0	13984	0	452224	0	0	0
Ahad Makarachi
245140	0	12358	0	4284	0	35235	0	20146	0	317163	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	M&T Bank	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	M. Keegan - Officer	Relationship
Amount Of Transaction	313604	AmountOfTransaction
Description Of Transaction	Lease Payments	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L, Part IV	Identifier
Return Reference	Business Transactions Involving Interested Persons:	ReturnReference
Explanation	All transactions reported on Part IV were entered into as arms-length for fair market value.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998	St Louis	MO	63134	311662309	National Health System	MO	Section 501(c)(3)	Schedule A, Line 11a	N/A	0
Seton Auxiliary Inc
1300 Massachusetts Ave	Troy	NY	12180	141505031	Support of Seton Health System, Inc.	NY	Section 501(c)(3)	Schedule A, Line 9		1	Seton Health System Inc
Seton Health at Schuyler Ridge Residential Healthcare
1 Abele Blvd	Clifton Park	NY	12065	141756230	Skilled Nursing Facility	NY	Section 501(c)(3)	Schedule A, Line 9		1	Seton Health System Inc
Seton Health Foundation Inc
1300 Massachusetts Ave	Troy	NY	12180	222345416	Support of Seton Health System, Inc.	NY	Section 501(c)(3)	Schedule A, Line 11a		1	Seton Health System Inc
Seton Licensed Home Care Inc
1300 Massachusetts Ave	Troy	NY	12180	141809134	Licensed Home Health Agency	NY	Section 501(c)(3)	Schedule A, Line 3		1	Seton Health System Inc
St Mary's Woodland Village Inc
1300 Massachusetts Ave	Troy	NY	12180	141675183	Discontinued Operations	NY	Section 501(c)(3)	Schedule A, Line 9		1	Seton Health System Inc
Vincentian Health Services Inc
1300 Massachusetts Ave	Troy	NY	12180	141685163	Discontinued Operations	NY	Section 501(c)(3)	Schedule A, Line 11a		1	Seton Health System Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Affiliated Management Services Corp	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1300 Massachusetts Ave	AddressLine1
City	Troy	City
State	NY	State
ZIP Code	12180	ZIPCode

Field	Value	IRS element (for citing)
EIN	141668024	EIN
Primary Activity	Real Estate	PrimaryActivity
Legal Domicile State	NY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Seton Health System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	80406	ShareOfTotalIncome
Share Of EOY Assets	4620907	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Ascension Health
Q	1979709	Cash Transfers
Affiliated Management Services Corp
I	403683	Journal Entry Transactions
Seton Health Foundation Inc
P	247222	Cash Transfers and Entries
Seton Health at Schuyler Ridge Residential Healthcare
P	2126636	Cash Transfers and Entries
Seton Health at Schuyler Ridge Residential Healthcare
R	123132	Cash Transfers and Entries
Seton Health at Schuyler Ridge Residential Healthcare
N	434727	Cash Transfers and Entries
Seton Health Foundation Inc
N	81936	Cash Transfers and Entries