l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

Form990 Return of Organization Exempt From Income Tax OMB No 1545-0047

Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung 2008

benefit trust or private foundation)

Department of the Treasury

Internal Revenue Service O-The organization may have to use a copy of this return to satisfy state reporting requirements• .

A For the 2008 calendar year, or tax year beginning 07-01-2008 and ending 06-30-2009

C Name of organization D Employer identification numberB Check if applicable Please SETON HEALTHCAREF Ad d ress cha ng e use IRS 74-1109643

F Name change

label orprint or

Doing Business As E Telephone numberSeton Family of Hospitals

fl Initial returntype. SeeSpecific

(512 ) 324-1000Number and street (or P 0 box if mail is not delivered to street address ) Room/suite

F_ T tInstruc - 1345 PHILOMENA STREET G Gross receipts $ 1,353,772,967

ermina ion tions.

F-Amended return City or town, state or country, and ZIP + 4

_AUSTIN, TX 78723

Application pendingF

F Name and address of Principal Officer H(a) Is this a group return forDOUGLAS D WAITE affiliates? F-Yes FNo1345 PHILOMENA STREET

AUSTIN,TX 78723H(b) Are all affiliates included ? F Yes F No

I Tax - exempt status F 501( c) ( 3) 1 (insert no ) 1 4947(a)(1) or F_ 527(If "No," attach a list See instructions

3 Web site: 0- www seton org H(c) Group Exemption Number 0-

K Type of organization F Corporation 1 trust F association F other 1- L Year of Formation 1900 I M State of legal domicile TX

Summary

1 Briefly describe the organization's mission or most significant activities

W PROVISION OF HEALTHCARE SERVICES

2 Check this box F- if the organization discontinued its operations or disposed of more than 25% of its assets

ter` 3 Number of voting members of the governing body (Part VI, line 1a) . 3 18

of 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 12

5 Total number of employees (Part V, line 2a) 5 11,246

„-. 6 Total number of volunteers (estimate if necessary) 6 2,422

7a Total gross unrelated business revenue from Part VIII, line 12, column (C) 7a 4,062,445

b Net unrelated business taxable income from Form 990-T, line 34 . 7b 1,621,400

Prior Year Current Year

8 Contributions and grants (Part VIII, line 1h) . 32,371,090 24,225,316

9 Program service revenue (Part VIII, line 2g) . 1,182,388,095 1,358,357,781

13-10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . 34,541,630 -51,460,703

11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,285,318 19,231,307

12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line12) 1,265,586,133 1,350,353,701

13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 605,817 7,959,841

14 Benefits paid to or for members (Part IX, column (A), line 4) 0

15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-

10) 462,817,807 537,293,511

i 16a Professional fundraising fees (Part IX, column (A), line 11e) 0

b (Total fundraising expenses, Part IX, column (D), line 25 2,946,966

17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f) 632,425,540 718,684,178

18 Total expenses-add lines 13-17 (must equal Part IX, line 25, column (A)) 1,095,849,164 1,263,937,530

19 Revenue less expenses Subtract line 18 from line 12 169,736,969 86,416,171

Beginning of Year End of Year

4- "c 20 Total assets (Part X, line 16) 1,538,826,895 1,604,149,091

21 Total liabilities (Part X, line 26) 645,704,557 701,553,264

Z 22 Net assets or fund balances Subtract line 21 from line 20 893,122,338 902,595,827

Signature Block

Under penalties of perjury, I declare that I have examined this return, including aand belief, it is true, correct, and complete Declaration of preparer (other than o

PleaseSign Signature of officer

HereDOUGLAS D WAITE CFO & SR VICE PRESIDENTType or print name and title

Preparer's IlkDate

Paidsignature Kathy Haas

Preparers Firm's name (or yours DELOITTE TAX LLP

Use Only if self-employed),address, and ZIP + 4 1111 BAGBY ST SUITE 4500

HOUSTON, TX 77002

May the IRS discuss this return with the preparer shown above? (See instructs

Form 990 (2008) Page 2

MUMT-Statement of Program Service Accomplishments (See the Instructions.)

Briefly describe the organization's mission

See Additional Data Table

2 Did the organization undertake any significant program services during the year which were not listed onthe prior Form 990 or 990-EZ'' . . . . . . . . . . . . . . . . . . . . fl Yes F No

If "Yes," describe these new services on Schedule 0

3 Did the organization cease conducting or make significant changes in how it conducts any program

services? F Yes F No

If "Yes," describe these changes on Schedule 0

4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses

Section 501(c)(3) and (4) organizations and 4947(a)(1) trusts are required to report the amount of grants and allocations to

others, the total expenses, and revenue, if any, for each program service reported

4a (Code ) (Expenses $ 1,143,627,924 including grants of $ 7,959,841 ) (Revenue $ 1,358,357,781

Seton Healthcare, f/k/a Daughters of Charity Health Services of Austin, dba Seton Family of Hospitals, was founded more than a hundred years ago Since thattime, Seton has become the leading provider of healthcare services in Central Texas - growing from one 40-bed hospital to more than 20 hospitals and healthcarefacilities across the region Today, Seton - a member of Ascension Health, the nation's largest non-profit and largest Catholic healthcare system - is Central Texas'largest community service organization and largest private corporate employer This report illustrates the significant degree to which the Seton Family of Hospitalscontributes to the positive health status of the communities it serves and continues to build and strengthen sustainable collaborative efforts that benefit the health ofindividuals, families, and society as a whole The goal of Seton is to perpetuate the healing mission of the church Seton furthers this goal through delivery ofpatient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research Our concern for allhuman life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed,national origin, economic status, or ability to pay In order to portray the full breadth of our contribution, our community benefit information is described belowOrganizational Commitment to Providing Community BenefitThe Seton Family of Hospitals is a Network of seven urban acute-care hospitals, two rural hospitals, amental health hospital, several strategically located outpatient service facilities and three primary community healthcare clinics for the uninsured with just over 1,500licensed beds Seton has become the leading provider of healthcare services in Central Texas, serving an 11-county area of 1 4 million people Seton seeks toimprove the physical, mental, social and spiritual health status of its surrounding community In addition to providing health care services to all individuals whorequire medical attention, Seton has developed the following programs to help achieve its mission Expanding Awareness, Education and HealthPromotionRecognizing that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life, Seton has investedsignificantly in quality health education programs and materials In addition, visitors to the Seton Family of Hospitals' Website can find a list of classes offeredelsewhere in the community that support physical, mental, social and spiritual needs Seton's collaborators are both non-profit and commercial operations that meetthe Network's quality standards and have shown a willingness to work together to meet unmet community needs Classes are listed at www seton net,www goodhealth com, and www setonbabytalk com and those targeted to specific populations are posted in related service areas throughout the Network Manyclasses are free or available at reduced rates for seniors or uninsured patients The Web class listing currently features classes or seminars in categories, includingBaby care basics* Breastfeeding* Breast cancer support group* Car seat safety* Children's heart support group* Childhood cancer* Community asthma program*Diabetes support group* Educational breast cancer seminar* Essentials of childbirth* Family asthma class* First aid & CPR* Fitness* Health & safety fair (FamilyExtravaganza)* Heart care provider CPR* Heart saver CPR* Mammography screening * Massage* Maternity tours* Movement classes* Natural cooking* Nutrition*Osteoporosis diagnosis and treatment* Outpatient diabetes education* Pilates therapy* Preoperative hip & knee replacement* Prepared childbirth* Pulmonaryrehabilitation* Refresher Lamaze* School asthma program* Sibling class* Spiritual healthWeb SupportSeton's Web site, www goodhealth com, was launched in 2006and continues to provide information on wellness activities as well as other related information The site features healthy recipes, articles on nutrition and fitness, acomprehensive on-line health library and information about upcoming events There is also an opportunity for visitors to the site to ask health-related questionsAdditionally, the site features a weekly article by a local business entrepreneur and nationally-recognized fitness expert, Paul Carrozza In 2009, Seton launchedwww setonbabytalk com This site is focused on perinatal and pediatric health topics Visitors to the site can submit questions to the "Ask an Expert" section Thosequestions are answered by obstetricians, pediatricians, lactation consultants, nutritionists and others Health Education Seminars and Health Fairs Throughout theyear, Seton sponsors a number of health education presentations and health fairs for the community, including * Breast Health and Cancer Awareness - SetonCancer Prevention and Early Detection provides reduced-cost mobile mammography services to underserved Central Texas women supplemented by grants fromthe Susan G Komen Foundation Corporate and employee screening programs and participation in collaborative community education efforts, such as an annualskin cancer screening, also promote early detection The Seton Cancer Care Team provides vital case management services plus a variety of physical, emotionaland spiritual support programs to adult Central Texas cancer patients and their families * Tobacco Cessation - Seton is an active participant in community efforts tocombat tobacco use Staff provides smoking cessation resources to inpatients and physicians * Safe Kids Austin - Safe Kids Austin, led by Dell Children's MedicalCenter of Central Texas, is one of more than 450 grassroots coalitions in 16 countries that bring together health and safety experts, educators, corporations,foundations, governments and volunteers to prevent accidental injuries in children The mission of Safe Kids Austin is to reduce childhood injury and death inchildren ages 14 and under Most of those injuries and death are due to motor vehicle crashes, pedestrian injuries, bike crashes, drowning, fires, burns, poisoning,choking and falls In FY09, Safe Kids Austin provided a number of Car Seat Check Up Events, Bicycle Rodeos, Camp Safe Kids, Community Child Safety Workshops,Health and Safety Fairs, Child Pedestrian Safety, and Educational Programs and Resource Materials Safe Kids Austin inspected 951 car seats and provided 388 carseats to area families Over 1200 bicycle helmets were provided to Central Texas children Additionally, Safe Kids Austin hosted the Safe Kids Extravaganza,attended by more than 3,500 parents and children Safe Kids Austin also trained 57 new Certified Child Passenger Safety Technicians and provided continuingeducation to 51 continuing Technicians Two new members and/or partners joined Safe Kids Austin in FY09 Austin Pregnancy Resource Center and PflugervillePregnancy Resource Center * The Injury Prevention Program - In addition to the community resources provided by Safe Kids Austin, the Dell Children's InjuryPrevention Program also puts forth valuable resources to the Central Texas community In FY09, the Injury Prevention Program coordinated a statewide effort,consisting of more than 200 participants from health care, law enforcement, education, professional organizations, and other groups, to successfully educate Statelawmakers about the safety benefits of booster seats Locally, the Injury Prevention Program provided in-depth child safety education and resources to more than120 pregnant and parenting students in five area high schools, covering the topics of safe sleeping, safe transportation, safe supervision, and safety around waterThe Injury Prevention Program also serves on the Injury Prevention Committees of the Central Texas Trauma Regional Advisory Council and the Governor's EMSand Trauma Advisory Council CONTINUED ON SCHEDULE 0, PAGE 60

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

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

4d Other program services (Describe in Schedule 0 )

(Expenses $ including grants of$ ) (Revenue $

4e Total program service expenses $ 1,143,627,924 Must equal Part IX, Line 25, column (B).

Form 990 (2008)

Form 990 (2008) Page 3

Li^ Checklist of Required Schedules

Yes No

1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes

complete Schedule As . . . . . . . . . . . . . . . . . . . . . ^ 1

2 Is the organization required to complete Schedule B, Schedule of Contributors? IN . . . . . . . 2 Yes

3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No

candidates for public office? If "Yes,"complete Schedule C, Part Is . . . . . . . . . 3

4 Section 501(c)(3) organizations Did the organization engage in lobbying activities? If "Yes,"complete Schedule C, Yes

Part II . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations Is the organization subject to the section 6033(e)

notice and reporting requirement and proxy tax's If "Yes, "complete Schedule C, Part III . . . 5

6 Did the organization maintain any donor advised funds or any accounts where donors have the right to provide

advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete

Schedule D, Part Is . . . . . . . . . . . . . . . . . . . . . . 6N o

7 Did the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas or historic structures? If "Yes,"complete Schedule D, Part II . . 7 No

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III . . . . . . . . . . . . . . . . . . . . 8 N o

9 Did the organization report an amount in Part X, line 21, serve as a custodian for amounts not listed in Part X, or

provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"

complete Schedule D, Part IV' . 9 N o

10 Did the organization hold assets in term, permanent,or quasi-endowments? If "Yes,"complete Schedule D, Part 1/' 10 No

11 Did the organization report an amount in Part X, lines 10, 12, 13, 15, or 257 If "Yes,"complete Schedule D,

Parts VI, VII, VIII, IX, orXas applicable . . . . . . . . . . . . . . . .. 11 Yes

12 Did the organization receive an audited financial statement for the year for which it is completing this returnNo

that was prepared in accordance with GAA P7 If "Yes," complete Schedule D, Parts XI, XII, and XIII 19 12

13 Is the organization a school as described in section 170(b)(1)(A)(ii)'' If "Yes,"completeScheduleE13 No

14a Did the organization maintain an office, employees, or agents outside of the U S 7 . 14a No

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,

business, and program service activities outside the U S 7 If "Yes,"complete Schedule F, Part I . 14b No

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? If "Yes,"complete Schedule F, Part II 15 N o

16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance

to individuals located outside the United States? If "Yes,"complete Schedule F, Part III . . 16 No

17 Did the organization report more than $15,000 on Part IX, column (A), line lle'' If "Yes,"complete Schedule G, 17 No

Part I

18 Did the organization report more than $15,000 total on Part VIII, lines 1c and 8a'' If "Yes, "complete Schedule G,

Part II . . . . . . . . . . . . . . . . . . . . . . . . . 18 N o

19 Did the organization report more than $15,000 on Part VIII, line 9a'' If "Yes," complete Schedule G, Part III 19 No

20 Did the organization operate one or more hospitals? If "Yes, "complete Schedule H . 20 Yes

21 Did the organization report more than $5,000 on Part IX, column (A), line 1'' If "Yes, "complete Schedule I, Parts 1 21 Yes

and II

22 Did the organization report more than $5,000 on Part IX, column (A), line 2'' If "Yes, "complete Schedule I, Parts 1 22and III 9

N o

23 Did the organization answer "Yes" to Part VII, Section A, questions 3, 4, or 57 If "Yes,"complete Schedule

J . S 23 Yes

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000

as of the last day of the year, that was issued after December 31, 20027 If "Yes," answer questions 24b-24d and

complete Schedule K. If "No, "go toques tion 25 . . . . . . . . . . . . . . 24aN o

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . 24b

c Did the organization maintain an escrow account other than a refunding escrow at any time during the yearto defease any tax-exempt bonds? . 24c

d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 24d

25a Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in an excess benefit transaction with

a disqualified person during the year? If "Yes,"complete Schedule L, Part I . . . . . . . . . 95 25a No

b Did the organization become aware that it had engaged in an excess benefit transaction with a disqualified person

from a prior year? If "Yes, "complete Schedule L, Part I . . . . . . . . . . . . . 25b N o

26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or

disqualified person outstanding as of the end of the organization's tax year? If "Yes,"complete Schedule L, 26 NoPart II . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, or

substantial contributor, or to a person related to such an individual? If "Yes,"complete Schedule L, Part IIIIE^ 27 No

Form 990 (2008)

Form 990 (2008) Page 4

Li^ Checklist of Required Schedules (Continued)

Yes No

28 During the tax year, did any person who is a current or former officer, director, trustee, or key employee

a Have a direct business relationship with the organization (other than as an officer, director, trustee, or employee),or an indirect business relationship through ownership of more than 35% in another entity (individually orcollectively with other person(s) listed in Part VII, Section A)? If "Yes,"complete Schedule L, Part

IV . . . . . . . . . . . . . . . . . . . . . . . . . IN 28a Yes

b Have a family member who had a direct or indirect business relationship with the organization? If "Yes,"

complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . c 28b N o

c Serve as an officer, director, trustee, key employee, partner, or member of an entity (or a shareholder of a

professional corporation) doing business with the organization? If "Yes,"complete Schedule L, Part IV 1^g 28c Yes

29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes,"complete Schedule M 29 No

30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualifiedconservation contributions? If "Yes,"complete Schedule M . . . . . . . . . . . 30 No

31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes,"complete Schedule N,Part I . . . . . . . . . . . . . . . . . . . . . . . . . . 31 N o

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"completeSchedule N, Part II . 32 N o

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

section 301 7701-2 and 301 7701-3? If"Yes,"complete Schedule R, PartI . . . . . . . 33 No

34 Was the organization related to any tax-exempt or taxable entity? If "Yes, "complete Schedule R, Parts II, III, IV,

and V, line l . . . . . . . . . . . . . . . . . . . . . . . 95 34 Yes

35 Is any related organization a controlled entity within the meaning of section 512(b)(13)? If "Yes,"complete

Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . 35 Yes

36 501(c)(3) organizations Did the organization make any transfers to an exempt non-charitable related

organization? If "Yes, "complete Schedule R, Part V, line 2 . 36 No

37 Did the organization conduct more than 5 percent of its activities through an entity that is not a relatedorganization and that is treated as a partnership for federal income tax purposes? If "Yes,"complete Schedule R, 37 No

Part VI .

Form 990 (2008)

Form 990 (2008) Page 5

Statements Regarding Other IRS Filings and Tax Compliance

Yes No

la Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal

of U.S. Information Returns. Enter -0- if not applicable . .

la 1,064

b Enter the number of Forms W-2G included in line la Enter -0- if not applicablelb 0

c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable

gaming (gambling) winnings to prize winners?

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements filed for the calendar year ending with or within the year covered by this

return 2a 11,246

b If at least one is reported in 2a, did the organization file all required federal employment tax returns'

Note :If the sum of lines la and 2a is greater than 250, you may be required to e-file this return.

3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by thisreturn?

b If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule 0 . . . . .

4a At any time during the calendar year, did the organization have an interest in, or a signature or other authorityover, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)? .

b If "Yes," enter the name of the foreign countrySee the instructions for exceptions and filing requirements for Form TD F 90-22 .1, Report of Foreign Bank and

Financial Accounts.

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

c If "Yes," to 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited

Tax Shelter Transaction? .

6a Did the organization solicit any contributions that were not tax deductible? . .

b If "Yes," did the organization include with every solicitation an express statement that such contributions or giftswere not tax deductible? .

7 Organizations that may receive deductible contributions under section 170(c).

a Did the organization provide goods or services in exchange for any quid pro quo contribution of $75 or

more? . .

b If "Yes," did the organization notify the donor of the value of the goods or services provided?

c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to

file Form 82827 .

d If "Yes," indicate the number of Forms 8282 filed during the year I 7d

e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personalbenefit contract?

f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

g For all contributions of qualified intellectual property, did the organization file Form 8899 as required? .

h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C asrequired?

Section 501(c)(3) and other sponsoring organizations maintaining donor advised funds and section 509(a)(3)

supporting organizations. Did the supporting organization, or a fund maintained by a sponsoring organization, have

excess business holdings at any time during the

year? .

Section 501(c)(3) and other sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 49667

b Did the organization make a distribution to a donor, donor advisor, or related person

0 Section 501(c)(7) organizations. Enter

a Initiation fees and capital contributions included on Part VIII, line 12

b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club

facilities

8

9

10

11 Section 501(c)(12) organizations Enter

a Gross income from members or shareholders

b Gross income from other sources (Do not net amounts due or paid to other sourcesagainst amounts due or received from them ) . . . . . . . . . .

12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 it

b If "Yes," enter the amount of tax-exempt interest received or accrued during the

year

1c Yes

2b Yes

3a Yes

3b Yes

4a N o

5a N o

5b N o

5c

6a N o

6b

7a I I No

7b

7c N o

7e N o

7f N o

7g Yes

7h Yes

8

Form 990 (2008)

Form 990 (2008) Page 6

L&ILM Governance , Management, and Disclosure (Sections A, B, and Crequest informationabout policies not required by the Internal Revenue Code.)

Section A . Governin g Bod y and Mana gement

Yes No

For each "Yes "response to lines 2-7 below, and for a "No"response to lines 8 or 9b below, describe the circumstances,

processes, or changes in Schedule 0. See instructions.

la Enter the number of voting members of the governing body . la 18

b Enter the number of voting members that are independent . lb 12

2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any

other officer, director, trustee, or key employee? 2 es

3 Did the organization delegate control over management duties customarily performed by or under the direct

supervision of officers, directors or trustees, or key employees to a management company or other person? 3 No

4 Did the organization make any significant changes to its organizational documents since the prior Form 990 was

filed? . 4 No

5 Did the organization become aware during the year of a material diversion of the organization's assets? . 5 No

6 Does the organization have members or stockholders? 6 Yes

7a Does the organization have members, stockholders, or other persons who may elect one or more members of the

governing body? . . . . . . . . . . . . . . . . . . . . . . . . 7a Yes

b Are any decisions of the governing body subject to approval by members, stockholders, or other persons? 7b Yes

8 Did the organization contemporaneously document the meetings held or written actions undertaken during the

year by the following

a the governing body? . . . . . . . . . . . . . . . . . . . . . . . . 8a Yes

b each committee with authority to act on behalf of the governing body? 8b Yes

9a Does the organization have local chapters, branches, or affiliates? 9a No

b If "Yes," does the organization have written policies and procedures governing the activities of such chapters,affiliates, and branches to ensure their operations are consistent with those of the organization? . 9b

10 Was a copy of the Form 990 provided to the organization's governing body before it was filed? All organizations

must describe in Schedule 0 the process, if any, the organization uses to review the Form 990 . 10 Yes

11 Is there any officer, director or trustee, or key employee listed in Part V II, Section A, who cannot be reached at

the organization's mailing address? If"Yes," provide the names and addresses in Schedule 0 11 No

Section B. Policies

Yes No

12a Does the organization have a written conflict of interest policy? If "No", go to line 13 . 12a Yes

b Are officers, directors or trustees, and key employees required to disclose annually interests that could give riseto conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . 12b Yes

c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describe in Schedule 0 how this is done 12c Yes

13 Does the organization have a written whistleblower policy? 13 Yes

14 Does the organization have a written document retention and destruction policy? 14 Yes

15 Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision

a The organization's CEO, Executive Director, or top management official? 15a Yes

b Other officers or key employees of the organization? 15b Yes

Describe the process in Schedule 0

16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a

taxable entity during the year? 16a Yes

b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable Federal tax law, and taken steps to safeguard theorganization's exempt status with respect to such arrangements? 16b Yes

Section C. Disclosure

17 List the States with which a copy of this Form 990 is required to be filed

18 Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable ), 990, and 990 -T (50 1(c)

(3)s only) available for public inspection Indicate how you make these available Check all that apply

(- own website fl another' s website F upon request

19 Describe in Schedule 0 whether ( and if so, how ), the organization makes its governing documents , conflict ofinterest policy , and financial statements available to the public See Additional Data Table

20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization

DOUGLAS D WAITE

1345 PHILOMENA STREET

AUSTIN,TX 78723

(512) 324-1943

Form 990 (2008)

Form 990 (2008) Page 7

1:M.lkvh$ Compensation of Officers , Directors,Trustees, Key Employees , Highest Compensated

Employees, and Independent Contractors

Section A Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

la Complete this table for all persons required to be listed Use Schedule J-2 if additional space is needed* List all of the organization' s current officers, directors, trustees (whether individuals or organizations) and key employees regardless

of amount of compensation, and current key employees Enter -0- in columns (D), (E), and (F) if no compensation was paid

* List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee)

who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the

organization and any related organizations

* List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000of reportable compensation from the organization and any related organizations

* List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the

organization, more than $10,000 of reportable compensation from the organization and any related organizations

List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highestcompensated employees, and former such persons

fl Check this box if the organization did not compensate any officer, director, trustee or key employee

(C)

Position (check all

that apply) (F)

A)Name and Title

(B)

A v e ra g ehoursper

week

C, -

L m

°(D

-0E

3

°0CD 0°J

in

it,

no

(D )Reportablecompensationfrom theor

ganization

(W-

2/1099MISC)

Reportable

compensation

from relatedorganizations

(W- 2/1099-

MISC)

Estimated

amount ofothercompensationfrom theor

ganization and

related

organizations

Form 990 (2008)

Form 990 (2008) Page 8

Continued

(C)Position (check all

that apply) (F)

(A)Name and Title

(B)

Average

hpers

week

c - -

¢

D

'D

ID

-0

Q

Q

3

a

-°Jm

+a

a

1

(D )Reportable

compensationfrom the

organization

(W-

2/1099MISC)

Reportable

compensation

from relatedorganizations(W- 2/1099-

MISC)

Estimated

amount of other

compensationfrom the

organization andrelated

organizations

lb Total 10,370,273 1 0 1,356,187

2 Total number of individuals (including those in 1a) who received more than $100,000 in reportable

compensation from the organization-282

Yes I No

3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee

on l i n e la 's If "Yes,"complete ScheduleI forsuch individual . . . . . . . . . . . . 3 Yes

4 For any individual listed online 1a, is the sum of reportable compensation and other compensation from the

organization and related organizations greater than $150,000' If "Yes," complete ScheduleI for such

individual . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Yes

5 Did any person listed on line la receive or accrue compensation from any unrelated organization for services

rendered to the organization ? If "Yes, "complete ScheduleI for such person . . . . . . . . . 5 No

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than

$100,000 of compensation from the organization

(A) (B) (C)Name and business address Description of services Compensation

DELL MARKETING LPP 0 BOX 676021 INFORMATION SERVICES 16,183,958DALLAS, TX 752676021

EMERGENCY SERVICE PARTNERS720 W 34TH STREET 101 EMERGENCY PHYSICIANS 14,749,927AUSTIN, TX 78705

CAPITAL ANESTHESIOLOGY ASSOCIATES3705 MEDICAL PARKWAY STE 570 ANESTHESIOLOGISTS 10,588,992AUSTIN, TX 787051097

TRIMEDX LLC6325 DIGITAL WAY 400 BIOMED EQUIPMENT SERVICES 8,055,814INDIANAPOLIS, IN 46278

SODEXHO INC & AFFILIATESP 0 BOX 70060 HOUSEKEEPING SERVICES 4,678,122CHICAGO, IL 60673

2 Total number of independent contractors (including those in 1) who received more than $100 000 in compensation,428

from the organization .

Form 990 (2008)

Form 990 (2008) Page 9

Statement of Revenue

(A) (B) (C) (D)

Total Revenue Related or Unrelated RevenueExempt Business Excluded fromFunction Revenue Tax under IRC

Revenue 512, 513, or 514

la Federated campaigns . la

b Membership dueslb

c Fundraising events .

+1 {G 1c

d Related organizations . .1d 23,689,932

e Government grants (contributions) le 526,525

f All other contributions, gifts, grants, and 8,859similar amounts not included above

`^C}if

g Noncash contributions included in

0 lines la-1f $

h Total ( Add lines la-1f ) . . . . . 24,225,316

Business Code

2a NET PATIENT CARE 621,400 1,356,416,034 1,356,416,034

b OTHER PROGRAM SERVICE 900,099 1,941,747 1,941,747

CU

d

e

f All other program service revenue

Og Total. Add lines 2a-2f . . . . . . . .

0- $ 1,358,357,781

3 Investment income (including dividends, interest

other similar amounts) . -53,806,851 -53,806,851

4 Income from investment of tax-exempt bond proceeds

5 Royalties .

(i) Real (ii) Personal

6a Gross Rents 325,891

b Less rental 232,827expenses

c Rental income 93,064or (loss)

d Net rental income or (loss) . 93,064 93,064

(i) Securities (ii) Other

7a Gross amount 5,532,587from sales ofassets otherthan inventory

b Less cost or 3,186,439other basis andsales expenses

c Gain or (loss) 2,346,148

d Net gain or (loss) 2,346,148 2,346,148

8a Gross income from fundraisingevents (not including

4} $of contributions reported on line1c) See Part IV, line 18

Attach Schedule G if total exceeds>

$15,000 . . . . . . . a

qy b Less direct expenses . b

c Net income or (loss) from fundraising events

9a Gross income from gaming

activities See part IV, line 19

Complete Schedule G if totalexceeds $15,000

a

b Less direct expenses . b

c Net income or (loss) from gaming activities

10a Gross sales of inventory, less

returns and allowances .

a

b Less cost of goods sold . . b

c Net income or (loss) from sales of inventory . .0-

Miscellaneous Revenue Business Code

11a CAFETERIA 722,210 4,452,148 4,452,148

b BUILDING RENT 531,120 3,289,652 3,289,652

C AUXILIARY/GIFT SHOP 453,220 3,234,615 3,234,615

8,161, 828 3,969,381 4,192, 447d All other revenue

e Total . Add lines 11a-11d . . . . . . .

$ 19,138,243

12 Total Revenue . Add lines 1h, 2g, 3, 4, 5, 6d, 7d, 1,350,353,701 1,358,357,781 4,062,445 -36,291,841

8c,

9c, 10c, and 11e . . . . . .

Form 990 (2008)

Form 990 (2008) Page 10

1:Me Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns.All other org anizations must com p lete column (A ) but are not re uired to com p lete columns B , ( C ) , and ( D ) .

Do not include amounts reported on lines 6b, 7b,

8b , 9b , and 10b of Part VIII .i i

(A)Total expenses

(B)Program service

expenses

(C)Management andgeneral expenses

(D)Fundraisingexpenses

1 Grants and other assistance to governments and organizations

in the U S See Part IV, line 217,959,841 7,959,841

2 Grants and other assistance to individuals in the

U S See Part IV, line 22

3 Grants and other assistance to governments,

organizations and individuals outside the U S See

Part IV, lines 15 and 16

4 Benefits paid to or for members

5 Compensation of current officers, directors , trustees, and

key employees 8,789,928 1,142,691 7,647,237

6 Compensation not included above, to disqualified persons

(as defined under section 4958 ( f)(1)) and persons

described in section 4958 (c)(3)(B) 1,225,854 1,225,854

7 Other salaries and wages 435,126,769 392,918,343 1,225,854 954,646

8 Pension plan contributions ( include section 401(k) and section

40 3(b) employer contributions ) 14,833,018 13,532,564 1,300,454

9 Other employee benefits 46 ,046,810 44,134,480 1,842,366 69,964

10 Payroll taxes 31,271,132 28,633,993 2,637,139

11 Fees for services ( non-employees)

a Management . .

b Legal 956,494 58,156 898,259 79

c Accounting 415,896 415,896

d Lobbying . . . . . . . . . . 201,716 201,716

e Professional fundraising See Part IV, line 17

f Investment management fees

g Other 203,988,526 165,795,083 38,179,086 14,357

12 Advertising and promotion 3,495,802 48,074 3,444,188 3,540

13 Office expenses 227,724,338 215,099,997 10,955,723 1,668,618

14 Information technology 1,840,195 1,472,156 368,039

15 Royalties

16 Occupancy 21,671,335 20,016,093 1,549,683 105,559

17 Travel 1 ,449,191 887,456 542,679 19,056

18 Payments of travel or entertainment expenses for any Federal,

state or local public officials

19 Conferences , conventions and meetings 1,150,394 776,667 369,945 3,782

20 Intere st 10,338,797 10,338,797

21 Payments to affiliates

22 Depreciation , depletion, and amortization 65,066,221 65,066,221

23 Insurance 9,790,060 8,662,051 1,128,009

24 Other expenses -Itemize expenses not covered above ( Expenses

grouped together and labeled miscellaneous may not exceed 5% of

total expenses shown on line 25 below )

a PROVISION FOR BAD DEBT 161,671,283 161,671,283

b U BI TAX 806,837 806,837

c OTHER OPERATING EXPENSE 5,922,361 4,016,366 1,806,783 99,212

d DUES & LICENSES 1,936,703 252,343 1,676,303 8,057

e BOOKS &SUBSCRIPTIONS 256,996 135,683 121,217 96

f All other expenses 1,033 1,033

25 Total functional expenses . Add lines 1 through 24f 1,263,937,530 1,143,627,924 117,362,640 2,946,966

26 Joint Costs . Check F_ if following SOP 98-2 Complete this

line only if the organization reported in column ( B) joint

costs from a combined educational campaign and

fundraising solicitation

Form 990 (2008)

Form 990 (2008) Page 11

Balance Sheet

1

2

3

4

5

6

7

8

{+'r 9

10a

b

11

12

13

14

15

Ok

16

17

18

19

20

21

22

23

24

25

26

U-

z

27

28

29

30

31

32

33

34

Cash-non-interest - bearing . .

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable , net .

Receivables from current and former officers, directors , trustees , key employees orother related parties Complete Part II of Schedule L

Receivables from other disqualified persons ( as defined under section 4958(f)(1)) and

persons described in section 4958 (c)(3)(B) Complete Part II of Schedule L

Notes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

Land, buildings, and equipment cost basis10a 1 1,213 ,812,704

Less accumulated depreciation Complete Part VI of

Schedule D . 10b 490,099,405

Investments-publicly traded securities

Investments-other securities See Part IV, line 11 Complete Part VII of

Schedule D . .

Investments-program-related See Part IV, line 11 Complete Part VIII

of Schedule D .

Intangible assets

Other assets See Part IV, line 11 Complete Part IX of Schedule

D . . . . . . .

Total assets . Add lines 1 through 15 (must equal line 34)

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

Escrow account liability Complete Part IVof ScheduleD . . . . .

Payable to current and former officers, directors, trustees, keyemployees, highest compensated employees, and disqualified

persons Complete Part II of Schedule L . . . . . . . . . .

Secured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable .

Other liabilities Complete Part X of Schedule D . . . . .

Total liabilities . Add lines 17 through 25 . . . . .

Organizations that follow SFAS 117, check here - 7 and complete lines 27

through 29, and lines 33 and 34.

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

Organizations that do not follow SFAS 117, check here F- and complete

lines 30 through 34.

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building or equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

(A)Beginning of year

(B)End of year

6,969,929 1

58,661,706 2 54,171,106

3

165, 703, 244 4 181, 069, 779

5

6

7

24,240,622 8 24,966,394

2,886,833 9 3,646,726

692, 985, 675 10c 723, 713, 299

11

12

13

14

587, 378, 886

15

616, 581, 787

1, 538, 826 , 895 16 1,604,149,091

154, 441,176 17 170, 403, 445

18

19

20

21

22

23

24

491,263,381 25 531,149,819

645, 704, 557 26 701, 553, 264

888, 217, 054 27 896, 609, 411

4,905,284 28 5,986,416

29

30

31

32

893,122,338 33 902,595,827

1, 538, 826, 895 34 1,604,149,091

Financial Statements and Reporting

Yes No

1 Accounting method used to prepare the Form 990 fl cash F accrual fl other

2a Were the organization's financial statements compiled or reviewed by an independent accountant's 2a No

b Were the organization's financial statements audited by an independent accountant? . 2b No

c If "Yes" to lines 2a or 2b, does the organization have a committee that assumes responsibility for oversight of theaudit, review, or compilation of its financial statements and selection of an independent accountant? . 2c

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the No

Single Audit Act and 0MB Circular A-133? . . . . . . . . . . . . . . . . . . 3a

b If "Yes," did the organization undergo the required audit or audits? . . . . . . . . . . . 3b

Form 990 (2008)

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

SCHEDULE A Public Charity Status and Public SupportOMB No 1545-0047

(Form 990 or 990EZ) 2008To be completed by all section 501(c)( 3) organizations and section 4947(a)(1)

Department of the Treasury nonexempt charitable trusts.

Internal Revenue Service Attach to Form 990 or Form 990-EZ. See separate instructions . • . -

Name of the organization Employer identification numberSETON HEALTHCARE

1 74-1109643

M:M-611111111 Reason for Public Charity Status (to be comDleted by all oraanlzatlons) (See Instructions)

The organization is not a private foundation because it is (Please check only one organization )

1 1 A church, convention of churches, or association of churches described in Section 170(b)(1)(A)(i).

2 1 A school described in Section 170(b)(1)(A)(ii). (Attach Schedule E )

3 F A hospital or a cooperative hospital service organization described in Section 170 (b)(1)(A)(iii). (Attach Schedule H

4 1 A medical research organization operated in conjunction with a hospital described in Section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state

5 1 A n organization operated for the benefit of a college or university owned or operated by a governmental unit described in

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

6 1 A federal, state, or local government or governmental unit described in Section 170(b)(1)(A)(v).

7 1 An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in Section 170 ( b)(1)(A)(vi ) (Complete Part II )

8 1 A community trust described in Section 170(b)(1)(A)(vi ) (Complete Part II )

9 1 An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross

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

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

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

10 1 An organization organized and operated exclusively to test for public safety See Section 509(a )(4). (See instructions

11 1 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of

one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See Section 509(a)(3). Check

the box that describes the type of supporting organization and complete lines 11e through 11h

a 1 Type I b 1 Type II c 1 Type III - Functionally Integrated d 1 Type III - Other

e (- By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons

other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or

section 509(a)(2)

f If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,

check this box (-

g Since August 17, 2006, has the organization accepted any gift or contribution from any of the

following persons?(i) a person who directly or indirectly controls, either alone or together with persons described in (ii) Yes No

and (iii) below, the governing body of the the supported organization? 11g(i)

(ii) a family member of a person described in (i) above? 11g(ii)

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

h Provide the following information about the organizations the organization supports

(i) Name of

Supported

O rganization

(ii) EIN (iii) Type of organization

(described on lines 1- 9

above or IRC section

( See Instructions ))

(iv) Is the

organization in

col (i) listed in

your governing

document?

(v) Did you notify

the organization

in col (i) of your

support?

(vi) Is the

organization in

col (i) organized

in the U S 7

(vii) Amount of

support?

Yes No Yes No Yes No

Total

For Paperwork Red uchonAct Notice , seethe In structons for Form 990 Cat No 11285F Schedule A (Form 990 or 990-EZ) 2008

Schedule A (Form 990 or 990-EZ) 2008 Page 2

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)

(Complete only if you checked the box on line 5, 7, or 8 of Part I.)

Public SupportCalendar year (or fiscal year beginning in) (a) 2004 (b) 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total

1 Gifts, grants, contributions, andmembership fees received (Do notinclude any "unusual grants ")

2 Tax revenues levied for the organization'sbenefit and either paid to or expended onits behalf

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge

4 Total .Add line 1-3

5 The portion of total contribution by eachperson (other than a government unit orpublicly supported organization) includedon line 1 that exceed 2% of the amountshown on line 11, column

(f)6 Public Support subtract line 5 from line

4

Total SupportCalendar year (or fiscal year beginning in)

10

11

12

13

Amounts from line 4

Gross income from interest, dividends,payments received on securities loans,rents, royalties and income from similarsourcesNet income from unrelated businessactivities, whether or not the business isregularly carried onOther income Do not include gain or loss

from the sale of capital assets (Explain in

Part IV )

Total Support (Add lines 7 through 10)

Gross receipts from related activities, etc

a) 2004

(See instructions )

b) 2005 1 (c) 2006 1 (d) 2007 1 (e) 2008

12

First Five Years . If the Form 990 is for the organization 's first, second, third, fourth, or fifth tax year as a 501(c)(3)

organization , check this box and stop here

f) Total

Ilk-F

Com p utation of Public Su pport Percenta g e14 Public Support Percentage for 2008 (line 6 column (f) divided by line 11 column (f)) 14

15 Public Support Percentage for 2007 Schedule A, Part IV-A, line 26f 15

16a 33 1 / 3% Test - 2008 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box

and stop here . The organization qualifies as a publicly supported organizationF

b 33 1 / 3% Test - 2007 . If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this

box and stop here . The organization qualifies as a publicly supported organizationF

17a 10% Facts and Circumstances Test - 2008 . If the organization did not check a box on line 13, 16a, or 16b and line 14 is 10% or

more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain in Part IV how the

organization meets the "facts and circumstances" test The organization qualifies as a publicly supported organizationF

b 10% Facts and Circumstances Test - 2007 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line 15 is 10% or

more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain in Part IV how

the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported organization lk^F_18 Private Foundation . If the organization did not check the box on line 13, 16a, 16b, 17a or 17b, check this box and see

instructions lk^F_

Schedule A (Form 990 or 990-EZ) 2008

Schedule A (Form 990 or 990-EZ) 2008 Page 3

IMMOTM Support Schedule for Organizations Described in IRC 509(a)(2)

(Complete only if you checked the box on line 9 of Part I.)Section A . Public Support

Calendar year (or fiscal year beginning in) (a) 2004 (b) 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total

1 Gifts, grants, contributions, andmembership fees received (Do notinclude any "unusual grants ")

2 Gross receipts from admissions,

merchandise sold or services performed,or facilities furnished in any activity thatis related to the organization's tax-exempt purpose

3 Gross receipts from activities that are

not an unrelated trade or business undersection 513

4 Tax revenues levied for theorganization's benefit and either paid toor expended on its behalf

5 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge

6 Total Add lines 1-5

7a Amounts included on lines 1, 2, and 3received from disqualified persons

b Amounts included on lines 2 and 3received from other than disqualifiedpersons that exceed the greater of 1% ofthe total of lines 9, 10c, 11, and 12 for

the year or $5,000

c Total of lines 7a and 7b

8 Public Support (Substract line 7c from

line 6)

Total Su pportCalendar year (or fiscal year beginning in)

9 Amounts from line 6

10a Gross income from interest, dividends,payments received on securities loans,rents, royalties and income from similarsources

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after 30 June, 1975

c Add lines 10a and 10b

11 Net income from unrelated businessactivities not included in line 10b,whether or not the business is regularlycarried on

12 Other income Do not include gain or loss

from the sale of capital assets

(Explain in Part IV )

13 Total Support (Add lines 9, 10c, 11 and

12)

(a) 2004 (b) 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total

14 First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,check this box and stop here lk^F_

Com p utation of Public Su pport Percenta g e

15 Public Support Percentage for 2008 (line 8 column (f) divided by line 13 column (f)) 15

16 Public Support Percentage for 2007 Schedule A, Part IV-A, line 27g 16

Com p utation of Investment Income Percenta g e

17 Investment Income Percentage for 2008 (line 10c column (f) divided by line 13 column (f)) 17

18 Investment Income Percentage from 2007 Schedule A, Part IV-A, line 27h 18

19a 33 1 / 3% Tests - 2008 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line

17 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization lk^F_b 33 1 / 3% Tests-2007 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and

line 18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization lk^F_20 Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions lk^F_

Schedule A (Form 990 or 990-EZ) 2008

Schedule A (Form 990 or 990-EZ) 2008 Page 4

MOW^ Supplemental Information . Complete this part to provide the information required by Part II, line 10;

Part II, line 17a or 17b, or Part III, line 12. Provide and any other additional information. (see instructions)

Facts and Circumstances Test

Schedule A (Form 990 or 990-EZ) 2008

Additional Data

Software ID:

Software Version:

EIN: 74 -1109643

Name : SETON HEALTHCARE

Form 990, Part VII - Section Aaa

(c)Position (check all

that apply) (F)

( D) rEstimated

(B):I EL

Repo table

(A)erage CLCL v

n

7^`° ° cry compensation

compensationcompensation

hours from relatedName and Title (D iD

C)-n from the from the

per Z! 2 +D°

0or g anization

g(W-

organizationsor anization and

gweek c5 5CD

-0 12 /1099MISC)

(W- 2 /1099-related

(D

m

-DMISC )

organizations

CHARLES BARNETT , PRESIDENT &40 00 X X 1,110,950 0 162,564

CEO

PATRICK CROCKER MD , DIRECTOR 1 00 X 19,500 0 0

LEO DUNN , CO-CHAIR 1 00 X 0 0 0

F GARY VALDEZ , DIRECTOR 1 00 X 0 0 0

RAFAELQUINTANILLA JR,1 00 X 0 0 0

DIRECTOR

ERIK PRONSKE MD , DIRECTOR 1 00 X 0 0 0

DONNA CARTER, SECRETARY 1 00 X 0 0 0

SISTER HELEN BREWER DOC , BOARD0 0 0

CHAIR1 00 X X

SISTER MARY JO SWIFT DO1 00 X 0 0 0

DIRECTOR

IAN TURPIN , DIRECTOR 1 00 X 0 0 0

TIMOTHY LAFREY , DIRECTOR 1 00 X 0 0 0

MARIE CRANE , DIRECTOR 1 00 X 0 0 0

JIMMY TREYBIG , DIRECTOR 1 00 X 0 0 0

PAMELA GIBLIN , DIRECTOR 1 00 X 0 0 0

ALLAN SHIVERS JR, DIRECTOR 1 00 X 0 0 0

DOUGLAS D WAITE , SR VP & CFO 40 00 X 639,815 0 104,633

JESUS GARZA , EXECUTIVE PRES &40 00 X 839,848 0 109,199

COO

JOHN BRINDLEY , PRES &CEO SMCA 40 00 X 665,447 0 63,692

BOB BONAR , PRES &CEO DCMCCT 40 00 X 715,406 0 91,797

MARK HAZELWOOD , PRES &CEO40 00 X 567,481 0 109,780

SMCW

JAMES LINDSEY , SR VP/EX-OFFICIO 40 00 X 570,283 0 97,411

JOYCE BATCHELLER RN MS , SR VP40 00 X 425,322 0 92,202

NURSING PRACTICE/E

TERESA BURROFF, SR VP LEGAL40 00 X 367,848 0 60,188

AFFAIRS

JOHN EVLER,SRVICEPRES 4000 X 589,178 0 64,375

THOMAS GALLAGHER, SR VICE PRES 40 00 X 599,105 0 81,701

TRENNIS JONES , SR VICE PRES &1 00 X 446,420 0 67,862

CAO

GREGORY HARTMAN , SR VICE PRES 40 00 X 433,785 0 85,720

THOMAS CAVEN , VICE PRES 40 00 X 346,429 0 69,662

JOYCE A LEMAISTRE , CHIEF40 00 X 453,115 0 26,850

MEDICAL INFORMATIO

CHRISTOPHER HARTLE , SR VICE40 00 X 354,487 0 68,551

PRES MANAGED CAR

Form 990, Part VII - Section Aaa

(c)Position ( check all

that apply) (F)

(B)D Z

°O

(D) ^E)Reportable

Estimated

Average3

D-

aReportable

compensationamount of other

(A)hours

S , rt^ compensationfrom related

compensation

Name and Title^

t rD 0T from the from the

per C.c 01

organization (Worganizations

organization andweek m 2 /1099MISC)

(W-

9/related

MI SC)organizations

a, fDc

PATRICIA HAYES , FORMER EVP &1 00 x 1,225,854 0 0

COO

Form 990, Part III, Line 1 - Briefly describe the organization's mission:

OUR MISSION INSPIRES US TO CARE FOR AND IMPROVE THE HEALTH OF THOSE WE SERVE WITH ASPECIAL CONCERN FOR THE SICK AND THE POOR. WE ARE CALLED TO BE A SIGN OF GOD'SUNCONDITIONAL LOVE FOR ALL AND BELIEVE THAT ALL PERSONS BY THEIR CREATION ARE ENDOWEDWITH DIGNITY. SETON CONTINUES THE CATHOLIC TRADITION OF SERVICE ESTABLISHED BY OURFOUNDERS: VINCENT DE PAUL, LOUISE DE MARILLAC, AND ELIZABETH ANN SETON.

efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

SCHEDULE C Political Campaign and Lobbying Activities OMB No 1545-0047

(Form 990 or 990-EZ)2008For Organizations Exempt From Income Tax Under section 501(c) and section 527

Department of the Treasury

Internal Revenue Service To be completed by organizations described below. Attach to Form 990 or Form 990-EZ Ope n

Inspection

If the organization answered "Yes," to Form 990, Part IV , Line 3 , or Form 990-EZ , Part VI, line 46 (Political Campaign Activities)• Section 501(c)(3) organizations complete Parts I-A and B Do not complete Part I-C• Section 501(c) (other than section 501(c)(3)) organizations complete Parts I-A and C below Do not complete Part I-B• Section 527 organizations complete Part I-A onlyIf the organization answered "Yes," to Form 990, Part IV , Line 4 , or Form 990EZ, Part VI, line 47 (Lobbying Activities)• Section 501(c)(3) organizations that have filed Form5768 (election under section 501(h)) complete Part II-A Do not complete Part II-B• Section 501(c)(3) organizations that have NOT filed Form5768 (election under section 501(h)) Complete Part II-B Do not complete Part II-AIf the organization answered "Yes," to Form 990, Part IV , Line 5 (Proxy Tax)* Section 501(c)(4), (5), or (6) organizations complete Part IIIName of the organizationSETON HEALTHCARE

Employer identification number

74-1109643

To be completed by all organizations exempt under section 501 ( c) and section 527organizations . (See the instructions for Schedule C for details.)

Provide a description of the organization ' s direct and indirect political campaign activities in Part IV

L Political expenditures $

3 Volunteer hours

To be completed by all organizations exempt under section 501 (c)(3). (See the instructionsfor Schedule C for details.)

1 Enter the amount of any excise tax incurred by the organization under section 4955 $

2 Enter the amount of any excise tax incurred by organization managers under section 4955 $

3 If the organization incurred in a section 4955 tax, did it file Form 4720 for this year? 1 Yes 1 No

4a Was a correction made? fl Yes fl No

b If "Yes," describe in Part IV

0511019- To be-completed by all organizations exempt under section 501 ( c), except section 501(c)(3).(See the instructions for Schedule C for details.)

1 Enter the amount directly expended by the filing organization for section 527 exempt function activities $

2 Enter the amount of the filing organization's internal funds contributed to other organizations for section527 exempt funtion activities $

3 Total of direct and indirect exempt function expenditures Add lines 1 and 2 and enter here and on Form

1120-POL, line 17b $

Did the filing organization file Form 1120-POL for this year? fl Yes l No

State the names, addresses and Employer Identification Number (EIN) of all section 527 political organizations to which payments

were made Enter the amount paid and indicate if the amount was paid from the filing organization's own internal funds or were

political contributions received and promptly and directly delivered to a separate political organization, such as a separate

segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV

(a) Name (b) Address (c) EIN (d) Amount paid fromfiling organization's

internal funds If none,enter -0-

(e) Amount of political

contributions received

and promptly and

directly delivered to a

separate political

organization If none,

enter -0-

For Paperwork Reduction Act Notice , see the instructions for Form 990 . Cat No 50084S Schedule C (Form 990 or 990-EZ) 2008

Schedule C (Form 990 or 990-EZ) 2008 Page 2

To be completed by organizations exempt under section 501 ( c)(3) that filed Form 5768

(election under section 501 (h)). (See the Instructions for Schedule C for details.)

A Check 1 if the filing organization belongs to an affiliated groupB Check 1 if the filing organization checked box A and "limited control" provisions apply

Limits on Lobbying Expenditures-(a) Filing (b) Affiliated

O rgan^zat^on^s Group(The term "expenditures " means amounts paid or incurred .) Totals Totals

la Total lobbying expenditures to influence public opinion (grass roots lobbying)

b Total lobbying expenditures to influence a legislative body (direct lobbying)

c Total lobbying expenditures (add lines la and 1b)

d Other exempt purpose expenditures

e Total exempt purpose expenditures (add lines 1c and 1d)

f Lobbying nontaxable amount Enter the amount from the following table in bothcolumns-If the amount on line le, column (a)or (b) is: The lobbying nontaxable amount is:

Not over $500,000 20% of the amount on line le

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000

Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

Over $17,000,000 $1,000,000

g Grassroots nontaxable amount (enter 25% of line 1f)

h Subtract line 1g from line la Enter -0- if line g is more than line a

i Subtract line lffrom line 1c Enter -0- if line f is more than line c

i If there is an amount other than zero on either line 1h or line li, did the organization file Form 4720 reportingsection 4911 tax for this year's Yes No

4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501 ( h) election do not have to complete all of the fivecolumns below. See the instructions for lines la through if of the instructions.)

Lobbying Expenditures During 4- Year Averaging Period

Calendar year ( or fiscal year

beginning in)(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) Total

2a Lobbying non-taxable amount

b Lobbying ceiling amount

(150% of line 2a, column(e))

c Total lobbying expenditures

d Grassroots non-taxable amount

e Grassroots ceiling amount

(150% of line d, column (e))

f Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2008

Schedule C (Form 990 or 990-EZ) 2008 Page 3

To be completed by organizations exempt under section 501 ( c)(3) that have NOT filed Form5768 ( election under section 501 ( h )). ( See the Instructions for Schedule C for details. )

(a) (b)

Yes No A mount

1 During the year, did the filing organization attempt to influence foreign, national, state or local

legislation, including any attempt to influence public opinion on a legislative matter orreferendum, through the use of

a Volunteers? No

b Paid staff or management (include compensation in expenses reported on lines c through i)7 Yes

c Media advertisements? No

d Mailings to members, legislators, or the public? Yes 31,312

e Publications, or published or broadcast statements? Yes 25,049

f Grants to other organizations for lobbying purposes? Yes 76,469

g Direct contact with legislators, their staffs, government officials, or a legislative body? Yes 62,624

h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means? Yes 6,262

i Other activities If "Yes," describe in Part IV No

j Total lines 1c through 201,716

11

2a Did the activities in line 1 cause the organization to be not described in section 501(c)(3)7 No

b If "Yes" enter the amount of any tax incurred under section 4912

c If "Yes" enter the amount of any tax incurred by organization managers under section 4912

d If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?

To be completed by all organizations exempt under section 501 ( c)(4), section 501(c)(5), orsection 501 ( c )( 6 ). ( See the Instructions for Schedule C for details. )

Yes No

1 Were substantially all (90% or more) dues received nondeductible by members? 1

2 Did the organization make only in-house lobbying expenditures of $2,000 or less? 2

3 Did the organization agree to carryover lobbying and political expenditures from the prior year? 3

To be completed by all organizations exempt under section 501 ( c)(4), section 501(c )( 5), orsection 501 ( c)(6) if BOTH Part III-A, questions 1 and 2 are answered "No" OR if Part III-A,q uestion 3 is answered "Yes." See the Instructions for Schedule C for details.

1 Dues, assessments and similar amounts from members 1 $

2 Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political

expenses for which the section 527(f) tax was paid).

a Current Year 2a $

b Carryover from last year 2b $

c Total 2c $

3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3 $

4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess

does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and politicalexpenditure next year? 4 $

5 Taxable amount of lobbying and political expenditures (line 2c total minus 3 and 4) 5 $

Su lemental Information

Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, and Part II-B, line 1i

Also. comnlete this nart for anv additional information

Identifier Return Reference Explanation

Part II-B, Line 1i Explanation of Other Lobbying SETON HEALTHCARE MAY, TO AN INSUBSTANTIAL

Activities DEGREE, MAKE COMMENTS OR STATEMENTS

CONCERNING LEGISLATION WHICH MAY AFFECT THE

HEALTH CARE INDUSTRY SETON HAS NOT INTERVENED

IN ANY POLITICAL CAMPAIGN EXPENSES INCURRED IN

LOBBYING ACTIVITIES WERE PRIMARILY COMPOSED OF

STAFF SALARY, SOME LIMITED TRAVEL, AND CONFERENCE

EXPENSES THERE WERE CONTACTS WITH FEDERAL

REPRESENTATIVES AND THEIR STAFF REGARDING

HEALTH CARE ISSUES AND VARIOUS PROPOSALS THE

CONTACTS WERE MADE BY MAIL, TELEPHONE AND IN

PERSON ALL CONTACTS ATTEMPTED TO DEMONSTRATE

HOWTHE PROPOSALS WOULD IMPACT RESIDENTS AND

PROVIDERS IN CENTRAL TEXAS THESE LOBBYING

EXPENSES AMOUNTED TO $125,247 FOR FY09

ADDITIONAL LOBBYING EXPENSES IN THE AMOUNT OF

$76,469 REPRESENT THE PORTION OF DUES PAID TO

NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT

IS SPECIFICALLY ALLOCABLE TO LOBBYING

Schedule C (Form 990 or 990EZ) 2008

Schedule C (Form 990 or 990-EZ) 2008 Page 4

Su pp lemental Information

Identifier Return Reference Explanation

Schedule C (Form 990 or 990EZ) 2008

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

SCHEDULE D OMB No 1545-0047

(Form 990) Supplemental Financial Statements 2008

Department of the Treasury1- Attach to Form 990 . To be completed by organizat ions t hat

Internal Revenue Serviceanswered " Yes," to Form 990, Part IV , line 6, 7, 8, 9, 10, 11, or 12.

Name of the organization Employer identification numberSETON HEALTHCARE

1 74-1109643

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the

org anization answered "Yes" to Form 990 Part IV , line 6.

(a) Donor advised funds (b) Funds and other accounts

1 Total number at end of year

2 Aggregate Contributions to (during year)

3 Aggregate Grants from (during year)

4 Aggregate value at end of year

5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advisedfunds are the organization's property, subject to the organization's exclusive legal control? 1 Yes 1 No

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may beused only for charitable purposes and not for the benefit of the donor or donor advisor or otherimpermissible private benefit? 1 Yes 1 No

WWWW-Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

1 Purpose(s) of conservation easements held by the organization (check all that apply)

1 Preservation of land for public use (e g , recreation or pleasure) 1 Preservation of an historically importantly land area

1 Protection of natural habitat 1 Preservation of certified historic structure

1 Preservation of open space

2 Complete lines 2a-2d if the organization held a qualified conservation contribution in the form of a conservation easementon the last day of the tax year

Held at the End of the Year

a Total number of conservation easements 2a

b Total acreage restricted by conservation easements 2b

c Number of conservation easements on a certified historic structure included in (a) 2c

d N umber of conservation easements included in ( c) acquired after 8/17/06 2d

3 N umber of conservation easements modified, transferred , released, extinguished , or terminated by the organization during

the taxable year 0-

4 Number of states where property subject to conservation easement is located 0-

5 Does the organization have a written policy regarding the periodic monitoring , inspection, violations, and

enforcement of the conservation easements it holds ? F Yes 1 No

6 Staff or volunteer hours devoted to monitoring , inspecting and enforcing easements during the year 0-

7 A mount of expenses incurred in monitoring , inspecting , and enforcing easements during the year -$

8 Does each conservation easement reported on line 2 ( d) above satisfy the requirements of section

170(h)( 4)(B)(i) and 170 (h)(4)(B)(ii)'' fl Yes 1 No

9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes

the organization's accounting for conservation easements

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.ComDlete if the oraanization answered "Yes" to Form 990. Part IV. line 8.

la If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works ofart, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,provide, in Part XIV, the text of the footnote to its financial statements that describes these items

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,provide the following amounts relating to these items

(i) Revenues included in Form 990, Part VIII, line 1 0- $

00 Assets included in Form 990, Part X $

2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the

following amounts required to be reported under SFAS 116 relating to these items

a Revenues included in Form 990, Part VIII, line 1

b Assets included in Form 990, Part X

For Paperwork Reduction Act Notice , see the Intructions for Form 990 Cat No 52283D Schedule D ( Form 990) 2008

Schedule D (Form 990) 2008 Page 2

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

3 Using the organization's accession and other records, check any of the following that are a significant use of its collectionitems (check all that apply)

a F_ Public exhibition d 1 Loan or exchange programs

b 1 Scholarly research e F Other

c F Preservation for future generations

4 Provide a description of the organization 's collections and explain how they further the organization 's exempt purpose in

Part XIV

5 During the year, did the organization solicit or receive donations of art, historical treasures or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection? 1 Yes 1 No

Trust, Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990,

Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X'' 1 Yes fl No

b If "Yes," explain why in Part XIV and complete the following table

c Beginning balance

d Additions during the year

e Distributions during the year

f Ending balance

2a Did the organization include an amount on Form 990, Part X, line 21''

b If "Yes," explain the arrangement in Part XIV

Endowment Funds . Complete if the organization answered "Yes" to Form 990, Part IV, line 10.(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back

la Beginning of year balance

b Contributions

c Investment earnings or losses

d Grants or scholarships .

e Other expenditures for facilities

and programs

f Administrative expenses

g End of year balance

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

a Board designated or quasi-endowment 0-

b Permanent endowment 0-

c Term endowment 0-

3a Are there endowment funds not in the possession of the organization that are held and administered for theorganization by Yes No

(i) unrelated organizations 3a(i)

(ii) related organizations 3a(ii)

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

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

1:M-4VJ@ Investments- Land . Buildinas . and Eauioment . See Form 990. Part X. line 10.

Description of investment(a) Cost or otherbasis (investment )

(b)Cost or otherbasis (other ) (c) Depreciation ( d) Book value

la Land 46 ,860,924 46,860,924

b Buildings 573,031,061 124,295,187 448,735,874

c Leasehold improvements 6,929,856 5,071,297 1,858,559

d Equipment 554,821,965 348,472,737 206,349,228

e Other 32 ,168,898 12,260,184 19,908,714

Total. A dd lines la -le (Column (d) should equal Form 990, Part X, column (B), line 10 (c).) . I 723,713,299

Schedule D ( Form 990) 2008

fl Yes l No

Schedule D (Form 990) 2008 Page 3

Investments -Other Securities . See Form 990 , Part X , line 12.

(a) Description of security or cateory(b)Book value

(c) Method of valuation(including name of security) Cost or end-of-year market value

Financial derivatives and other financial products

Closely-held equity interests

Other

Total . (Column (b) should equal Form 990, Part X, col (B) line 12) 01

investments- Pro g ram Related . See Form 990 , Part X , line 13.

I I(b) Book value

(c) Method of valuation(a) Description of investment type

Cost or end-of-vear market value

Total . (Column (b) should equal Form 990, Part X, col (B) line 13) 01

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

(a) Description (b) Book value

OTHER RECEIVABLES 16,259,785

DEPOSITS 4,604,658

INVEST IN/ADVANCES TO AFFILIATES 36,444,747

OTHER ASSETS 22,315,194

UNAMORTIZED INTANGIBLES 5,320,549

CONSTRUCTION IN PROGRESS 116,293,742

HEALTH SYSTEM DEPOSITORY 415,343,112

Total . (Column (b) should equal Form 990, Part X, col.(B) line 15.) . 0. 616,581,787

Other Liabilities . See Form 990 , Part X , line 25.(a) Description of Liability ( b) Amount

Federal Income Taxes

DUE TO THIRD PARTY PAYORS 52,192,430

OTHER LIABILITIES 113.110.273

INTERCOMPANY DEBT WITH ASCENSION HEALTH 1 365.847.1161

Total . (Column (b) should equal Form 990, Part X, col (B) line 25) P. I 5 3 1,14 9,8 19

In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization ' s liability for

uncertain tax positions under FIN 48

Schedule D (Form 990) 2008

Schedule D (Form 990) 2008 Page 4

Reconciliation of Chan g e in Net Assets from Form 990 to Financial Statements

1 Total revenue (Form 990, Part VIII, column (A), line 12) 1 1,350,353,701

2 Total expenses (Form 990, Part IX, column (A), line 25) 2 1,263,937,530

3 Excess or (deficit) for the year Subtract line 2 from line 1 3 86,416,171

4 Net unrealized gains (losses) on investments 4 -27,165,773

5 Donated services and use of facilities 5

6 Investment expenses 6

7 Prior period adjustments 7

8 Other (Describe in Part XIV) 8 -49,776,909

9 Total adjustments (net) Add lines 4 - 8 9 -76,942,682

10 Excess or (deficit) for the year per financial statements Combine lines 3 and 9 10 9,473,489

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

1 Total revenue, gains, and other support per audited financial statements . 1

2 Amounts included on line 1 but not on Form 990, Part VIII, line 12

a Net unrealized gains on investments . 2a

b Donated services and use of facilities . 2b

c Recoveries of prior year grants 2c

d Other (Describe in Part XIV) 2d

e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . 3

4 Amounts included on Form 990, Part VIII, line 12, but not on line 1

a Investment expenses not included on Form 990, Part VIII, line 7b 4a

b Other (Describe in Part XIV) 4b

c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . c

5 Total Revenue Add lines 3 and 4c. (This should equal Form 990, Part I, line 12 ) . . . . . 5

Reconciliation of Ex penses per Audited Financial Statements With Ex penses per Return

1 Total expenses and losses per audited financial statements . . . . . . . . . . . 1

2 Amounts included on line 1 but not on Form 990, Part IX, line 25

a Donated services and use of facilities . 2a

b Prior year adjustments 2b

c Losses reported on Form 990, Part IX, line 25 . 2c

d Other (Describe in Part XIV) 2d

e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . e

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . 3

4 Amounts included on Form 990, Part IX, line 25, but not on line 1:

a Investment expenses not included on Form 990, Part VIII, line 7b 4a

b Other (Describe in Part XIV) 4b

c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . c

5 Total expenses Add lines 3 and 4c. (This should equal Form 990, Part I, line 18 . 5

ffMSM Su pplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part XIV, lines lb and 2b,

Part V, line 4, Part X, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b

Identifier Return Reference Explanation

Part X Description of Uncertain Tax SETON HEALTHCARE IS INCLUDED IN THE

Positions UnderFIN 48 CONSOLIDATED FINANCIAL STATEMENTS PREPARED FOR

THE FISCAL YEAR ENDING JUNE 30, 2009 SETON

ADOPTED FIN 48 EFFECTIVE JUNE 30, 2008 NO LIABILITY

FOR UNCERTAIN TAX POSITIONS WAS REPORTED FOR

SETON HEALTHCARE

Part XI, Line 8 - Other Adjustments DEFERRED GAIN ON SALE LEASEBACK - PER FINANCIAL

STATEMENTS 505592 DEFERRED GAIN ON SALE OF

ASSETS - PER FINANCIAL STATEMENTS 283808

DEFERRED GAIN ON SALE OF LAND - PER FINANCIAL

STATEMENTS 31784 EQUITY TRANSFERS TO RELATED

ORGANIZATIONS -21634627 TAX TO BOOK ADJ-

PARTNERSHIP INCOME 3143361 FAS 158 ADJUSTMENTS

- PENSION -36407465 DONATED LAND - FMV TO BOOK

ADJUSTMENT 4300636 ROUNDING 2

Schedule D (Form 990) 2008

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

SCHEDULE H HospitalsOMB No 1545-0047

(Form 990) 20081- Attach to Form 990 . To be completed by organizations that V

Department of the Treasury answer "Yes" to Form 990, Part IV, line 20. Open to PublicInternal Revenue Service Inspect ion

Name of the organizationSETON HEALTHCARE

Employer identification number

74-1109643

Charity Care and Certain Other Community Benefits at Cost (Optional for 2008)Yes No

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

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

2 If the organization has multiple hospitals, indicate which of the following best describes application of the charity

care policy to the various hospitals

F Applied uniformly to all hospitals F Applied uniformly to most hospitals

F Generally tailored to individual hospitals

3 A nswer the following based on the charity care eligibility criteria that applies to the largest number of the

organization ' s patients

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

income individuals ? If "Yes," indicate which of the following is the family income limit for eligibility for free care 3a

F 100% F 150% F 200% F Other %

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

"Yes," indicate which of the following is the family income limit for eligibility for discounted care 3b

200% 250% 300% 350% 400% I Other %

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

4 Does the organization's policy provide free or discounted care to the "medically indigent"? . 4

5a Does the organization budget amounts for free or discounted care provided under its charity care policy? 5a

b If "Yes," did the organization's charity care expenses exceed the budgeted amount? . 5b

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

6a Does the organization prepare an annual community benefit report? 6a

6b If "Yes," does the organization make it available to the public? 6b

Complete the following table using the worksheets provided in the Schedule H instructions Do not submit these

worksheets with the Schedule H

7 Charity Care and Certain Other Community Benefits at Cost

Charity Care and(a) Number ofactivities or

(b) Personsserved

(c) Total community (d) Direct offsetting (e) Net community benefit (f) Percent of

Means-Tested Programs programs(optional)

benefit expense revenue expense total expense(optional)

a Charity care at cost (fromworksheets 1 and 2) .

b Unreimbursed Medicaid (fromworksheet 3, column a)

c Unreimbursed costs-othermeans-tested governmentprograms (from worksheet 3,column b) .

d Total Charity Care andMeans-Tested Programs

Other Benefitse Community health improve-

ment services and communitybenefit operations (from(worksheet 4) .

f Health professions education(from worksheet 5) .

g Subsidized health services(from worksheet 6) .

h Research (from worksheet 7)

i Cash and in-kind contributionsto community groups(from worksheet 8)

j Total Other Benefits . . .

k Total (line 7d and 7j) . . .

For Paperwork Reduction Act Notice, see the instructions for Form 990 . Cat N o 50192T Schedule H (Form 990) 2008

Schedule H (Form 990) 2008 Page 2

ff^ Community Building Activities (Complete this table if the organization conducted any community building

activities) (Optional for 2008)(a) Number of (b) Personsactivities or

served (c) Total community (d) Direct offsetting (e) Net community (f) Percent ofprograms

(optional)building expense revenue building expense total expense

(optional)

1 Physical improvements and housing

2 Economic development

3 Community support

4 Environmental improvements

5 Leadership development and trainingfor community members

6 Coalition building

7 Community health improvementadvocacy

8 Workforce development

9 Other

10 Total

Bad Debt, Medicare , & Collection Practices (Optional for 2008)

Section A. Bad Debt Expense Yes No

1 Does the organization report bad debt expense in accordance with Heathcare Financial Management Association

Statement No 157 .

2 Enter the amount of the organization's bad debt expense (at cost) . 2

3 Enter the estimated amount of the organization's bad debt expense (at cost)attributable to patients eligible under the organization's charity care policy 3

4 Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expenseIn addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, or rationalefor including other bad debt amounts in community benefit

Section B. Medicare

5 Enter total revenue received from Mecicare (including DSH and IM E) . 5

6 Enter Medicare allowable costs of care relating to payments on line 5 . 6

7 Enter line 5 less line 6-surplus or (shortfall) 7

8 Describe in Part VI the extent to which any shortfall reported on line 7 should be treated as community benefit andthe costing methodology or source used to determine the amount reported on line 6 and indicate which of thefollowing methods was used

r- Cost accounting system F Cost to charge ratio F Other

Section C . Collection Practices

9a Does the organization have a written debt collection policy? . 9a

9b If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed forpatients who are known to qualify for charity care or financial assistance? Describe in Part VI 9b

FMIVF-mananenent Companies and Joint Ventures (Optional for 2008)

a) Name of entity(b) Description of primary

activity of entityty

(c) Organization's

% or stockownership /o%

(d) Officers,directors

trustees, or key

employees' profit%/o

or stockownership%

(e) Physicians'

profit % or stockownership /o%

1

2

3

4

5

6

7

8

9

10

11

12

13

14

Schedule H (Form 990) 2008

Schedule H (Form 990) 2008 Page 3

Facility Information (Required for 2008)

Name and address CDCPI'DCL

(P

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P-

-CD

D=2_

{a

-

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O

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R0

.

m

i

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m

T-

Other(Describe)

See Additional Data Table

Schedule H (Form 990) 2008

Schedule H (Form 990) 2008 Page 4

rMINT Supplemental Information (Optional for 2008)

Complete this part to provide the following information

1 Provide the description required for Part I, line 3c, Part I, line 7, Part III, line 4, Part III, line 8, and Part III, line 9b

2 Needs Assessment . Describe how the organization assesses the health care needs of the communities it serves

3 Patient Education of Eligibility for Assistance . Describe how the organization informs and educates patients and persons who may be

billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's

charity care policy

4 Community Information . Describe the community the organization serves, taking into account the geographic area and demographic

constituents it serves

5 Community Building Activities. Describe how the organization's community building activities, as reported in Part II, promote the health

of the communities the organization serves

6 Provide any other information important to describing how the organization's hospitals or other health care facilities further its exemptpurpose by promoting the health of the community (e g , open medical staff, community board, use of surplus funds, etc )

7 If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates inpromoting the health of the communites served

8 If applicable, identify all states with which the organization, or a related organization, files a community benefit report

Schedule H (Form 990) 2008

Additional Data

Software ID:

Software Version:

EIN: 74 -1109643

Name : SETON HEALTHCARE

Form 990 Schedule H, Part V - Facility Informaiton

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Name and address,

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Seton Medical Center Austin

1201 West 38th Street X X X X

Austin,TX 78705

University Medical Center Brackenridge

601 East 15th Street X X X X X

Austin,TX 78701

Dell Children's Medical CtrofCenTX4900 Mueller Blvd X X X X X X

Austin,TX 78723

Seton Edgar B Davis Hospital

130 Hays Street X X X X

LULING,TX 78648

Seton Highland Lakes Hospital

3201 5 Water Street X X X X

Burnet,TX 78611

Seton Northwest Hospital

11113 Research Blvd X X X X

Austin,TX 78759

Seton Southwest Hospital

7900 FM-1826 X X X X

Austin,TX 78737

Seton Shoal Creek Hospital

3501 Mills Avenue X X X X X

Austin,TX 78731

Seton Medical Center Williamson201 Seton Parkway X X X X

Round Rock,TX 78665

Seton Medical Center Hays (Oct 2009)

6001 Kyle Parkway X X X X

Kyle,TX 78640

Seton Outpatient Rehabilitation Services

801 East Whitestone Blvd Outpatient Rehabilitation Clinic

CedarPark,TX 78613

Seton Marble Falls Healthcare Center700 N Highway 281 RURAL HEALTH CLINIC

Marble Falls,TX 78654

Seton Pflugerville Healthcare Center200 North Heatherwilde Blvd Outpatient Clinic

Pflugerville,TX 78660

Seton Lockhart Family Health Center

300 5 Colorado Street RURAL HEALTH CLINIC

Lockhart,TX 78644

Seton Lockhart Specialty Clinic

300 5 Colorado Street Suite C Outpatient Clinic

Lockhart,TX 78644

Seton Medical Center Outpatient Rehab

5555 N Lamar Blvd Outpatient Rehabilitation Clinic

Austin,TX 78751

Outpatient Pulmonary Rehabilition CenterOutpatient Pulmonary

5555 N Lamar BlvdehabilitationRehabilitation

78751

Seton Burnet Healthcare Center

200 County Road 340-A RURAL HEALTH CLINIC

Burnet,TX 78611

Seton Bertram Healthcare Center

160 N Lampasas St RURAL HEALTH CLINIC

Bertram,TX 78605

Seton Lampasas Healthcare Center

1205 Central Texas Expressway Outpatient Clinic

Lampasas,TX 76550

Seton Asthma Center

5555 N Lamar Blvd Outpatient Clinic

Austin,TX 78751

Seton Diabetes Education Center

5555 N Lamar Blvd OUTpatient Clinic

Austin,TX 78751

Seton Diabetes Education Services

301 Seton Parkway Ste 203 OUTpatient Clinic

Round Rock,TX 78665

Seton Diabetes Education Services at SSW

7900 FM-1826 OUTpatient Clinic

Austin,TX 78737

Seton Edgar B Davis Surgery Clinic

711 Hackberry Street OUTPATIENT Clinic

Luling,TX 78648

Cedar Park Regional Medical Center

1490 E Whitestone Blvd X X X

CedarPark,TX 78613

Central Texas Rehabilitation Hospital1201 West 38th Street X X X

Austin,TX 78705

Cedar Park Surgery CenterLicensed Outpatient Surgery

801 East Whitestone Blvd X

786139049enterCenter

Strictly Pediatrics Surgery CenterPediatric Ambulatory Surgery

1301 Barbara Jordan Blvd XenterCenter

78723

Northwest Surgery Center LLPLicensed Outpatient Surgery

11111 Research Blvd Ste LL3 XCenter

Austin,TX 78759

SETON HIGHLAND LAKES PEDI-VANMOBILE RURAL HEALTH

3201 5 Water StreetLINICCLINIC

78611

SETON EDGAR B DAVIS CARE-A-VANMOBILE RURAL HEALTH

Hays Street130 HayCCLINIC

LULING,TX 78648

PLEASE NOTE THAT SOME OFTHE FACILITIES

LISTED ABOVE ARE NOT SEPARTELY LICENSED

FACILITIES

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

Schedule I OMB No 1545-0047

(Form 990 ) Grants and Other Assistance to Organizations,Governments and Individuals in the U .S. 2008

Department of the TreasuryInternal Revenue Service

Complete if the organization answered "Yes," on Form 990, Part IV, lines 21 or 22 . Attach to Form 990.

Name of the organization Employer identification number

SETON HEALTHCARE74-1109643

General Information on Grants and Assistance

1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, andthe selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F Yes 1 No

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

Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" onForm 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. UsePart IV and Schedule I-1 if additional space isneeded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► F

1(a) Name and address oforganization

or government

(b) EIN (c) IRC sectionif applicable

(d) Amount of cashgrant

(e) Amount of non-cash

assistance

(f) Method of valuation(book, FMV, appraisal,

other)

(g) Description ofnon-cash assistance

(h) Purpose of grantor assistance

See Additional Data Table

2 Enter total number of section 501(c)( 3)and government 23

organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . ►

3 Enter total number of other organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat No 50055P Schedule I (Form 990) 2008

Schedule I (Form 990) 2008 Page 2

Grants and Other Assistance to Individuals in the United States . Complete if the organization answered "Yes" on Form 990, Part IV, line 22.

Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance (b)N umber of

recipients

(c)Amount of

cash grant

(d)Amount of

non-cash assistance

(e) Method of valuation

(book, FMV, appraisal,

other)

(f)Description of non-cash assistance

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

Identifier Return Reference Explanation

Procedure for Monitoring

Grants in the U S

Part I, Line 2 Schedule I, Part I, Line 2 The Seton Healthcare Grants Committee is charged with reviewing requests from other

organizations and determining whether they meet the Network's charitable request guidelines The requesting organizations

submit letters specifying the amount of contribution requested and details of its program Each entity must provide its IRS

501(c)(3) determination letter (as evidence of tax-exempt status), a history of its use of funds, a list of other funding sources

and a list of board of directors Additionally, requestors are asked to identify the organization's purpose, the activities that

reflect consistency with its stated purpose and how funds will be used The Grants Committee looks for a relationship to

Seton's mission and service to the community, e g , providing healthcare, particularly to the poor and vulnerable, whether the

event or activity has an educational component, whether the Network's leadership or associates are involved with supporting

the organization, and whether there are opportunities for the Network's associates to participate Generally, the Grant

Committee, pursuant to its procedures and policies, confirm prior to any award that grantees are organizations whose

headquarters and work is based in Central Texas or the work for which we granted them a sponsorship is based in Central

Texas And post award we generally receive confirmation of how the funds were used

Schedule I (Form 990) 2008

Additional Data

Software ID:

Software Version:

EIN: 74 -1109643

Name : SETON HEALTHCARE

Form 990,Schedule I, Part II, Grants and Other Assistance to Governments and Organizations in the United States

Return to Form

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

or government assistance other)

American Heart Association 13-5613797 501(c)(3) 38,500 Event Sponsorship

1700 Rutherford Drive

Austin,TX 78754

Austin Area Urban League 74-1890518 501(c)(3) 35,500 3-year Sponsorship

1033 La Posada Drive Suite

150

Austin,TX 78752

AUSTIN CHILDREN'S 74-2288789 501(c)(3) 5,000 Event Sponsorship

MUSEUM201 Colorado

Street

Austin,TX 78701

Austin Community College 74-1742036 501(c)(3) 109,494 Nursing Education

5930 Middle Fiskville RoadHighlandBusiness Center

Austin,TX 78752

Austin Community 74-1934031 501(c)(3) 10,000 Education Fund

Foundation4315 Guadalupe

Ste 300

Austin,TX 78705

Austin Partners in Education 20-1024501 501(c)(3) 10,000 Education

701 Brazos Ste 480

Austin,TX 78701

Bluebonnet Trails 74-2795332 501(c)(3) 27,500 Crisis respite unit in

Community MHMR Center Georgetown

1009 N Georgetown St

Round Rock,TX 78664

Catholic Foundation - 26-3929913 501(c)(3) 90,000 Catholic

Diocese of A ustinPO Box Charities/Awards

15405

Austin,TX 78761

CHILDREN'S DIABETES 90-0137641 501(c)(3) 5,000 Kid's summer camp

CAMP OFCENTRALTEXAS

PO Box 12885

Austin,TX 787112885

Children's Medical Center 20-0468031 501(C)(3) 45,250 Sponsorships

Foundation4900 Mueller

BlvdAustin,TX 78723

Form 990.Schedule I. Part II. Grants and Other Assistance to Governments and Organizations in the United States

(a) Name and address of ( b) EIN ( c) IRC Code ( d) Amount of cash (e) Amount of non - ( f) Method of ( g) Description of (h) Purpose of grantorganization section grant cash valuation (book, non-cash or assistance

or government if applicable assistance FMV, appraisal , assistance

other)

Diocese of Austin ( for St 74 - 1542827 501 ( c)(3) 100,000 St Dominic Savio

Dominic Savio Catholic Catholic High SchoolHS)PO Box 13327

Austin,TX 787113327

Envision Central TexasP 74 - 3020304 501(c )( 3) 5,000 2009 Community

O Box 17848 Stewardship Awards

Austin,TX 787607848 Luncheon

FRIENDS OFTHE 74-2580000 501(c )( 3) 5,000 Admission /Sponsorship

POUNDPOBox 1150 Booth @ Fall Fest

Dripping Springs, TX

78620

Greater Austin Chamber 74 - 0492475 501 ( c)(6) 7,220 2008 State of

ofCommerce210 Barton Education Sponsorship

Springs Road 400

Austin,TX 78704

Hill County Children ' s 74-2656084 501(c )( 3) 5,000 Children's Advocacy

Advocacy CenterPO Box contribution

27

Burnet,TX 78611

Indigent Care 31-1624871 501(c)(3) 397,275 Care for the poor

Collaboration2101 IH-

35 South Suite 500

Austin,TX 78741

National Association of 58-2176067 501(c )( 6) 14,000 Contribution for

Childrens HospitalsPO equitable funding forBox 79334 teaching

Baltimore, M D

212790334

R 0 C K - Ride on Center 74 - 2917659 501 ( c)(3) 15,000 Sponsorship

for KidsPO Box 2422

Austin,TX 78627

Ronald Mcdonald House 74 - 2277664 501(c )( 3) 6,060 Bandana Ball

ofAustin1315 Barbara

Jordan BlvdAustin,TX 78723

San Juan Diego Catholic 71 - 0866044 501(c )( 3) 5,300 2009 Bishops Gala

High School800 Harndon

Lane

Austin,TX 78704

Form 990.Schedule I. Part II. Grants and Other Assistance to Governments and Organizations in the United States

(a) Name and address of (b) EIN (c) IRC Code (d) Amount of (e) Amount of (f) Method of (g) Description of (h) Purpose of grant

organization section cash grant non-cash valuation (book, non-cash or assistanceor government if applicable assistance FMV, appraisal, assistance

other)

Seton Fund1345 74-2212968 501(C)(3) 5,450 Sponsorships

Philomena StreetAustin,TX 78723

Seton Fund1345 74-2212968 501(C)(3) 64,490 Nursing Scholarship

Philomena StreetAustin,TX 78723

THE NATIONAL 04-2871526 501(c)(3) 20,000 2009 Donation

CATHOLIC

BIO ETHICSPO Box

228

Barrington, RI

028060228

University ofTexas at 74-6000203 501(c)(3) 238,518 Education/Scholarships/Research

A ustinPO Box 7159

A ustin, TX

787137159

YMCA Strong Kids 74-2206558 501(c)(3) 10,500 YMCA Scholarships for

Campaign1812 N Needy Children

Mays St

Round Rock,TX

78664

City of Round Rock 74-6017485 City of Round 5,120,000 Appraisal Parcel 111 donation of land for

Williamson County Rock 9 405 acres, SW widening FM 1460

Texas301 West corner of (A W Grimes Blvd) for

Bagdad Suite 205 University right of way

Round Rock,TX Blvd/A W Grimes

78664 Blvd

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

Schedule J Compensation InformationOMB No 1545-0047

(Form 990) 2008

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

Compensated EmployeesDepartment of the Treasury 1- Attach to Form 990 . To be completed by organizations ' to Pu b lic

Internal Revenue Service that answered "Yes" to Form 990, Part IV , line 23. Insp ecti o n

Name of the organizationSETON HEALTHCARE

Employer identification number

74-1109643

llll^ Questions Regarding Compensation

la Check the appropiate box(es ) if the organization provided any of the following to or for a person listed in Form

990, Part VII, Section A, line la Complete Part III to provide any relevant information regarding these items

1 First class or charter travel 1 Housing allowance or residence for personal use

F Travel for companions 1 Payments for business use of personal residence

1 Tax idemnification and gross - up payments 1 Health or social club dues or initiation fees

1 Discretionary spending account 1 Personal services (e g , maid, chauffeur, chef)

Yes I No

b If line la is checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain lb Yes

2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by allofficers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? 2 Yes

3 Indicate which, if any, of the following the organization uses to establish the compensation of the

organization 's CEO/ Executive Director Check all that apply

F Compensation committee F Written employment contract

F Independent compensation consultant F Compensation survey or study

F Form 990 of other organizations F Approval by the board or compensation committee

4 During the year, did any person listed in Form 990, Part VII, Section A, line la

a Receive a severance payment or change of control payment? 4a No

b Participate in, or receive payment from, a supplemental nonqualified retirement plan? 4b Yes

c Participate in, or receive payment from, an equity-based compensation arrangement? 4c No

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III

501(c )( 3) and 501 ( c)(4) organizations only must complete lines 5-8.

5 For persons listed in form 990, Part VII, Section A, line la, did the organization pay or accrue any

compensation contingent on the revenues of

a The organization? 5a No

b Any related organization? 5b No

If "Yes," to line 5a or 5b, describe in Part III

6 For persons listed in form 990, Part VII, Section A, line la, did the organization pay or accrue any

compensation contingent on the net earnings of

a The organization? 6a No

b Any related organization? 6b No

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

7 For persons listed in form 990, Part VII, Section A, line la, did the organization provide any non-fixed

payments not described in lines 5 and 67 If "Yes," describe in Part III 7 Yes

8 Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was

subject to the initial contract exception described in Regs section 53 4958-4(a)(3)7 If "Yes," describe

in Part III 8 No

For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions . Cat No 50053T Schedule 3 (Form 990) 2008

Schedule J (Form 990) 2008 Page 2

VVITFI-Officers , Directors , Trustees , Key Employees, and Highest Compensated Employees . Use Schedule 3-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations described in the

instructions on row (ii) Do not list any individuals that are not listed on Form 990, Part VII

Note . The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line la

(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Deferred (D) Nontaxable (E) Total of columns (F) Compensation

(i) Basecompensation

(ii) Bonus &incentive

compensation

(iii) Othercompensation

compensation benefits (B)(i)-(D) reported in prior Form990 or Form 990-EZ

See Additional Data Table (i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

(i)

(ii)

Schedule 3 (Form 990) 2008

Schedule J (Form 990) 2008 Page 3

EIRISTW Supplemental Information

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

I IIdentifier

Ret urnExplanation

Reference

Part I, Line la TRAVEL EXPENSE REIMBURSEMENTS ARE MADE FOR BUSINESS TRAVEL ACCORDING TO OUR ACCOUNTABLE PLAN IF TRAVEL EXPENSE

REIMBURSEMENTS ARE REQUESTED BY SENIOR LEADERSHIP FOR COMPANIONS WHO TRAVEL AS REQUIRED FOR BUSINESS, THESE AMOUNTS ARE

ADDED AS COMPENSATION TO THE EMPLOYEE W-2

Part I, Line 4a THE FOLLOWING OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES PARTICIPATE IN AND HAVE RECEIVED PAYMENTS FOR A SUPPLEMENTAL

NON-QUALIFIED RETIREMENT PLAN CHARLES BARNETT $74,573, DOUGLAS WAITE $56,178, ROBERT BONAR $120,854, JOHN BRINDLEY $83,380,

$71,628, JESUS GARZA $181,917, MARK HAZELWOOD $36,331, JAMES LINDSEY, MD $87,456, THOMAS GALLAGHER $71,628, JOHN EVLER

$107,076, JOYCE LAMAISTRE $152,478, GREGORY HARTMAN $34,170, THOMAS CAVEN, MD $55,184, JOYCE BATCHELLER $0, TRENNIS JONES $0,

AND TERESA BU RROFF $0

Part I, Line 7 SETON HEALTHCARE PAYS ITS MANAGEMENT TEAM INCENTIVES BASED UPON THE ACHIEVEMENT LEVELS OF VARIOUS ORGANIZATIONAL AND

OPERATIONAL GOALS INCLUDING SAFETY AND QUALITY OUTCOMES AND FINANCIAL METRICS GOALS WHICH ARE TRIGGERED ONLY IF THE

ORGANIZATION ACHIEVES ITS TARGETED NET OPERATING INCOME FOR A PARTICULAR YEAR THE FOLLOWING INDIVIDUALS RECEIVED

INCENTIVE COMPENSATION CHARLES BARNETT $266,898, JOYCE BATCHELLER $89,628, ROBERT BONAR $149,768, JOHN BRINDLEY $149,768,

THOMAS GALLAGHER $115,063, JESUS GARZA $165,547, MARK HAZELWOOD $139,753, JAMES LINDSEY $102,397, DOUGLAS WAITE $139,770,

JOHN EVLER $91,747, JOYCE LAMAISTRE $54,880, GREGORY HARTMAN $85,077, TRENNIS JONES $99,048, THOMAS CAVEN $55,531, AND TERESA

BURROFF$72,771

Schedule 3 (Form 990) 2008

Additional Data

Software ID:

Software Version:

EIN: 74 -1109643

Name : SETON HEALTHCARE

Return to Form

Form 990 , Schedule J Part II - Officers, Directors, Trustees , Ke y Em p lo y ees , and Hi g hest Com pensated Em p lo y ees

(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Deferred (D) Nontaxable (E) Total of columns (F) Compensation

(i) Base

Compensation

Bonus &(ii)incentive

compensation

(iii) Other

compensation

compensation benefits (B)(i)-(D) reported in prior Form990 or Form 990-EZ

CHARLES BARNETT (1) 654,100 266,898 189,952 138,552 24,012 1,273,514 80,233

DOUGLAS D WAITE (i) 374,462 139,770 125,583 85,435 19,198 744,448 56,178

JESUS GARZA (i) 403,170 165,547 271,131 88,747 20,453 949,048 181,917

JOHN BRINDLEY (i) 364,160 149,768 151,519 44,834 18,858 729,139 83,380

BOB BO NA R (i) 350,699 149,768 214,939 80,370 11,427 807,203 126,886

MARK HAZELWOOD (i) 367,009 139,753 60,719 107,692 2,089 677,262 36,331

JAMES LINDSEY (i) 323,585 102,397 144,301 82,034 15,378 667,695 106,260

JOYCE BATCHELLER

RN MSN CNAA(i) 280,481 89,628 55,213 79,271 12,931 517,524 6,097

TERESA BURROFF (i) 257,293 72,771 37,784 50,095 10,093 428,036 11,085

JOHN EVLER (i) 267,673 91,747 229,758 47,421 16,954 653,553 188,164

THOMAS GALLAGHER (1) 341,384 115,063 142,658 66,617 15,084 680,806 85,913

TRENNIS JONES (i) 305,282 99,048 42,090 56,585 11,277 514,282 20,497

GREGORY HARTMAN (i) 261,397 85,077 87,311 65,031 20,690 519,506 34,170

THOMAS CAVEN (i) 205,252 55,531 85,646 50,182 19,481 416,092 62,740

JOYCE A LEMAISTRE (i) 224,958 54,880 173,277 24,122 2,728 479,965 152,478

CHRISTOPHER

H A RT L E(1)

(H)

245,633 54,633 54,221 53,027 15,524 423,038 26,361

PATRICIA HAYES (i)

(H)

3,665 1,222,189 1,225,854 1,219,186

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

Schedule L Transactions with Interested PersonsOMB No 1545-0047

(Form 990 or 990-EZ)

0-

2008

Attach to Form 990 or Form 990-EZ.

1- To be completed by organizations that answered

Department of the Treasury "Yes" on Form 990, Part IV, lines 25a , 25b, 26, 27, 28a, 28b, or 28c, Open

Internal Revenue Service or Form 990 -EZ, Part V lines 38b or 40b. Insve ction

Name of the organizationSETON HEALTHCARE

Employer identification number

1 74-1109643

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).

To be completed by organizations that answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b

1 (a) Name of disqualified person (b) Description of transaction(c) Corrected?

Yes No

2 Enter the amount of tax imposed on the organization managers or disqualified persons during the year under

section 4958 . . . . . . . . . . . . . . . . . . . . . . . . . ► $

3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization . ► $

Loans to and / or From Interested Persons

To be completed by organizations that answered "Yes" on Form 990. Part IV. line 26. or Form 990-EZ. Part V. line 38a

(a) Name of interested person andpurpose

(b) Loan to or

from the

organization?(c)Original principal

amount (d

)Balance due

(e) In

default?Appfoved

byboard or

committee ?

(g)Written

agreement'

To From Yes No Yes No Yes No

Total $

Grants or Assistance Benefitting Interested Persons

To be com p leted b y org anizations that answered "Yes" on Form 990 , Part IV , line 27.

I(b)Relationship between interested person

(c)Amount of grant or type of assistance(a) Name of interested personand the oraanization

Business Transactions Involving Interested PersonsTo be completed by organizations that answered "Yes" on Form 990. Part IV. line 28a. 28b. or 28c.

(b) Relationship (e) Sharing of

(a) Name of interested personbetween interested

person and the( c) Amount oftransaction ( d) Description of transaction

organization'srevenues?

organization Yes No

EMERGENCY SERVICE PARTNERS SCHEDULE 0 STMT 14,749,927 SCHEDULE 0 COMMON No

OFFICER/COMPENSATION

FOR MEDICAL SERVICES

ORGANIZATION TRANSACTS

WITH EMERGENCY SERVICE

PARTNERS,A PROFESSIONAL

SERVICE ORGANIZATION

THAT PROVIDES PHYSICIAN

SERVICES FOR THE

CORPORATION PATRICK

CROCKER, DO, A BOARD

MEMBER OF SETON

HEALTHCARE ALSO SERVES

ON THE BOARD OF

EMERGENCY SERVICE

PARTNERS

CAPITAL ANESTHESIOLOGY ASC SCHEDULE 0 STMT 10,588,992 SCHEDULE 0 COMMON No

OFFICER/COMPENSATION

FOR MEDICAL SERVICES

ORGANIZATION TRANSACTS

WITH CAPITAL

ANESTHESIOLOGY

ASSOCIATION, A

PROFESSIONAL SERVICE

ORGANIZATION THAT

PROVIDES SERVICES FOR THE

CORPORATION ERIK

PRONSKE, MD, A BOARD

MEMBER OF SETON

HEALTHCARE IS ALSO A

PARTNER IN CAPITAL

ANESTHESIOLOGY

ASSOCIATION

For Paperwork Reduction Act Notice , see the Intructions for Form 990 Cat No 50056A Schedule L (Form 990 or 990-EZ) 2008

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493131011290

SCHEDULE 0OMB No 1545 0047

(Form 990) Supplemental Information to Form 990 2008

Department of the Treasury 1- Attach to Form 990 . To be completed by organizations to provide additional information for

Internal Revenue Serviceresponses to specific questions for the Form 990 or to provide any additional information . Open

ITsi)ectiOT

Name of the organizationSETON HEALTHCARE

Employer identification number

74-1109643

IdentifierReturn

ReferenceExplanation

Brackenridge Hospital Brackenridge Hospital Volunteers Brackenridge Professional Building Brain and Spine Centerat Brackenridge Hospital Caldwell County Physician Associates Capital Psychiatry Associates Childhood Cancer &Blood Disorders Center Children's Health Express Children's Hospital of Austin Auxiliary Children's Therapy Gym CTMedical Group Dell Children's Craniofacial and Reconstructive Surgery Center Dell Children's Imaging Center DellChildren's Medical Center Dell Children's Medical Center of Central Texas Emergency Medical Group Friends Auxiliaryof Seton Highland Lakes Good Health Commons Insure a Kid Luling CRNA Group SEBD Children's Care-A-Van SEBDProfessional Support Services Seton Seton Bertram Healthcare Center Seton Burnet Healthcare Center SetonCommunity Health Centers Seton Edgar B Davis Hospital Seton Edgar B Davis Hospital Volunteer Services SetonHealthcare Associates Seton Heart Specialty Care and Transplant Center Seton Highland Lakes Seton HighlandLakes Home Health Seton Highland Lakes Hospice Seton Highland Lakes Hospital Seton Highland Lakes Hospital andHealth Centers Seton Highland Lakes Medical Group Seton Highland Lakes Rehabilitation Services - Burnet Seton

Form 990, DoingHighland Lakes Rehabilitation Services - Marble Falls Seton Hospital Auxiliary Seton Kozmetsky Community Health

Part I, Item BusinessCenter Seton Lampasas Healthcare Center Seton League House Seton Lockhart Seton Lockhart Family Health Center

C AsSeton Lockhart Specialty Clinic Seton Marble Falls Diagnostic Center Seton Marble Falls Healthcare Center SetonMcCarthy Community Health Center Seton Medical Center Seton Medical Center Austin Seton Medical Center HaysSeton Medical Center Outpatient Rehabilitation Seton Medical Center Williamson Seton Medical Center WilliamsonCommunity Care Van Seton Medical Center Williamson Outpatient Rehabilitation Services Seton Medical CenterWilliamson Pediatric Rehabilitation Services Seton Medical Center Williamson Volunteers Seton Medical CenterWilliamson Women's Imaging Seton Northwest Seton Northwest Aquatic Therapy Seton Northwest Hospital SetonNorthwest Sleep Lab Seton Northwest Sports Medicine and Hand Therapy Center Seton Northwest VolunteersSeton Pflugerville Seton Pflugerville Healthcare Center Seton Premier Staffing Seton Shoal Creek Hospital SetonSouthwest Hospital Seton Southwest Rehab and Sports Medicine Services Seton Southwest Volunteers SetonTopfer Community Health Center Seton Williamson Children's Therapy Gym at Cedar Park Shivers Center SHL Care-A-Van SHL CRNA Group SHL Professional Support Services SMCA Sports and Neuro Rehab St Vincent HealthcareVentures Texas Child Study Center The Clinical Education Center at Brackenridge Trauma Medical Group UniversityMedical Center at Brackenridge University Medical Center Brackenridge SETON HEALTHCARE NETWORK

IdentifierReturn

ExplanationReference

Form 990 , Part VI, BUSINESS/RELIGIOUS RELATIONSHIP DAUGHTERS OF CHARITY, SISTER HELEN BREWER,DC,Section A , line 2 SISTER PHYLLIS PETERS, DC, AND SISTER MARY JO SWIFT, DC

ReturnIdentifier Explanation

Reference

Form 990, Part VI, Section A, BUSINESS RELATIONSHIP CHARLES BARNETT, DOUGLAS WAITE, JAMES LINDSEY, MD,line 2 AND TOM CAVEN, MD

ReturnIdentifier Explanation

Reference

Form 990, Part V I, Section BUSINESS RELATIONSHIP CHRISTOPHER ZIEBELL, MD, PATRICK CROCKER,DO, ANDA, line 2 EMERGENCY SERVICE PARTNERS

ReturnIdentifier Explanation

Reference

Form 990, Part V I, Section A, BUSINESS RELATIONSHIP ERIK PRONSKE, MD AND CAPITAL ANESTHESIOLOGYline 2 ASSOCIATION

Identifier Return Reference Explanation

Form 990, Part V I, Section A, line 6 SETON HEALTHCARE HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH

ReturnIdentifier Explanation

Reference

Form 990, Part V I, SETON HEALTHCARE HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HASSection A, line 7a THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY

IdentifierReturn

ReferenceExplanation

ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEYForm 990, DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM SPECIFIC AREAS THAT AREPart VI, IDENTIFIED IN THE AUTHORITY MATRIX ARE NEW ORGANIZATIONS & MAJOR TRANSACTIONS, GOVERNINGSection A, DOCUMENTS, APPOINTMENTS/REMOVALS, EVALUATION, DEBT LIMITS, STRATEGIC & FINANCIAL PLANS,line 7b ASSETS, SYSTEM POLICIES & PROCEDURES THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF

APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX

Explanation

THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 Management , including certain OfficerForm 990 , Part (s ), works diligently to complete the Form 990 and attached schedules in a thorough manner ManagementV I, Section A, presents the Formto the Board , or a designated committee , to review and answer any questions Prior to filingline 10 the return , all Board Members are provided the Form 990 and management team members are available to

answer any Board Members questions

IdentifierReturn

ReferenceExplanation

The Corporate Responsibility Officer's (CRO) delegate will prepare a summary of the Conflict of Interest DisclosureStatements and submit it to the CRO for review The CRO w ill submit a w ritten report to the applicable Board orBoard Committee on the results Procedures for Addressing the Conflict of Interest (1) An individual with a Conflictof Interest may make a presentation at the meeting of the Board of Trustees or Committee of the Board, but aftersuch presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction orarrangement that results in the Conflict of Interest (2) If deemed appropriate or advisable, the Chair of the Board or

Form 990, Committee of the Board, as the case may be, may appoint a disinterested person or committee to investigatePart VI, alternatives to the proposed transaction or arrangement (3) After exercising due diligence, the Board of TrusteesSection B, or Committee of the Board shall determine whether the Corporation can obtain with reasonable efforts a moreline 12c advantageous transaction or arrangement from a person or entity that would not give rise to a Conflict of Interest

(4) If a more advantageous transaction or arrangement is not reasonably attainable under circumstances thatwould not give rise to a Conflict of Interest, the Board of Trustees or Committee of the Board shall determine by amajority vote of the disinterested directors or members, as the case may be, whether the transaction orarrangement is in the Corporation's best interest and for its own benefit, and whether the transaction is fair andreasonable to the Corporation, and thereafter, the Board of Trustees or Committee of the Board shall decidewhether to enter into the proposed transaction or arrangement in conformity with such determinations

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ReferenceExplanation

IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOPMANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS,COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION THECOMPENSATION COMMIITTEE REVIEWED AND APPROVED THE COMPENSATION IN THE REVIEW OFCOMPENSATION, THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT WERE COMPARED TO OTHERORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE DURING THE REV IEW AND APPROVAL OF THE

Form 990, COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES INDIVIDUALSPart V I, WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED IN DETERMINING COMPENSATION OF OTHERSection B, OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVALline 15 BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE

DELIBERATION AND DECISION THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THECOMPENSATION IN THE REVIEW OF THE COMPENSATIONS, THE OTHER OFFICERS OR KEY EMPLOY EES OF THEORGANIZATION WERE COMPARED TO OTHER ORGANIZATION'S EMPLOYEES IN THE AREA THAT HOLD THESAME TITLE DURING THE REV IEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISIONWAS RECORDED IN THE BOARD MINUTES INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WASDECIDED

ReturnIdentifier Explanation

Reference

Form 990, Part V I, Section C, THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTIONline 19 UPON REQUEST

Identifier Return Reference Explanation

FINANCIAL STATEMENTS THE FINANCIAL STATEMENTS OF SETON HEALTHCARE AND ITS RELATED ORGANIZATIONSFORM 990,

AUDITED BY AN WERE AUDITED ON A CONSOLIDATED BASIS AN AUDIT COMMITTEE HAS BEEN DELEGATEDPART XI, LINE

INDEPENDENT TO OVERSEE THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF THE2B AND 2C

IACCOUNTANT INDEPENDENT ACCOUNTANTS THAT AUDITED THE FINANCIAL STATEMENTS

Explanation

(STATEMENT CONTINUED FROM PAGE 55) Community Health Centers The Seton Family of Hospitalsoperates three Community Health Centers Seton McCarthy, Seton Topfer and Seton Kozmetsky, offerprimary care, laboratory, case management and health education services to Austin's working familiesFamily physicians and nurse practitioners provide sick child care, well child check-ups and immunizationsThe Centers participate in the Patient Pharmacy Assistance Program(PPAP) for patients and use a sliding-scale fee to keep services within the reach of w orking families w ho otherw ise w ould not be able toafford medical care Comprehensive social services also support the Centers' medical mission DuringFY09, the Centers provided 31,017 outpatient medical visits, 23,808 social service encounters, anestimated 32,877 lab tests, 6,265 prescriptions and 9,104 immunizations Further, the Centers managedcare for more than 4,283 unfunded patients Specialty Clinics The Seton Family of Hospitals also operatestwo specialty care clinics for the uninsured The Paul Bass Clinic at University Medical CenterBrackenridge and the Specialty Clinic For Children Both provide access to a variety of medical specialistsfor patients w hose conditions require specialized treatment The clinics also provide specialty referraloptions for the Austin/Travis County clinics Mobile Primary Care Vans Three mobile primary care teamsaddress the unmet health needs of children from low-income families in Travis, Burnet, Caldwell and LlanoCounties, literally driving to locations to provide care at area schools The Children's Health Expressserves the Austin area and provides services at specified Austin public school sites During FY09, 695children were immunized through the Children's Health Express van The Children's Care-A-Van serves

Caldwell County schools and the Seton Highland Lakes Care-A-Van operates in Burnet and Llano Countyschools The Care-A-Vans respond to a need for affordable and accessible health care in rural counties,w here pediatric care is scarce and there are no other providers for uninsured children or childrenenrolled in the Children's Health Insurance Program(CHIP) The Care-A-Vans served 3,613 children inFY09 Other Charitable and Public Benefit Programs Breast Cancer Resource Center - Lease Space Setonprovides office space for the Breast Cancer Resource Center at no charge Center staff and volunteersw ork cooperatively w ith Seton's cancer programto serve w omen w ith breast cancer, particularly thosew ho come to Seton's Breast Clinic Volunteer Healthcare Clinic - Laboratory and Hospitalization ServicesThe Volunteer Healthcare Clinic, formerly Caritas Clinic, has been serving the Austin community for 40years The Clinic is a non-emergency primary care facility mainly utilized by the working poor and theirchildren It operates three evening sessions weekly Seton helps the clinic by providing guidance as wellas laboratory services In addition, Seton is able to provide hospitalization services at a discounted rate topatients of the Volunteer Healthcare Clinic El Buen Samaritano Family Health Clinic - Laboratory ServicesSeton provides laboratory services free of charge to patients seen at the El Buen Samaritano FamilyHealth Clinic, a clinic operated by El Buen Samaritano Episcopal Mission which provides primary, maternity

FORM 990, PART III,and preventive healthcare services for individuals and families who are uninsured Leading collaborative

LINE 4A, PROGRAMefforts in the community Here are just a few examples of innovation and collaboration the Seton Family of

SERVICEHospitals has helped bring to life The Integrated Care Collaboration (ICC) (formerly known as the Indigent

ACCOMPLISHMENTSCare Collaboration) In 1997, Seton led the formation of an alliance of community providers for the medicallyindigent, including healthcare organizations, government entities and volunteer clinics The goal w as tow ork together to increase access, improve quality and find creative financing solutions for the provisionof health care the region's uninsured Today, members of the ICC include virtually all safety net providerswithin Williamson, Travis and Hays counties Seton helped secure the organization's first grant andprovided staff to develop and launch the collaboration The ICC has since become one of the mostrespected and innovative organizations of its kind in the nation Supported by grants from federal andprivate charity organizations, as well as continued support fromthe Seton Family of Hospitals and otherICC members, this unique collaboration stimulates creative thinking for managing health care for uninsuredCentral Texans through shared data, medical records and enrollment criteria During FY09, theparticipating partners of the ICC, including the Network's multiple clinics, provided 981,086 encounters(Inpatient, Outpatient, ED, Clinic, Lab/X-ray, Dental, Non-medical) to 265,489 low-income uninsured andunderinsured patients in the three counties An additional 76,827 encounters occurred for more than31,539 low-income uninsured and underinsured patients outside the three-county area Project AccessThe Travis County Medical Society, the Seton Family of Hospitals and other members of the ICC haveinitiated a coordinated system of volunteer doctors who work with other local providers to offer medical,hospital, diagnostic and pharmacy assistance for the uninsured in Travis County As of December 2009,1,026 volunteer physicians were participating in the program Seton helped secure a grant to create theprogram Patient Prescription Assistance Program Improving access to medications for patients was keyto both Seton and the ICC As a result, Seton selected a software program that is now shared by all ICCpartners and helps to qualify uninsured patients to receive free medications from participatingpharmaceutical companies Seton also provides uninsured patients assistance with the often tedious andcomplex paperwork required by the drug companies to receive these free medications Patients benefitfrom reduced costs and ultimately better health ICC partners are able to extend charity services furtherbecause they no longer have to cover the costs of medications for these patients More than $3 1 millionworth of prescription drugs were donated through the PPAP Nurse Triage Call Center Seton's NurseTriage Call Center makes Registered Nurses available around the clock -- 24-hours a day, 7 days a week-- free of charge to assist callers with urgent care needs and schedule doctors' appointments to avoidunneeded emergency room visits The Call Center nurses are able to schedule same and next-dayappointments for callers at participating ICC clinics The Call Center received approximately 75,000 callsduring FY09 Nurses were able to redirect approximately 32% of callers to home-based self-care or aprimary care appointment the following day In addition, they w ere able to provide general healthcareinformation as appropriate (approximately 13%) Health Alliance for Austin Musicians For several years,musician advocates in Austin have been looking for ways to increase access to care for area musicianswho cannot afford to pay for health insurance

Explanation

Seton, the SIMS Foundation and the St David's Foundation formed a unique collaboration to address this need Theresulting Health Alliance for Austin Musicians now provides access to primary health care, diagnosis and medicaltreatment through Seton, dental services through St David's Foundation and mental health services through SIMS In2009, 1,012 musicians were served through Seton's Community Health Centers as part of the Health Alliance forAustin Musicians Dell Children's Medical Center of Central Texas/AISD Student Health Services The Dell Children'sMedical Center of Central Texas, a member of the Seton Family of Hospitals, provides healthcare for approximately83,000 public school students through a unique partnership with the Austin Independent School District The programcovers prevention, wellness services, in-school medication, injured child care and management of chronic healthconditions It utilizes a unique softw are program that facilitates communication and collects data to improve servicesThe program identifies uninsured children who need additional medical care and connects themw ith care providersThe Student Health Services programw as the first of its kind and has been replicated in schools throughout thenation During FY09, 6,371 children received immunizations by the Children's/AISD Student Health ServicesImmunization Team Disease Management for Patients with Chronic Conditions Eighty percent of the Seton Family ofHospitals' charity care dollars are consumed by 20 percent of the charity care patients served because they haveconditions that often make them very sick and require repeated ER visits, hospitalization, surgery, dialysis or stays inintensive care Recognizing this growing problem, the Network has instituted a series of programs designed toprovide extra case management assistance to these patients so they can better manage their disease insure-a-kid In1999, the Michael and Susan Dell Foundation collaborated with the Seton Family of Hospitals to create insure-a-kid,an outreach program to promote and enroll uninsured children in low-cost children's health insurance programsToday, insure-a-kid helps low-income families obtain coverage through government insurance programs, ProjectAccess and community safety net providers By screening and following up using innovative web-basedtechnology, the process is consistent, accurate, and respectful By leveraging all community programs, charitydollars are used more efficiently for children and adults who may have no other option for care ER/Trauma CenterTwo of Seton's facilities were designated as Level I trauma centers Dell Children's Medical Center for pediatrictrauma and University Medical Center Brackenridge for adult trauma These are the only Level I trauma centers inCentral Texas, and provide trauma care to the Central Texas community, regardless of the patient's ability to payUniversity Medical Center Brackenridge had 2,868 trauma admissions and reported a total of 14,709 trauma-relatedvisits during FY09 Dell Children's Medical Center had 392 trauma admissions and a total of 11,347 trauma-relatedvisits during FY09 In FY09 the Dell Children's Medical Center Trauma Service provided the following educationalopportunities to the Central Texas Trauma community "Advanced Trauma Life Support "Trauma Nursing CoreCourse * Advanced Burn Life Support * Continuing Medical Education/Continuing Nursing Education * Continuing FirstResponder Education Through w ide-reaching outreach and education efforts, the Trauma Service contributes toimproved clinical care of children throughout the Central Texas region Seton League House Located near SetonMedical Center, the Seton League House is a bed-and-bath facility that provides families a nearby place to stay whileloved ones are hospitalized The Seton League House offers overnight accommodations at reasonable ratesdesigned to avoid placing a hardship on families During FY09, the Seton League House served 3,120 visitorsPerinatal Outreach Education The Perinatal Outreach Education program coordinates the Neonatal Transport Team,which serves a 13-county area in Central Texas The program provides educational hands-on classes to hospitalswithin that area and serves as the liaison between Seton and the hospitals that transfer mothers and babies to Setonfacilities The Perinatal Outreach Program also hosts an annual Perinatal Outreach Seminar Dell Children'sPreoperative Tour Program The Dell Children's Preoperative Tour Program is a free hands-on teaching program forchildren (and their families) who are scheduled for surgery or procedures at Children's Hospital of AustinAdministered by the Child Life department, the program helps children cope with fear, anxiety and separation fromfamilies and friends In FY09, 1,018 patients and families (276 patients, 195 siblings and 547 adults) attended theprogram Patient Memorial Services Memorial services are conducted four times a year in remembrance and honor ofall the patients who died while at Seton's facilities The services provide closure for family members, as w ell as forthe employees who cared for the patients Medical Research The new culture of healthcare today supports the ideathat patients have a right to expect to receive healthcare that is based on scientific principles and evidence of provenworth To that end, the Seton Family of Hospitals Seton furthers its mission by contributing funds and personnel tosupport research that has helped advance medical care To further encourage and support nursing research, inparticular, the Nursing Research Council (NRC) was chartered in August of 2005 by the Nurse Executive Council (thenurse governing body ) The NRC's ultimate purpose is to provide a more defined infrastructure to support nursingresearch, promote nursing practice change and further support the implementation of evidence-based practice Thecouncil provides support for nurses to identify and investigate nursing problems, conduct scientific inquiry, analyzeand evaluate data and implement/apply research findings in an effort to improve nursing practice with evidence-based findings The NRC consistently assesses the nurses' challenges, barriers to initiating, conducting andparticipating in research Initiatives are discussed and reviewed in an effort to raise awareness among staff nursesof the importance of evidence-based practice and research In essence, the council reaffirmed its mission to promotea culture of research via two channels of education 1) The council hopes to expose those RNs who are otherwiseunaw are of nursing research to its conduct and 2) it hopes to support and guide those RNs who are motivated toinitiate and/or participate in research

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ReferenceExplanation

Medical Education The Seton Family of Hospitals believes that, in order to provide the best health care to thecommunity, its clinical personnel must receive ongoing medical education In FY09, Seton provided 54 directly- andjointly-sponsored Continuing Medical Education activities that included 475 hours of instruction for 4,137 physicianparticipants and 6,143 non-physician participants Subjects included Adult ECHO Case Conference BrackenridgeAdult Cancer Management Brain & Spine Case Conference Breast Cancer Pre-Treatment Conference ChestConference Child and Adolescent Psychiatry Journal Club Clinical Psychopharmacology and Therapeutics LectureSeries Clinical Research Seminars Pediatric Craniofacial Case Conference Critical Care Journal Club Ethics in MedicalPractice Psychiatry Faculty Journal Club Gyn Cancer Neonatal Grand Rounds OB/Gyn Grand Rounds PsychiatryOutpatient Clinical Case Conference Heart Transplant & Performance Improvement Committee Meeting PediatricCancer Management Conference Pediatric Cardiac Case Conference Pediatric Cardiology Lecture Pediatric GrandRounds Pediatric Neuro-Oncology Case Conference Pediatric Palliative Care Pediatric Trauma Grand RoundsPediatric Trauma Performance Improvement Perinatal Outreach Physician Leadership Series Psychiatry FacultyJournal Club Psychiatry Grand Rounds Seton Northwest Cancer Conference SMC Austin Adult Cancer ManagementSMC Williamson Adult Cancer Management SMC Williamson Pediatric Grand Rounds Seton Northw est Adult CancerManagement Stroke Case Conference Trauma Physicians Performance Improvement Trauma Rounds Trauma RoundsJournal Club 2009 Ethics Conference Adult Stem Cells in Spinal Cord Treatment Summit Austin Trauma & Critical CareConference Caring for the Jehovah's Witness Patient - An Ethical Challenge Central Texas Clinical Research Forum2009 Clinical Integration, Federal Initiatives, & the Texas Legislature Current Concepts in Neuroscience 2009Essentials of Credentialing for Physician Leaders Ethical Issues at the End of Life In Their Shoes UnderstandingCultural Effectiveness as a Means to Build Relationships Keeping Central Texas Children Well Microsurgery andReimplantation Postpartum Depression Summit Safety Behaviors Texas Adolescent Health Symposium2009

Explanation

Patient Services During FY09, Seton's facilities treated and discharged 62,735 adults and children in the communityfor a total of 278,722 patient days Seton also provided 615,731 outpatient visits, including 23,475 outpatient surgeryvisits and 239,030 emergency and minor care visits In addition, Seton provided 7,061 home health visits forhomebound patients through the Seton Highland Lakes home care service The Seton Family of Hospitals providesthe following in-patient and out-patient medical services to the community Unique Services Seton supports uniqueservices unavailable elsew here in the region including * Central Texas' only Level I trauma centers Dell Children'sMedical Center (pediatric) and University Medical Center Brackenridge (adult) "An advanced neurosciences centerthat houses state-of-the-art equipment, such as the CyberKnife The first in Central Texas, the CyberKnife is theabsolute leading edge in medical technology - using an image-guidance system, similar to w hat is found in themilitary's high-tech image guided missiles - to accurately locate and treat tumors in the brain and body * CentralTexas' only heart transplant center (Seton Medical Center Austin) certified by Medicare and named a destination sitefor technology to help sustain patients with failing hearts, including the use of Ventricular Assist Devices * RegionalHigh Risk Maternity and Neonatal Center providing care for high-risk moms and babies, micro preemies and multiplebirths * A dedicated pediatric hospital - Dell Children's Medical Center of Central Texas -- serving a 46-county areadedicated solely to comprehensive medical and surgical care for children *A nationally-recognized and highlyinnovative Student Health Services Program operated in collaboration with the Austin Independent School District thatserves more than 83,000 students "The community's only private inpatient mental health hospital, Seton Shoal Creek,serving children, adolescents, adults and seniors Comprehensive healthcare services Seton provides the followingin-patient and out-patient medical services to the community at one or more locations * Major (Level I) TraumaCenters verified by the American College of Surgeons * Urgent and 24-hour emergency care * Critical care services "Intermediate care services * General and subspecialty inpatient/outpatient surgical services including thoracic,cardiovascular, open heart, urology, obstetrics/gynecology, plastics, maxillo-facial, ophthalmology, ENT, orthopedic,spine, trauma and pediatric * Internal medicine, family practice and subspecialties * Specialty outpatient clinic *Cardiovascular and telemetry services * Medical/Surgical services * Comprehensive Maternity Services, includinghigh risk obstetrical, Level I and Level III (Neonatal) Nurseries "Advanced Neurosciences, including CyberKnife, *Certified Stroke Centers * Certified Chest Pain Centers * Resuscitation Center Designations * Orthopedics * Oncology* Nephrology * Heart failure and heart transplant services , destination facility for Ventricular Assist Device (VAD)technology Diagnostic and Therapeutic Services * Physical, occupational and speech therapy * Extensiverehabilitation services * Wound Care clinic * Invasive and non-invasive diagnostic cardiology / catheterizationlaboratory * Cardiac Rehabilitation * Diagnostic radiology including fluoroscopy, x-ray, CT Scan, nuclear medicine,special procedures and MRI * Outpatient surgery * Pastoral care * Social w ork/discharge planning/case management* Cardiopulmonary services * Laboratory services * Pharmaceutical Services Pediatric Services * Children'sEmergency Center and Level I Trauma Center * Children's Regional Heart Program" Children's Surgical Services "Children's Therapy Gym * Dell Children's Imaging Center * Juvenile Diabetes Team * Neonatal Intensive Care Unit "Pediatric Intensive Care Unit * Pediatric Critical Care Transport Team * Specialty Care Center * Child Life Department *The Childhood Cancer & Blood Disorders Center * Children's Asthma Program * Pediatric Dental CareWellness/Education Services * Lactation education * Parent and family education for obstetrics * Diabetic education *High risk OB education * Cancer screenings/mammography * Exercise classes * Nurse Triage Call Center * NutritionPrimary Care Services (Community Health Centers for Uninsured) * Physician/nurse practitioner visits * Pharmacy "Social Services * Health education (including Diabetes education, nutrition and cooking classes)

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ReferenceExplanation

Inpatient Psychiatric Hospital Services * Acute inpatient adult psychiatric services * Acute children and adolescentpsychiatric services " Psychiatric Intensive Care(locked) Inpatient de-tox and psychiatric stabilization * Electro-Convulsive Therapy "Adolescent Intensive Outpatient (12 hours per week) Programs psychiatric and substanceabuse "Adult Intensive Outpatient Programs psychiatric and substance abuse Links to Additional Community BenefitInformation Visit the Seton Family of Hospitals' Web site at www seton net Summary Seton continues to build on acentury of service, committed to providing access to comprehensive, leading edge, compassionate health care toour patients, regardless of their ability to pay In the future, Seton w ants to further that proud tradition, and to besuccessful means addressing the ever-growing demand of our changing community Through leadership,collaborative efforts and good stewardship, Seton can meet those demands and truly make an impact on those weserve

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ReferenceExplanation

THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OFTHE BOARD CHAIR, PRESIDENT/CEO, SECRETARY, AND OTHER DIRECTORS (8 MEMBERS IN TOTAL) THE

FORM 990,EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN

PART V I,THE INTERIM PERIODS BETWEEN THE REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS,

QUESTIONPROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE

1ACORPORATE MEMBER ALL ACTIONS ARE CONTEMPORAEOUSLY DOCUMENTED AND REPORTED TO THEBOARD AT THE EARLIEST MEETING

For Paperwork ReduchonActNohce , seethe Instructons forForm 990 Cat No 51056K Schedule 0 (Form 990)2008

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data -

SCHEDULE R Related Organizations and Unrelated Partnerships(Form 990)

Department of the Treasury

Internal Revenue Service

- Attach to Form 990 . To be completed by organizations that answerd "Yes" to Form 990, Part IV , lines 33, 34, 35, 36, or 37.

- See separate instructions.

DLN:93493131011290

OMB No 1545-0047

zoosName of the organization Employer identification numberSETON HEALTHCARE

74-1109643

Identification of Disregarded Entities

(A)Name, address, and EIN of disregarded entity

(B)Primary activity

(C)Legal domicile (stateor foreign country)

(D)Total income

(E)End-of-year assets

(F)Direct controlling

entity

Identification of Related Tax-Exempt Organizations

(A) (B) (C) (D) (E) (F)Name, address, and EIN of related organization Primary activity Legal domicile (state Exempt Code section Public charity status Direct controlling

or foreign country) (if section 501(c)(3)) entity

ASCENSION HEALTH

P 0 BOX 45998HEALTH CARE SYSTEM

MO 501(C)(3) SCH A, LINE 11A N/AST LOUIS, M0631455998

OFFICE

31-1662309

BLUE LADIES MINERALS INCTHE SETON FUND OF THE

1345 PHILOMENA STREETOWN OIL AND MINERAL

TX 501(C)(3) SCH A, LINE 11CDAUGHTERS OF CHARITY

AUSTIN, TX78723RIGHTS, REAL ESTATE OF ST VINCENT DE PAUL

74-2971975

TWENTY-SIX DOORS INCTHE SETON FUND OF THE

1345 PHILOMENA STREETTO HOLD TITLE TO REAL

TX 501(C)(25) N/ADAUGHTERS OF CHARITY

AUSTIN, TX78723PROPERTY OF ST VINCENT DE PAUL

74-2855201

SETON HAYS FOUNDATION

1345 PHILOMENA STREET FUNDRAISING TX 501(C)(3) SCH A, LINE 11A N/AAUSTIN, TX7872326-2842608

INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS

1345 PHILOMENA STREETDELIVERY OF HEALTH CARE

TX 501(C)(3) 170(b)(1)(A)(ni) N/AAUSTIN, TX78723

SERVICES

26-2908163

TRI-COUNTY PRACTICE ASSOCIATES

1345 PHILOMENA STREETDELIVERY OF HEALTH CARE

TX 501(C)(3) 170(b)(1)(A)(ni) N/AAUSTIN, TX78723

SERVICES

26-4562522

TRI-COUNTY CLINICAL

1345 PHILOMENA STREETDELIVERY OF HEALTH CARE

TX 501(C)(3) 170(b)(1)(A)(ni) N/AAUSTIN, TX78723

SERVICES

26-4562712

For Paperwork Reduction Act Notice , see the Instructions for Form 990 . Cat No 50135Y Schedule R (Form 990) 2008

Schedule R. (Form 990) 2008 Page 2

Identification of Related Organizations Taxable as a Partnership

(A)Name, address, and EIN of

related organization

(B)Primary activity

Legaldomicile(state orforeigncountry)

( D)Direct controlling

entity

(E)Predominant

income(related,investment,unrelated)

(F)Share of total income

(G )Share of end-of

year assets

Disproprtionateallocations?

(I)Code V-UBI amount

onBox 20 of K-1

General ormanagingpart ner?

Yes No Yes No

Identification of Related Organizations Taxable as a Corporation or Trust

(A) (B) (C) (D ) ( E) (F) (G) (H)Name, address, and EIN of related organization Primary activity Legal domicile Direct controlling Type of entity Share of total income Share of Percentage

(state or entity (C corp, S corp, end-of-year ownershipforeign or trust) assetscountry)

SETON PHYSICIAN HOSPITAL NETWORK1345 PHILOMENA STREET

HEALTH SERVICES TX N/A C 978,528 100 000 %AUSTIN, TX7872374-2643825

ADVANTAGE HEALTHCO INC1345 PHILOMENA STREET

HEALTH SERVICES TX N/A C 100 000 %AUSTIN, TX7872374-2698151

SETON HEALTH PLAN INC1345 PHILOMENA STREET

HMO TX N/A C -815,959 12,716,203 100 000 %AUSTIN, TX7872374-2725348

TOPFER BUILDING CONDOMINIUM ASSOCIATIONCOMMERCIAL

1345 PHILOMENA STREETBUILDING TX N/A C 6,673 66 660 %

AUSTIN, TX78723ASSOCIATION

74-3007869

SETON MSO INC1345 PHILOMENA STREET

HEALTH SERVICES TX N/A C 100 000 %AUSTIN, TX7872374-2870455

ADVANTAGE MANAGEMENT SERVICES ORGANIZATIONSETON PHYSICIAN

1345 PHILOMENA STREETHEALTH SERVICES TX HOSPITALL NETWORK C 100 000 %

AUSTIN, TX7872374-2677756

Schedule R (Form 990) 2008

Schedule R (Form 990) 2008 Page 3

Transactions with Related Organizations

Note . Complete line 1 if any entity is listed in Parts II, III or IV Yes No

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity la Yes

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

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

d Loans or loan guarantees to or for other organization( s) ld No

e Loans or loan guarantees by other organization (s) le No

f Sale of assets to other organization( s) if No

g Purchase of assets from other organization (s) lg No

h Exchange of assets lh No

i Lease of facilities, equipment, or other assets to other organization (s) ii No

j Lease of facilities, equipment, or other assets from other organization( s) lj No

k Performance of services or membership or fundraising solicitations for other organization( s) lk No

I Performance of services or membership or fundraising solicitations by other organization( s) 11 No

m Sharing of facilities, equipment, mailing lists, or other assets lm No

n Sharing of paid employees in Yes

o Reimbursement paid to other organization for expenses to Yes

p Reimbursement paid by other organization for expenses lp No

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

r Other transfer of cash or property from other organization( s) lr No

2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds

CName of other organization(s)Transaction

Amount Involvedtype(a-r)

(1)

SeeAdditionalDataTable

(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2008

Schedule R (Form 990) 2008

Unrelated Organizations Taxable as a Partnership

Page

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assetsor gross revenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships

(A)Name, address, and EIN of entity

(B)Primary activity

(C)Legal domicile

(state or foreigncountry)

A(eallPartnerssection

501(c)(3)organizations?

( E)Share of

end-of-yearassets

(F)Disproprtionateallocations?

(G)Code V-UBI

amount on Box20 of K-I

(H)General ormanaging

rt ne r7pa

Yes No Yes No Yes No

Schedule R (Form 990) 2008

Additional Data

Software ID:

Software Version:

EIN: 74 -1109643

Name : SETON HEALTHCARE

Form 990. Schedule R. Part II - Identification of Related Tax-Exemut Organizations

Return to Form

C(A) (B) Legal Domicile(D)

(F)Name, address , and EIN of related organization Primary Activity (State

Exempt Code Public charityDirect Controlling

or Foreignsection status

Entity

Country)(if 501(c)(3))

ASCENSION HEALTH

HEALTH CARE SYSTEMP 0 BOX 45998 MO 501(C)(3) SCH A, LINE 11A N/A

OFFICEST LOUIS, MO631455998

31-1662309

BLUE LADIES MINERALS INC THE SETON FUND OF

THE DAUGHTERS OFOWN OIL AND MINERAL

1345 PHILOMENA STREET TX 501(C)(3) SCH A, LINE 11C CHARITY OF STRIGHTS, REAL ESTATE

AUSTIN, TX78723 VINCENT DE PAUL

74-2971975

TWENTY-SIX DOORS INC THE SETON FUND OF

THE DAUGHTERS OFTO HOLD TITLE TO

1345 PHILOMENA STREET TX 501(C)(25) N/A CHARITY OFSTREAL PROPERTY

AUSTIN, TX78723 VINCENT DE PAUL

74-2855201

SETON HAYS FOUNDATION

1345 PHILOMENA STREET FUNDRAISING TX 501(C)(3) SCH A, LINE 11A N/A

AUSTIN, TX78723

26-2842608

INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF

CENTRAL TEXAS

DELIVERY OF HEALTHTX 501(C)(3) 170(b)(1)(A)(iii) N/A

1345 PHILOMENA STREET CARE SERVICES

AUSTIN, TX78723

26-2908163

TRI-COUNTY PRACTICE ASSOCIATES

DELIVERY OF HEALTH1345 PHILOMENA STREET TX 501(C)(3) 170(b)(1)(A)(ui) N/A

CARE SERVICESAUSTIN, TX78723

26-4562522

TRI-COUNTY CLINICAL

DELIVERY OF HEALTH1345 PHILOMENA STREET TX 501(C)(3) 170(b)(1)(A)(ui) N/A

CARE SERVICESAUSTIN, TX78723

26-4562712

Form 990, Schedule R, Part V - Transactions with Related Organizations

(A) (B) (C)Name of other organization Transaction Amount Involved

type(a-r) ($)

(1) SETON MEDICAL GROUPN 12,931,462

(2) SETON MEDICAL GROUP0 349,332

(3) PEDIATRIC CRITICAL CARE ASSOCIATESN 11,834,143

(4) PEDIATRIC CRITICAL CARE ASSOCIATES0 88,644

(5) CTMFINCN 39,655,490

(6) CTMFINC0 18,094,834

(7) AUSTIN CHILDREN'S CHEST ASSOCIATES IIN 4,693,969

(8) AUSTIN CHILDREN'S CHEST ASSOCIATES II0 601,696

(9) PEDIATRIC SURGICAL SUBSPECIALISTSN 19,760,977

(10) PEDIATRIC SURGICAL SUBSPECIALISTS0 733,891

(11) THE SETON FUND OFTHE DAUGHTERS OF CHARITY OF ST VINCENT DE PAULN 3,975,000

(12) THE SETON FUND OFTHE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL0 820,820

(13) SETON HAYS FOUNDATIONN 547,528

(14) SETON HAYS FOUNDATION0 24,137

(15) CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXASN 3,923,353

(16) CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS0 822,632

(17) SETON WILLIAMSON FOUNDATIONN 1,474,899

(18) SETON WILLIAMSON FOUNDATION0 75,412

(19) SPECIALLY FOR CHILDRENN 42,931,700

(20) SPECIALLY FOR CHILDREN0 4,935,500

(21) INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXASN 938,228

(22) INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS0 124,492

(23) SETON COVEN 971,457

(24) SETON COVE0 266,683

(25) SETON PHYSICIAN HOSPITAL NETWORKN 538,099

(26) SETON PHYSICIAN HOSPITAL NETWORK0 56,963

(27) SETON HEALTH PLAN INCN 5,869,546

(28) SETON HEALTH PLAN INC0 4,173,633

(29) SETON FUNDQ 2,600,299

(30) CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXASQ 3,651,245

Form 990. Schedule R. Part V - Transactions with Related Organizations

(A) (B) (C)Name of other organization Transaction Amount Involved

type(a-r) ($)

(31) SETON WILLIAMSON FOUNDATIONQ 1,039,153

(32) SETON HAYS FOUNDATIONQ 878,020

(33) SETON HEALTH PLAN INCQ 1,277,129

(34) INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OFCENTRALTEXASQ 94,785

(35) CTMFINCQ 10,612,989

(36) AUSTIN CHILDREN'S CHEST ASSOCIATES IIQ 585,186

(37) PEDIATRIC SURGICAL SUBSPECIALISTSQ 515,492

(38) SETON MEDICAL GROUPQ 380,329

(39) ctMF INCA 379,061

(40) chiIDRENS MEDICAL CENTER FOUNDATION OFCENTRALTEXASC 11,266,865

(41) SETON WILLIAMSON FOUNDATIONC 1,633,888

(42) SETON FUNDC 10,789,179

(43) CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS B 45,250

(44) SETON FUNDB 69,940

(45) TOPFER BUILDING CONDOMINIUM ASSOCIATION0 73,271