2023-11-13T07:29:48+00:00 2022-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2022-01-01 611028725 Norton Healthcare Inc NORT 5026298249 Accounting 224 E Broadway 5th Fl Louisville KY 40202 Adam Kempf CFO 2023-11-13 true Adam Kempf 999009999 Kim Scifres P01316095 5023263996 2022 2023-04-26 12:10:37Z RUSSELL F COX 4967 US HIGHWAY 42 SUITE 100 Louisville KY 40222 802111273 false X WWW.NORTONHEALTHCARE.COM X 1983 KY Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage. 22 21 3959 2 300514 69098 2257661 2803690 448482736 506680681 163179597 52274276 3905157 7456554 617825151 569215201 4357984 8487750 0 215941217 242267053 0 0 244574658 279794613 464873859 530549416 152951292 38665785 2835434005 2441255153 2713518595 2394033872 121915410 47221281 Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage. false false 445514604 8487750 513836721 Norton Healthcare Inc. is a not-for-profit corporation based in Louisville, Kentucky. In 2022, Norton Healthcare, through its affiliate, Norton Hospitals Inc., had a total of 1,993 licensed beds: Norton Audubon Hospital, 432 beds; Norton Brownsboro Hospital, 197 beds; Norton Children's Hospital, 300 beds; Norton Hospital, 605 beds; Norton Women's & Children's Hospital, 373 beds; and Norton Kings' Daughter's Hospital, 86 beds. These six hospitals operate 24 hours a day, seven days a week. Norton Pharmacies PLLC, a disregarded entity of Norton Healthcare, Inc. operates five retail pharmacies and one specialty pharmacy that dispense medications for the convenience of Norton Healthcare's patients and employees. (Continued in Schedule O) 445514604 true true false true false false false false false true true false false true false false true false false true false false false false false false true true true true false false false false false false false false true false false false false false true true true true false false true X 1290 4 true 3959 true true true false false false false false false false false false true false X 22 21 true false false false false false false true true false false true true true true true true true true true true X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5th Fl LOUISVILLE KY 402022025 Russell F Cox President & CEO/Trustee 30.0 20.0 X X 4778102 0 181103 Barry Pennybaker Trustee 1.0 2.5 X 2000 0 0 Brendan Canavan Trustee (partial year) 1.0 2.5 X 0 0 0 Craig D Grant Trustee 3.0 2.5 X 2000 0 0 David Craig Trustee 1.0 3.5 X 2000 0 0 Donald H Robinson Trustee 4.0 2.5 X 0 0 0 Edie Nixon Chair 13.0 2.5 X 2000 0 0 Erwin Roberts Trustee 1.0 2.5 X 2000 0 0 G Hunt Rounsavall Sr Trustee 4.0 2.5 X 2000 0 0 Gail Lyttle Trustee 1.0 2.5 X 2000 0 0 Gary L Stewart Vice-Chair (partial yr) 5.0 2.5 X 2000 0 0 Gregory E Mayes Trustee 5.0 2.5 X 2000 0 0 James L Sublett MD Trustee 1.0 2.5 X 2000 0 0 Judge Denise Clayton Trustee 1.0 2.5 X 2000 0 0 Lee K Garlove Trustee 1.0 3.5 X 2000 0 0 Maria Hampton Trustee 2.0 2.5 X 2000 0 0 Maria L Bouvette Trustee 1.0 2.5 X 2000 0 0 Martha K Heyburn MD Trustee 1.0 2.5 X 2000 0 0 Rev William J Schultz Trustee 3.0 2.5 X 2000 0 0 Richard R Ivey Trustee 1.0 2.5 X 2000 0 0 Richard S Wolf MD Chair Emeritus 1.0 2.5 X 2000 0 0 Rick Guillaume Chair Emeritus (partial year) 1.0 2.5 X 0 0 0 Rita Hudson Shourds EdD Trustee 1.0 2.5 X 0 0 0 Ronald Lehocky MD Trustee 3.0 2.5 X 2000 0 0 Sue Davis EdD RN Trustee 1.0 2.5 X 2000 0 0 Adam Kempf Sr VP, CFO/Treasurer 30.0 21.0 X 1039507 0 178515 Michael W Gough Exec VP and COO 30.0 20.0 X 1834089 0 133598 Robert B Azar Sr VP Chief Legal Officer/Secretary 30.0 21.0 X 1116031 0 90244 Charlotte Ipsan Senior VP and Chief Hospital Officer 21.0 29.0 X 198638 395341 126651 Douglas Winkelhake Division President 50.0 0 X 1097601 0 202424 Gladys Abarca-Lopez Sr VP Chief HR Officer 50.0 0 X 869262 0 976610 James Frazier MD VP Medical Affairs 50.0 0 X 707666 0 127872 Jim Meyers Sys VP Revenue Cycle 50.0 0 X 511250 0 106101 Kathleen Exline Sys VP Perf Excel & Care Continium 50.0 0 X 506488 0 99239 Kimberly Tharp-Barrie Sr VP & CNO 50.0 0 X 505451 0 44854 Mark Kircher Division VP Finance 50.0 0 X 491130 0 51853 Mary Lynn Meyer Sr VP WCCP/ CDO 32.0 18.0 X 242754 402827 115005 Mary Jo Bean Sr VP Planning & Bus Analysis 50.0 0 X 685643 0 73042 Scott Watkins Sr VP Operations 50.0 1.0 X 771364 0 155802 Shelly Gast Sys VP Mngd Care & Payor Strategy 50.0 0 X 498479 0 91405 Steve Ready Sr VP & CIO 50.0 0 X 936353 0 177765 Steven Heilman MD Sr VP & Chief Innovation Officer 50.0 0 X 741568 0 136270 Steven Hester MD Div President Provider Ops & Sys CMO 50.0 0 X 1287903 0 245004 Brenda Runner Sys VP Assoc General Counsel 50.0 0 X 464784 0 46193 Byron Lewis Sys VP Health Policy 50.0 0 X 465246 0 95468 Helena Schulz Sys VP Treasurer 50.0 0 X 467651 0 88470 Jennifer Evans MD Sys VP Women's & Pediatric Svc Line 50.0 0 X 621174 0 710331 Stephen Wyatt MD Chief Research Executive 50.0 0 X 538641 0 32277 Tracy Williams Former Sr VP & CNO & Learning Officer 0.0 0 X 511980 0 18750 21928755 798168 4304845 468 true true false Firstsource Solutions USA LLC 10400 Linn Station Rd Suite 100 Louisville KY 40223 Patient Financial Services 7724496 Huron Consulting Services LLC 3005 Momentum Place Chicago IL 606895330 Consulting 7668337 The CSI Companies Inc P O Box 890841 Charlotte NC 40202 Consulting 4828785 Knowbrist Corp 409 Majestic Ct Keller TX 282890841 Contract Labor 3035553 Vocera Communications Inc P O Box 809087 Chicago IL 606809087 Support for clinical alarms and alert systems 2408435 126 2802797 893 2803690 Management fees 900099 390204701 390204701 Net Patient Revenue 621999 94086458 94086458 Clinical Research Trials 541715 22136225 22136225 Education Programs 624190 253297 253297 0 0 0 0 506680681 30980061 30980061 287957 287957 0 0 253902330 232896072 21006258 0 21006258 21006258 Credit Card Rebate 900099 1801874 1801874 Employee Emergency Fund 900099 219823 219823 Miscellaneous Income 900099 3902461 3601947 300514 1532396 1532396 0 0 7456554 569215201 513836721 300514 52274276 X 8398597 8398597 89153 89153 18531946 10443753 8088193 683124 511701 171423 179241758 160797465 18444293 8476500 7558188 918312 21110968 19289323 1821645 14222757 12525611 1697146 2733737 2374088 359649 745000 298000 447000 120000 48000 72000 3607015 3607015 67708242 52276033 15432209 0 7558507 6630141 928366 10299882 8441471 1858411 1279738 1036223 243515 40880307 40880307 27187576 328234 26859342 25270890 21864950 3405940 Equipment rental & repair 68595358 61798580 6796778 Pharmacy Drugs 86240044 86157429 82615 Interest allocation -41315610 -41315610 Insurance allocation -24835193 -21482442 -3352751 3719120 2958394 760726 0 530549416 445514604 85034812 0 130310908 132560957 104339390 100009266 0 4829246 30106863 46487957 0 0 0 0 4152545 4923682 64805861 69509243 338390507 244637860 73808950 93752647 1657061621 1332611103 620654574 596866651 21775973 21775973 128417320 37928428 2835434005 2441255153 248853414 304837558 5225496 8607475 1427824227 1461327511 0 0 1031615458 619261328 2713518595 2394033872 X 120973742 35067342 941668 12153939 121915410 47221281 2835434005 2441255153 X 38665785 -265633955 152274041 X false true X true true true X X 5 NORTON HOSPITALS INC 610703799 3 true 0 2276375707 COMMUNITY MEDICAL ASSOCIATES INC 611276316 9 false 0 910014197 NORTON HEALTHCARE FOUNDATION INC 310914919 7 false 0 1577189 THE CHILDREN'S HOSPITAL FND INC 616027530 7 false 0 6409281 Norton King's Daughters' Health Inc 350895832 3 false 0 2280860 5 0 3196657234 false false false false false true false false false false false false false false false false Schedule A, Part I, Line 12g(vi) Type of other support Other support includes administration overhead and direct support of operations for all supported organizations. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc., and the other four supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals. Schedule A, Part IV, Section C, Line 1 Majority director detail As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same President/Chief Executive Officer, Chief Legal Officer, Executive Vice President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 120000 120000 false Schedule C, Part II-B, Line 1 Description of the activities reported on lines 1A through 1i Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Rotunda Group LLC totaling $120,000. 2125807 2125807 34507637 25889912 8617725 253563410 218536820 35026590 48193653 211128 47982525 93752647 ALTERNATIVE INVESTMENTS MASTER TRUST UNITS 346206924 F REAL ESTATE MASTER TRUST UNITS 140514926 F Private Equity Master Trust 110144801 F 596866651 PAYABLE TO AFFILIATES 393623470 SELF INSURANCE TRUST 91882550 OTHER LIABILITIES 77788659 INTEREST RATE SWAP LIABILITY OTHER INSURANCE 3697127 Pension 52269522 Capital Lease Deferred Income LT 619261328 Central America and the Caribbean 0 0 Investments 387744038 Europe (Including Iceland and Greenland) 0 0 Investments 9708146 0 0 0 0 0 0 397452184 0 397452184 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true Goodwill Industries of Kentucky Inc 1325 South Fourth St LOUISVILLE KY 40208 610475284 501(c)(3) 4000000 Support the construction and operation of the Goodwill Campus in West Louisville. Assist Goodwill's mission and become involved in the Campus. Bates Community Development Corporation 611303937 501(c)(3) 1400000 Support to help strengthen and expand Bates' Healthy Hearts and Lifestyles program to address the unique health care needs that exist within Louisville's Smoketown and Shelby Park neighborhoods. Ronald McDonald House Charities of Kentuckiana Inc 311053467 501(c)(3) 1000000 Support the expansion of RMH's provision of temporary accommodations for families of children receiving care within Louisville Medical Center Board of Education of Jefferson County Kentucky 616001316 Jefferson Co 570000 Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. UNIVERSITY OF KENTUCKY 616001218 state of KY 210000 Support University Pharmacy College programs and support UK Leadership Program for annual graduate student scholarship KENTUCKY STATE TREASURERTeam Kentucky COVID-19 Memorial Fund 610600439 170(c)(1) 75000 General program support Team Kentucky COVID-19 Memorial Fund LEADERSHIP LOUISVILLE FOUNDATION INC 310958491 501(c)(3) 56550 Support for leadership development program METRO UNITED WAY INC 610444680 501(c)(3) 55000 Support the engagement of the community to give, advocate and volunteer Habitat for Humanity of Metro Louisville Inc 581735528 501(c)(3) 50000 Funding for a home build project Louisville Area Chamber of Commerce Inc 610434089 501(c)(6) 41700 General Program support COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC 611100993 501(c)(3) 40000 General program support for meaningful change in and beyond Louisville. WHAS CRUSADE FOR CHILDREN 237075524 501(c)(3) 35000 Corporate Gift from Combined Giving Campaign/ Supporting children with special needs FUND FOR THE ARTS INC 610479626 501(c)(3) 32500 Supporting the development and education and quality of life through the arts Community Medical Associates Inc 611276316 501(c)(3) 32225 Support of a nurse practitioner for the Bellarmine student heatlh clinic and support locatl public schools for school-based telemedicine services CHRISTIAN ACADEMY of Louisville Inc 610907309 501(c)(3) 29200 General educational support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. LIGHTER THAN AIR BALLOON ADVENTURE LLC 822120525 LLC 25257 providing hot air balloon ride certificates to not for profit organizations SACRED HEART SCHOOLS INC 611181710 501(c)(3) 25200 General education support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. ROTARY CLUB OF LOUISVILLE 610325695 501(c)(3) 25000 Support promotion and networking of local business professionals Presentation Academy Inc 610507080 501(c)(3) 25000 General education support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. AMERICAN CANCER SOCIETY INC 131788491 501(c)(3) 24000 Contribution for cancer prevention, outreach, patient services through Relay for Life GILDA'S CLUB KENTUCKIANA 201635170 501(c)(3) 24000 Providing Cancer care to patients in the community MUHAMMAD ALI MUSEUM AND EDUCATION CENTER INC 611323046 501(c)(3) 23000 providing educational programming, exhibits and parnterships that mobilize changemakers and advance social justice CHRISTIAN ACADEMY OF INDIANA 061686237 501(c)(3) 22500 Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. KENTUCKY COUNTRY DAY SCHOOL 610731998 501(c)(3) 22500 Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. KENTUCKY PHYSICIANS HEALTH FOUNDATION INC 611242062 501(c)(3) 21500 support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers. LouisvilleJefferson County Metro Government 320049006 Government 20000 Supporting hike bike and paddle- promotion of healthy lifestyle GREATER LOUISVILLE SPORTS COMMISSION 611365860 501(c)(3) 19000 promoting healthy lifestyles AMERICAN HEART ASSOCIATION INC 135613797 501(c)(3) 16000 Support Heart Health awareness LOUISVILLE DOWNTOWN DEVELOPMENT CORP 310992627 501(c)(3) 15000 Supporting Safety, cleanlinee and safety programs for the Downtown Louisvilel area redevelopment and planning for downtown district THE COUNCIL OF STATE GOVERNMENTS 366000818 501(c)(3) 15000 General program support for services for the most vulnerable adults and children ARTHRITIS FOUNDATION INC 581341679 501(c)(3) 15000 Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community. KENTUCKY CHAMBER OF COMMERCE 610405718 501(c)(6) 15000 General Program support YMCA OF GREATER LOUISVILLE INC 610444843 501(c)(3) 15000 Support for safe shelters, youth nutrition program, and youth refugee integration program HOSPARUS INC 610921718 501(c)(3) 15000 provide hospice and palliative care to individuals and families Friend for Life A Cancer Support Network Inc 611139410 501(c)(3) 15000 providing a network of resources to cancer survivors HARPER SLADE LLC 882618811 LLC 14800 Black Professional Mixer Sponsorship; Marketing $200.00;; Program support for equity and inclusion Jefferson Community and Technical College Foundation Inc 237035648 501(c)(3) 14200 General Support for healthcare careers to reduce deficit in the workforce BRAIN INJURY ALLIANCE OF KENTUCKY 611128496 501(c)(3) 14200 Outreach, education and support for patients with brain injuries KIDS CANCER ALLIANCE INC 611256743 501(c)(3) 14000 Support pediatric cancer patients J B SPEED ART MUSEUM 610444823 501(c)(3) 13700 General program support Sanford Biggers, Codeswitch exhibition The Healing Place Inc 611164775 501(c)(3) 13000 supporting homeless shelter for men and women VOLUNTEERS OF AMERICA OF KENTUCKY INC 610480950 501(c)(3) 12500 provide affordable housing and other assistance to low income families FAMILY SCHOLAR HOUSE 611285124 501(c)(3) 12000 Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency BIG BROTHERS BIG SISTERS OF KENTUCKIANA 616057856 501(c)(3) 11500 support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors JUNIOR ACHIEVEMENT OF KENTUCKIANAINC 610476694 501(c)(3) 11450 support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance AMERICAN LUNG ASSOCIATION 131632524 501(c)(3) 11400 improving lung health and preventing lung disease through education, advocacy and research ASSUMPTION HIGH SCHOOL INC 611133759 501(c)(3) 11075 General eductiona support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. LEADERSHIP SOUTHERN INDIANA 351644080 501(c)(3) 10300 Support for leadership development program Leukemia & Lymphoma Society Inc 135644916 501(c)(3) 10000 Outreach, education and general support JDRF INTERNATIONAL 231907729 501(c)(3) 10000 funds type 1 diabetes research, provides a broad array of community and activist services to the T1D population SPINA BIFIDA ASSOCIATION OF KENTUCKY INC 311081176 501(c)(3) 10000 supporting education and resources for families affected by spina bifida Home of the Innocents Inc 610445834 501(c)(3) 10000 support the enrichment of the lives of children and families in our community NEIGHBORHOOD HOUSE INC 610445842 501(c)(3) 10000 Support children and families ST JOHN CENTER INC 611135907 501(c)(3) 10000 Support homeless population LOUISVILLE OLMSTED PARKS CONSERVANCY INC 611196368 501(c)(3) 10000 Preserving Louisville's historic parks and parkways CITIZENS OF LOUISVILLE ORGANIZED AND UNITED TOGETHER 611202173 501(c)(3) 10000 Program support of interfaith relations and social justice LEADERSHIP KENTUCKY FOUNDATION INC 311096215 501(c)(3) 9600 General donation to sustain LKY programs NATIONAL MULTIPLE SCLEROSIS SOCIETY 135661935 501(c)(3) 9000 Support education and resources related to multiple sclerosis AMERICAN RED CROSS 530196605 501(c)(3) 9000 Support red cross efforts of emergency assitance, disaster relief and education NATIONAL KIDNEY FOUNDATION OF KENTUCKY 610673518 501(c)(3) 9000 Supporting the awareness, prevention and treatment of kidney diesease Kentucky Chapter - American College of Cardiology 611225884 501(c)(3) 8540 General program support for education related to best practice and innovation in the field of cardiology 21st Century Parks Inc 201780317 501(c)(3) 8400 PRESERVE, PROTECT AND MAINTAIN OPEN GREEN SPACES MARCH OF DIMES FOUNDATION 131846366 501(c)(3) 8000 Outreach, education and support for families with premature babies Louisville Pride Foundation DBA Louisville Pride Festival 471945331 501(c)(3) 8000 Support inclusion and unity for all YOUTH ETHICS AND SKILLS CENTER 262737625 501(c)(3) 7500 supporting youth to become positive leaders SHIVELY AREA MINISTRIES INC 611134579 501(c)(3) 7500 Contribution for health/wellness programs, medical assistance for underserved population in Shively Area LDG DEVELOPMENT FOUNDATION 834099012 501(c)(3) 7500 "Back to School" Initiative INTEGRATING WOMAN LEADERS FOUNDATION INC 471139202 501(c)(3) 7000 promotes acceleration of advancement for women in leadership THE CENTER FOR WOMEN AND FAMILIES INC 610444846 501(c)(3) 6700 Supporting the rebuild of families after spousal abuse TELUGU ASSOCIATION OF KENTUCKIANA 030528530 501(c)(3) 6500 Support of telugu people in the community The Louisville Urban League Inc 610444771 501(c)(3) 6000 provides workforce development services, housing services, and youth development & education services. CYSTIC FIBROSIS FOUNDATION 131930701 501(c)(3) 5700 Cystic Fibrosis patient support BAPTIST SEMINARY OF KENTUCKY 611312812 501(c)(3) 5400 empowering leadership for ministry 68 5 Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances 168 89153 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE MANAGER OF STEWARDSHIP. THE GRANT IS REVIEWED AND APPROVED BY NORTON HEALTHCARE MANAGEMENT. ALL GRANT REQUESTS GREATER THAN $100,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS OR THE CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN. X true true X X X X X true true false false false false false true false Russell F Cox President & CEO/Trustee 1381929 0 850949 0 2545224 0 144894 0 36209 0 4959205 0 1456526 0 Robert B Azar Sr VP Chief Legal Officer/Secretary 577778 0 257754 0 280499 0 74695 0 15549 0 1206275 0 165378 0 Michael W Gough Exec VP and COO 1006097 0 501896 0 326096 0 101573 0 32025 0 1967687 0 31939 0 Adam Kempf Sr VP, CFO/Treasurer 617611 0 278616 0 143280 0 144879 0 33636 0 1218022 0 78012 0 Tracy Williams Former Sr VP & CNO & Learning Officer 0 0 0 0 511980 0 10269 0 8481 0 530730 0 487647 0 Gladys Abarca-Lopez Sr VP Chief HR Officer 447049 0 218327 0 203886 0 946875 0 29735 0 1845872 0 61132 0 Mary Jo Bean Sr VP Planning & Bus Analysis 188209 0 393980 0 103454 0 60126 0 12916 0 758685 0 50816 0 Kathleen Exline Sys VP Perf Excel & Care Continium 334108 0 116349 0 56031 0 69296 0 29943 0 605727 0 39892 0 James Frazier MD VP Medical Affairs 451196 0 148366 0 108104 0 95997 0 31875 0 835538 0 50868 0 Shelly Gast Sys VP Mngd Care & Payor Strategy 331862 0 111996 0 54621 0 68680 0 22725 0 589884 0 38400 0 Steven Heilman MD Sr VP & Chief Innovation Officer 415595 0 211723 0 114250 0 102354 0 33916 0 877838 0 50812 0 Steven Hester MD Div President Provider Ops & Sys CMO 779470 0 361670 0 146763 0 209998 0 35006 0 1532907 0 101268 0 Charlotte Ipsan Senior VP and Chief Hospital Officer 183608 182409 0 133786 15030 79146 87392 8338 13169 17752 299199 421431 0 40136 Mark Kircher Division VP Finance 306101 0 92052 0 92977 0 28157 0 23696 0 542983 0 0 0 Mary Lynn Meyer Sr VP WCCP/ CDO 242754 137725 0 185806 0 79296 0 92920 0 22085 242754 517832 0 52024 Jim Meyers Sys VP Revenue Cycle 355063 0 105305 0 50882 0 73641 0 32460 0 617351 0 36104 0 Steve Ready Sr VP & CIO 517319 0 283552 0 135482 0 145763 0 32002 0 1114118 0 70996 0 Scott Watkins Sr VP Operations 420274 0 218722 0 132368 0 121362 0 34440 0 927166 0 61244 0 Douglas Winkelhake Division President 607605 0 317668 0 172328 0 170476 0 31948 0 1300025 0 88948 0 Kimberly Tharp-Barrie Sr VP & CNO 301972 0 100122 0 103357 0 29261 0 15593 0 550305 0 8582 0 Jennifer Evans MD Sys VP Women's & Pediatric Svc Line 419797 0 124426 0 76951 0 687413 0 22918 0 1331505 0 49772 0 Byron Lewis Sys VP Health Policy 345772 0 34100 0 85374 0 66193 0 29275 0 560714 0 40920 0 Brenda Runner Sys VP Assoc General Counsel 269368 0 92485 0 102931 0 24849 0 21344 0 510977 0 0 0 Helena Schulz Sys VP Treasurer 302176 0 105808 0 59667 0 64599 0 23871 0 556121 0 36276 0 Stephen Wyatt MD Chief Research Executive 399423 0 96538 0 42680 0 26213 0 6064 0 570918 0 9635 0 Schedule J, Part I, Line 1a Discretionary spending account DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, Inc. EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2022: Russell F. Cox - $30,000 Michael G. Gough - $30,000 Robert B. Azar - $17,500 Adam Kempf - $15,000 Tracy Williams - $11,442 Steve Hester - $17,500 Scott Watkins - $15,000 Gladys Abarca-Lopez - $14,135 Steve Ready - $15,000 James Frazier - $10,000 Steve Heilman - $15,000 Shelly Gast - $10,000 Douglas Winklehake - $17,500 Mary Jo Bean - $8,077 Helena Schulz - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Mark Kircher - $10,000 Charlotte Ipsan $5,769 Kimberly Tharp-Barrie - $11,923 Jim Meyers - $10,000 Byron Lewis - $15,000 Schedule J, Part I, Line 4a Severance or change-of-control payment Severance payment was received during 2022 by Former Key Employee, Tracy Williams in the amount of $308,213; Key Employee, Gladys Abarca-Lopez in the amount of $29,408. Other compensation included in Schedule J Column B(iii) Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $117,699 Michael W. Gough - $74,682 Robert Azar - $54,258 Adam Kempf - $125,316 Mary Lynn Meyer - $70,456 Mary Jo Bean - $45,917 Jennifer Evans - $61,844 Shelly Gast - $50,047 Kathleen Exline - $50,423 James Frazier - $77,409 Steven Heilman - $83,746 Steven Hester - $182,896 Steve Ready - $118,766 Scott Watkins - $92,369 Douglas Winkelhake - $140,889 Stephen Wyatt - $10,963 Helena Schulz - $44,150 Mark Kircher - $7,645 Gladys Abarca-Lopez - $77,316 Kimberly Tharp-Barrie - $7,819 Charlotte Ipsan - $69,414 Jim Meyers - $53,809 Byron Lewis - $50,943 Brenda Runner - $4,984 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2022 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $2,156,367 Michael W. Gough - $178,379 Robert Azar - $228,616 Adam Kempf - $115,476 Mary Lynn Meyer - $52,046 Mary Jo Bean - $64,801 Jennifer Evans - $59,573 Shelly Gast - $38,416 Kathleen Exline - $39,909 James Frazier - $69,824 Steven Heilman - $73,254 Steven Hester - $101,311 Steve Ready - $92,382 Scott Watkins - $91,374 Tracy Williams - $221,318 Douglas Winkelhake - $127,703 Stephen Wyatt - $9,635 Helena Schulz - $46,206 Mark Kircher - $49,829 Gladys Abarca-Lopez - $78,999 Kimberly Tharp-Barrie - $51,377 Charlotte Ipsan - $48,416 Jim Meyers - $36,119 Byron Lewis - $45,522 Brenda Runner - $68,796 Schedule J, Part I, Line 7 Non-fixed payments In 2022, Norton Healthcare, Inc. (NHC) had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval. A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAL8 2011-08-10 75000000 SEE SUPPLEMENTAL INFORMATION false false false B LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAW4 2013-09-26 200000887 SEE SUPPLEMENTAL INFORMATION false false false C LouisvilleJefferson County Metro Government 320049006 54659LBV5 2016-08-11 612775838 SEE SUPPLEMENTAL INFORMATION false false false D LouisvilleJefferson County Metro Government 320049006 000000000 2016-08-11 100075000 SEE SUPPLEMENTAL INFORMATION false false false A 5305000 0 75000300 0 0 0 953000 2000 0 74045259 41 0 2011 false false true true B 0 0 200060571 0 0 0 0 0 31048 200029523 0 0 2014 false false true true C 33840000 0 616547762 0 2490756 0 0 0 4580985 300912044 308563977 0 2019 true false true true D 87520000 0 100075000 0 0 0 0 0 0 0 100075000 0 true false true true A false true true true true true 0.0217 0.0 0.0217 false false true B false true true true true true 0.0109 0.0 0.0109 false false true C false true true true true true 0.0082 0.0 0.0082 false false true D false false false false true 0.0 0.0 0.0 false false true A false false false true true false false NONE false true B false false false true true false false NONE false true C false false false true false false false false true D false false false true true false false false true A true B true C true D true Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: ROW A ROW A: 2011A/B BOND ISSUES - TO REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING THE NORTON CANCER INSTITUTE DOWNTOWN RADIATION CENTER, CONSTRUCTING AND EQUIPPING A PEDIATRIC AMBULATORY CARE CENTER (NORTON CHILDREN'S MEDICAL CENTER - BROWNSBORO) AND RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AND ITS AFFILIATES AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: ROW B ROW B: 2013A/C BOND ISSUES - TO REIMBURSE THE CORPORATION FOR THE COSTS OF (I) RENOVATIONS AND EQUIPMENT TO CONVERT NORTON SUBURBAN HOSPITAL TO A WOMEN'S AND CHILDREN'S HOSPITAL, (II) RENOVATIONS AND EQUIPMENT FOR NORTON CHILDREN'S HOSPITAL, (III) RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITION OF HOSPITAL EQUIPMENT, INCLUDING BUT NOT LIMITED TO SOFTWARE, MEDICAL AND SURGICAL EQUIPMENT, IMAGING EQUIPMENT AND MONITORING EQUIPMENT AT THE FACILITIES OF THE OBLIGATED GROUP MEMBERS AND (IV) RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AT ITS AFFILIATES. Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW C ROW C: 2016A BOND ISSUE - TO REIMBURSE THE CORPORATION FOR COSTS OF (i) EXPANSION AND MAJOR RENOVATION OF NORTON AUDUBON HOSPITAL (ii) ACQUISITION OF TWO PARCELS OF LAND, (iii) BUILDING, RENOVATION, REPAIR AND OTHER PATIENT CARE RELATED PROJECTS AND/OR EQUIPMENT RELATED TO THE CORPORATION (INCLUDING SOFTWARE). NORTON HOSPITALS AND/OR AFFILIATES OF THE CORPORATION, (iv) CERTAIN COSTS OF ISSUANCE AND (v) CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM REVENUE BONDS, SERIES 2006 (NORTON HEALTHCARE, INC.) Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW D ROW D: 2016B/C BOND ISSUES - CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.) Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW E ROW E: 2020 A/B/C/D - TO PAY OR REIMBURSE THE CORPORATION FOR THE COST OF (i) various projects consisting of the construction, planning, renovation, expansion, equipping and acquiring patient care related projects and/or equipment related to the Corporation including but not limited to, the expansion of Norton Brownsboro Hospital, the purchase of a pediatric medical office building in Louisville, Kentucky, master plan improvements at the downtown campus, renovations and improvements at the System's campuses and improvements supporting various service lines. (ii) to fund interest on all or a portion of the Bonds during the construction of the New Money Project Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN A: 2011A/B BOND ISSUES - DIFFERENCE BETWEEN SERIES 2011 ISSUE PRICE (ISSUE DATE 8/10/11) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN B: 2013A/C BOND ISSUES - DIFFERENCE BETWEEN SERIES 2013 ISSUE PRICE (ISSUE DATE 8/10/13) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN C: 2016A BOND ISSUE - DIFFERENCE BETWEEN SERIES 2016A ISSUE PRICE (ISSUE DATE 8/11/16) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN E: 2020 A/B/C/D BOND ISSUES - DIFFERENCE BETWEEN SERIES 2020 ISSUE PRICE (ISSUE DATE 3/10/20) AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD AND GAIN/LOSS ON SETTLEMENT OF ASSETS. Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN B: 2013 A/C BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE. Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN C: 2016A BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE. Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D: 2016B/C BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE. Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN E: 2020A/B/C/D BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE. Schedule K, Part III PRIVATE BUSINESS USE COLUMN D: 2016B/C BOND ISSUES - APPLICABLE QUESTIONS ARE LEFT BLANK DUE TO BONDS REFUNDING ISSUES WHICH REFUND PRE-JANUARY 1, 2003 BOND ISSUES. Schedule K, Part IV, Line 3 IS THE BOND ISSUE A VARIABLE RATE ISSUE COLUMN B: 2013A/C BOND ISSUES - 2013A BOND ISSUE IS FIXED RATE DEBT AND 2013C BOND ISSUE IS VARIABLE RATE DEBT. PROCEEDS FROM BOTH BOND ISSUES WERE REPORTED ON ONE IRS FORM 8038 AND COMBINED INTO ONE PROJECT ACCOUNT WITH THE TRUSTEE. Schedule K, Part IV, Line 3 IS THE BOND ISSUE A VARIABLE RATE ISSUE COLUMN E: 2020A/B/C/D - 2020A BOND ISSUE IS FIXED RATE DEBT AND 2020B/C/D BOND ISSUES ARE PUT BONDS. Schedule K, Part I, Column (f) Description of Purpose - Issuer Name - ROW F ROW F: 2022 BOND ISSUE - The Bonds are being issued to (i) acquire an acute care hospital and a community and medical arts center located in Madison, Indiana (the "Project") via the refinancing of all of the Indiana Finance Authority Hospital Revenue Bonds, Series 2010 (The King's Daughters' Hospital and Health Services) (the "Refinanced Bonds"), which were used for the purpose of financing costs of the acquisition, construction, renovation and equipping of the Project on behalf of Norton-King's Daughters' Health, Inc. (Formerly, The Bethany Circle of King's Daughters' of Madison, Indiana, Inc.), a nonprofit corporation organized under the laws of the State of Indiana ("KDH"), and (ii) pay certain expenses incurred in connection with the issuance of the Bonds by the Issuer. Schedule K, Part I, Column (f) The amount of expenditures does not match the issue price COLUMN F: 2022 BOND ISSUE - DIFFERENCE BETWEEN SERIES 2022 ISSUE PRICE (ISSUE DATE 3/3/22) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 DOES NOT EQUAL ISSUANCE COSTS FROM PROCEEDS PART II, LINE 7, PLUS CAPITAL EXPENDITURES FROM PROCEEDS, PART II, LINE 10 BECAUSE OTHER SPENT PROCEEDS, PART II, LINE 11 WERE USED TO REFINANCE ALL OF THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2010 (THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES) (THE "REFINANCED BONDS") IN PART II, LINE 11. Schedule K, Part IV, Line 2c COLUMN A Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/10/2021 Schedule K, Part IV, Line 2c COLUMN B Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 09/26/2018 Schedule K, Part IV, Line 2c COLUMN C Issuer name: Louisville/Jefferson County Metro Government The calculation for computing no rebate due was performed on 08/10/2021 Schedule K, Part IV, Line 2c COLUMN D Issuer name: Louisville/Jefferson County Metro Government The calculation for computing no rebate due was performed on 08/10/2021 A LouisvilleJefferson County Metro Government 320049006 54659LCE2 2020-03-10 478988828 SEE SUPPLEMENTAL INFORMATION false false false B Indiana Finance Authority 351602316 000000000 2022-03-03 82810000 See Supplemental Information false false false A 0 0 479492394 0 0 0 0 0 35022965 444468755 672 false false false true B 4435000 0 82810000 0 0 0 586527 0 0 0 82223473 0 2022 true false true true A false true true true true true 0.0101 0.0 0.0101 false false true B false true true true true true 0.0072 0.0 0.0072 false false true A false true false false false false false false true B false true false false false false false false true A true B true Jessica Lloyd Family member of Adam Kempf, Officer 79924 Compensation false Henry Winkelhake Family member of Doug Winkelhake, Key Employee 53005 COMPENSATION false Debbie Hall Family member of Adam Kempf, Officer 31078 Compensation false Cindy DiGenova Family member of Shelley Gast, Key Employee 169027 Compensation false Craig Kircher family member of Mark Kircher, Key Employee 44080 Compensation false Kaycee Nickell Family member of Kimberly Tharp-Barrie, Key Employee 144867 Compensation false Brandon Freiberger Family member of Charlotte Ipsan, Key Employee 161143 Compensation false Form 990, Part III, Line 4a Program Service Accomplishment (Continued from Part III) In 2022, Norton Healthcare, through its affiliate, Community Medical Associates Inc., had approximately 3.2 million patient encounters. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 68,001 inpatients and 712,991 outpatients, and saw 273,173 emergency room visits. In addition, Norton Healthcare hospitals' operating rooms cared for 16,981 inpatient surgical patients and 40,965 outpatient surgical patients. Additionally, 8,736 babies were delivered at Norton Healthcare birthing facilities at Norton Hospital, Norton Women's & Children's Hospital and Norton Kings Daughter's Hospital. In 2022, King's Daughters' Health joined Norton Healthcare and is now known as Norton King's Daughter's Health. Norton KDH is focused on delivering exceptional health services to families throughout southeast Indiana and portions of northern Kentucky. The main campus, including Norton King's Daughters' Hospital, is located in Madison, Indiana. Norton KDH also maintains provider offices in Versailles (IN), Vevay (IN), Hanover (IN), Carrollton (KY), and Milton (KY). As part of our commitment to improving the health of our community, Norton Healthcare provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2022, under its charity care program, Norton Healthcare provided free care to 6,869 patients, at a cost of $15.7 million. Also, Norton Healthcare grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 9,286 patients were provided care at discounted rates. Another contribution to the community was educational support of $76.1 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $32.0 million and contributions to community groups were $2.2 million. Norton Healthcare employees donated more than 220,000 hours of community service, a benefit valued at more than $1.6 million in salaries. In addition, many employees self-reported personal volunteer activities. Norton Healthcare provides programmatic support to the UofL School of Medicine through funding and facilities. During the 2022 calendar year, 211 residents completed clinical rotations in 50 specialties at Norton Healthcare facilities. Residency programs are part of the $76.1 million in educational support and clinical funding provided to the medical school. Contributions to the community * Norton Healthcare employees and physicians gave nearly $837,000 in the 2022-2023 Combined Giving Campaign to help support nonprofit organizations that also are committed to improving the health and well-being of community residents. Supported organizations include WHAS Crusade for Children, Metro United Way, Fund for the Arts, and our own Norton Children's Hospital Foundation and Norton Healthcare Foundation. * In 2022, 75 employees helped "raise the roof" on Norton Healthcare's 17th Habitat for Humanity home at 517 Iowa Ave., Louisville, Kentucky. * In 2022, an estimated 1,404 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 625 employees and their 1,367 children by providing for their families at Christmas. * Norton Healthcare donated 210 syringe pumps to Smiths Medical in 2022. Smiths Medical is a leading global manufacturer of specialty medical devices that provides innovative and lifesaving solutions for the world's healthcare markets. The company specializes in infusion therapy, vascular access, and vital care. * The Institute for Health Equity, a Part of Norton Healthcare, was formed in 2020 to address health and racial inequities in our community. The institute's main office, located at The Village @ West Jefferson in the Russell neighborhood of West Louisville, provides community meeting spaces for mental health services, support for chronic disease management, and access to prevention and wellness resources. Norton Healthcare's community medical directors, all practicing physicians, are rooted within the institute to provide services and health education in communities and neighborhoods with the largest needs. The Institute for Health Equity also serves as a resource for physicians and other caregivers by strengthening knowledge of social drivers of health inequity, and advocating for policy changes to improve social determinants of health for underserved populations. The planned construction of Norton West Louisville Hospital was announced on Feb. 23, 2022, by Norton Healthcare, Goodwill Industries of Kentucky and Kentucky Gov. Andy Beshear. Opening in mid-2024, this hew hospital will offer comprehensive services, including adult and pediatric primary care physician offices, emergency room services, inpatient services and outpatient functions. Imaging services, including X-rays and CT scans, will be available, along with specialty services such as women's health, cardiology, neurology and endocrinology. This hospital, the first to be built in West Louisville in more than 150 years, will be unlike any other medical facility in that community and will create approximately 100 new jobs. The new hospital is part of the Norton Healthcare Goodwill Opportunity Campus, a $100 million investment in West Louisville that will bring a collection of life-enhancing programs and services to one of Kentucky's most underserved communities. The groundbreaking ceremony for the campus took place on June 28, 2022. More information is available at WestLouisvilleHospital.org. Community education and workforce development As one of Kentucky's largest health care systems, Norton Healthcare has established a culture of continual, lifelong learning. Opportunities are available through our Human Resources Department's Workforce Development team and our Norton Healthcare Institute for Education & Development. Workforce Development encourages continuing education, offers programs to improve job performance and provides financial assistance for educational programs aimed toward key areas of workforce need within the organization. Norton Healthcare encourages and supports the career goals of employees and their dependents by providing tuition assistance and scholarships, as well as other advancement opportunities. Established in the early 2000s, Workforce Development has assisted more than 6,000 students with tuition assistance. In 2022, Workforce Development financially supported nearly 850 students with over $5.4 million in educational assistance programs. * In 2022, Workforce Development provided nearly 1,160 career coaching sessions to employees and students. Each program participant worked directly with a career management coach. Coaches offer services in resume writing, career and education exploration, financial assistance opportunities and interviewing skills. * The accelerated Norton Healthcare Scholars Program, a student loan program for employees and nonemployees, provides educational funding to students interested in pursuing health care-related degrees in key areas of workforce need. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 1,000 graduates continue their careers with Norton Healthcare. * In 2018, Norton Healthcare was one of the founding partners in Jefferson County Public Schools' Academies of Louisville - a strategic pipeline development program established in conjunction with the local public school system. Jefferson County Public Schools created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. Norton Healthcare transformed its summer program and previous high school scholarship offerings into a comprehensive internship program for students on the health care academy track. The program hires high school seniors who are enrolled in a health care academy pathway to participate in career exploration in identified health care areas. Beginning in their sophomore year, Jefferson County Public Schools' health care academy students explore career pathways in one of four key areas: patient care, medical office, allied health and pharmacy technician. Each phase offers a rigorous curriculum, training in business acumen and professional development, and hands-on learning opportunities in the students' chosen career fields. The goal is to transition graduating students into staff positions within our organization after completion of the program. Tuition assistance is offered for these new employees to continue their academic and career pursuits while working at Norton Healthcare in the field of their choice. Form 990, Part III, Line 4a Program Service Accomplishment Continued * In 2019, Norton Healthcare announced a strategic partnership program with UPS and its Metropolitan College program. Norton Healthcare-UPS Health Care Career Tracks provides a two-plus-two method, splitting a four-year bachelor's degree into two parts. Typically, the first two years are spent working with UPS in a general or preclinical designation, and then the student begins their clinical program in the remaining two years. This transition allows students to explore employment with Norton Healthcare, as well as become a Norton Healthcare Scholar. This program helps to support career readiness in a health care-related field. The combined tuition assistance offers students a debt-free way to get a college education while working with two of the leading companies in the region. * Established in 2017, the Student Nurse Apprenticeship Program (SNAP) is a 12- to 18-month apprentice model let by Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development. Student nurses in the program engage in hands-on learning with an experienced nurse while living the mission of Norton Healthcare. * In 2019, Norton Healthcare launched two new apprenticeship programs. The Surgical Technologist Apprenticeship Program and the Respiratory Therapy Apprenticeship Program allow students to work and learn with tuition assistance as they grow their careers with Norton Healthcare. Development of the Medical Assistant Training Program launched in 2020 with a goal of offering internal training programs to produce quality, prepared medical assistants to introduce into the Norton Healthcare workforce. Several apprenticeship cohorts run throughout each year. * In 2022, Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development, created the Student Healthcare Assistant employment opportunity. College students enrolled in a health care discipline have the opportunity to learn about providing direct patient care while enrolled in their academic program, with emphasis on schedule flexibility and clinical experience. Norton Healthcare Institute for Education & Development provides learning opportunities to enhance the professional, educational and personal development of all employees. It consists of seven centers: the Center for Academic Affairs, Center for Allied Health, Center for Continuing Medical, Nursing & Provider Education, Center for eLearning & Clinical Documentation Support, Center for Nursing Practice, Center for Professional Growth, and Center for System Nursing & Ancillary Education. The Center for Professional Growth provides learning and growth opportunities that meet the needs of Norton Healthcare employees. Three types of leadership development courses are offered to address the needs of new, aspiring and current leaders: *N the Know: This is our orientation program for new leaders. Newly hired leaders and those promoted into leadership positions are automatically enrolled. The program consists of four required courses and six elective courses. *Learning the Norton Way: This six-week program is focused on preparing employees for leadership. Employees who wish to attend are required to obtain approval from their leaders. *Leading the Norton Way: This program is for current Norton Healthcare leaders. It is a six-week program focused on best practices for effective leadership. *Additional leadership development is provided through quarterly Norton Healthcare leadership conferences. *Staff development programs include general enrichment courses and personal and professional development opportunities that honor Norton Healthcare's commitment to lifelong learning. A variety of online and instructor-led courses focus on learning topics such as communication, diversity, interpersonal relationship-building, accountability and proficiency in Microsoft Office tools. *Norton Healthcare uses a comprehensive learning management system to provide a variety of online programs that enable staff in any specialty as well as other employees to expand their knowledge and skills. These programs were designed to meet the needs of Norton Healthcare, as well as our community, and to ensure the highest quality of patient care. Norton Faith & Health Ministries Norton Faith & Health Ministries partners with faith communities to weave together health and wellness promotion with the intentional care of the spirit. The department provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses in ministering to their members. In 2022, the department engaged in 69 events with faith partners, including, but not limited to: *Partnering with a network of 183 faith communities to promote whole-person health and wellness, provide health educational tools and health screenings, and one-on-one health ministry mentoring. *Conferences, including, post COVID, restarting the annual faith leaders conferences which in 2022 was, "Resources for Faith Leaders: Ministering in a Divided World" *Sponsoring health ministry networking programs on emergency preparedness, aging gracefully, sharing health ministry best practices, and health care event planning. *Partnering with the Kentucky Heart Disease and Stroke Prevention Task Force to provide cardiovascular assessments, risk-reduction information and education on the blood pressure awareness program The department continued to serve as a trusted source for health and wellness information by coordinating subject matter experts and speakers for a variety of health topics. It also distributed electronic correspondence to a network of health ministries, a bimonthly newsletter to 1,400 subscribers, and multiple issues of the "Health Ministries Connection" newsletter to faith communities, Norton Healthcare employees and more. Pastoral Care Department Organizational -activity and patient volumes returned to normal in 2022. Learning from the pandemic, an increased use of technology and virtual communication helped bring comfort and hope to staff, patients and families 24 hours a day, 7 days a week, across the five hospitals in Louisville and many outpatient areas that make up Norton Healthcare. Leadership consistently called on chaplains to be a resource for employees who were experiencing stress and burnout post-pandemic. Chaplain referrals and employee resources were regularly highlighted in leadership communications, alongside efforts to increase support for staff in outpatient and medical practice areas. Chaplains provided care in nearly 30,000 documented patient encounters, in addition to serving thousands of family members. Some of the many reasons chaplains became involved in the care of patients and families included: *Grief support and facilitation of decision-making at the time of death *Family support for pediatric trauma patients *Conversations about end-of-life decisions and goals of care *Education about and enacting advance directives *Offering religious rituals and literature *Discussing ethical dilemmas *Providing comfort and conversation with patients who were lonely, afraid, conflicted, struggling or celebrating good news Chaplains care for people, regardless of their religious or spiritual backgrounds and beliefs, helping them use and strengthen their spiritual, emotional and relational resources to better cope and to thrive. Through formal and informal staff support efforts, teaching, committee involvement, ethics consultations and many other ways, chaplains are fully integrated into the life of the Norton Healthcare system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute, a part of Norton Healthcare, is the Louisville area's leading cardiovascular disease prevention and treatment program. Each year, Norton Heart & Vascular Institute provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. A team of specialists treats patients at Norton Healthcare's four adult-service hospitals in Louisville and numerous diagnostic outpatient and specialty centers throughout Greater Louisville. Each facility is accredited through the American College of Cardiology's Accreditation Services, which ensures the highest-quality standards for diagnostic services. All four of Norton Healthcare's adult acute-care hospitals in Louisville are accredited by the American College of Cardiology's Accreditation Services as Chest Pain Centers, with the highest accreditation level possible for facilities able to treat heart attacks. Three of these facilities - Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital - serve as American Heart Association award-winning regional PCI (percutaneous coronary intervention) receiving centers and participate in the state's first regional STEMI program, providing 24/7 care for Form 990, Part III, Line 4a Program Service Accomplishments continued patients from throughout Kentucky and Southern Indiana who experience the most severe type of heart attack. Norton Heart & Vascular Institute offers a nationally recognized advanced heart failure and recovery program, with expertise in the management of end-stage heart failure, mechanical circulatory support implantation and support of patients who require heart transplantation. The Norton Heart & Vascular Institute Heart Rhythm Center provides state-of-the-art monitoring and a comprehensive suite of treatment options for all types of heart arrhythmias. Norton Heart & Vascular Institute opened a Women's Heart Program office staffed by a fellowship-trained cardiologist who specializes in and studies women's heart care. Our experienced team of cardiothoracic and vascular surgeons provides surgical capabilities that include ventricular assist device implantation, minimally invasive treatments for atrial fibrillation, cardiac valve repair and replacement, and repair of life-threatening vascular conditions. Vascular surgeons treat the spectrum of arterial and venous disease with endovascular and open surgical procedures, including balloon angioplasty and stenting, carotid endarterectomy, endovascular abdominal and thoracic aortic aneurysm repair with stent grafts, minimally invasive transcarotid artery revascularization, and radiofrequency and laser ablation. Norton Orthopedic Institute Norton Orthopedic Institute provides advanced orthopedic care for all bones and joints, and for people of all ages. Norton Orthopedic Institute is made up of board-certified physicians - many of whom are fellowship trained - who work together with therapists, physical rehabilitation specialists, primary care physicians, neurologists, certified athletic trainers and other care providers to offer a full range of multidisciplinary orthopedic services. These specialists practice a team approach in the diagnosis, treatment and rehabilitation of bone and joint conditions and injuries. Norton Orthopedic Institute's hip and knee replacement program has been certified as an Orthopaedic Center of Excellence by DNV Healthcare, as meeting guidelines of the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, Norton Orthopedic Institute offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. Norton Women's Care Norton Women's Care offers a complete range of services with an emphasis on caring for the whole woman - mind, body and spirit. Services focus on the health and wellness of women at all stages of life - adolescence, pregnancy, motherhood, midlife and beyond. More women choose Norton Women's Care at Norton Hospital and Norton Women's & Children's Hospital to deliver their babies than any other facility in the region. In 2022, Norton Women's Care birthing facilities at Norton Hospital, Norton Women's & Children's Hospital and Norton Kings' Daughter's Hospital provided care and medical services for 8,736 deliveries. Norton Women's Care was recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. Specialty services include full gynecologic care; pelvic health program; obstetrics, including high-risk pregnancy care; newborn care with access to Level III and IV neonatal intensive care units; cancer prevention and treatment, including a comprehensive breast health program; a dedicated women's heart and vascular care, education and support program; a bone health program addressing osteoporosis, rheumatology and prevention of other orthopedic diseases; and Norton Women's Mental Health Services for evaluation and treatment of issues including depression, premenstrual dysphoric disorder, infertility and menopause. Norton Women's Care also offers a variety of educational wellness programs through the Marshall Women's Health & Education Center- St. Matthews campus. Instructors continue to teach at the Healthy Equity Institute, Norton Hospital and Norton Women's and Children's Hospital. In 2022, classes were expanded to reach more of the community and two new sites were added for prenatal classes, including Americana, which offers Spanish classes, and Elizabeth Catholic Charities. Marshall Women's Health & Education Center also participated in multiple health fairs throughout the community in 2022. Norton Children's Prevention & Wellness Norton Children's Prevention & Wellness is supported by the Norton Children's Hospital Foundation, which raises funds exclusively for the not-for-profit Norton Children's Hospital and its sister facilities. Through donations, volunteerism and community support, the foundation is able to provide funding for equipment, new technologies, clinical research, child advocacy and health education for patients, families, medical staff and the community. *Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2022, 626 virtual and in-person car seat checks were completed. Additionally, 110 new child passenger safety technicians were certified on how to properly install car seats. *More than 10,000 third and fourth graders across Kentucky learned about bicycle safety through the Norton Children's Hospital Bike Safety Rodeo in 2022. *The Safety City program welcomed over 3,900 second-grade students to learn about bike and pedestrian safety. *In a virtual program, more than 4,800 kindergarten students participated in the 39th annual Children and Hospitals Week event. Children and Hospitals Week is designed to teach safe decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. This superhero-themed virtual option provides teachers with resources to administer the course, and students graduate as a "healthy superhero" at the conclusion of the class. *Norton Children's Food Pantries served over 20,000 individuals with food insecurity needs, a more than 20% increase compared to 2021. *Norton Children's Prevention & Wellness provided 16,000 toothbrush packs to community members and distributed over 2,300 fluoride treatments to dental practices. *Virtual classes continued in 2022, serving over 750 individuals with prevention and wellness programming. Events included cooking workshops, child safety classes and safe grandparenting classes. *The "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation is provided helicopter and five specially equipped ambulances known as mobile intensive care units. In 2022, 2,985 transportation trips were completed. Kentucky Poison Control Center of Norton Children's Hospital Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2022, the center received more than 40,000 calls and provided continued assistance through more than 42,000 follow-up calls to concerned families in all 120 counties in Kentucky, as well as to physicians and other health care providers from every health care facility in the state. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 35,000 prevention education resources to physicians' offices, health departments and schools, and almost 1,000 packets of materials to individuals who called the poison hotline at (800) 222-1222, which is available 24 hours a day, 7 days a week. The staff of the poison control center also answer the Kentucky HIV and Kentucky Opioid Assistance and Resource hotlines. Norton Neuroscience Institute Established in early 2009, Norton Neuroscience Institute is the region's leading provider of neurological care. The multidisciplinary comprehensive program has more than 110 subspecialty fellowship-trained neurosurgeons, neurologists, neuropsychologists and advanced practice providers. These specialists are trained to provide patients and their families with advanced treatment for complex neurological disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; memory and dementia disorders, movement disorders, including Parkinson's disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. Patients also have access to Cressman Neurological Rehabilitation, which offers advanced technology and specialized services in one location. Norton Neuroscience Institute provides leadership for a system of stroke care, including at Norton Brownsboro Hospital, designated as a Comprehensive Stroke Center by DNV Healthcare Inc., representing the highest level of stroke care. In addition, The Joint Commission has certified Norton Audubon Hospital and Form 990, Part III, Line 4a Program Service Accomplishments continued Norton Hospital as Primary Stroke Centers, and Norton Women's & Children's Hospital as an Acute Stroke Ready Hospital. Norton Neuroscience Institute is a leader in the region for providing innovative surgery technology, such as NeuroPace, NeuroBlate and ROSA (a robotic surgical assistant) and cutting-edge treatment for brain tumors, including TruBeam and Optune therapies. As part of the comprehensive care provided by Norton Neuroscience Institute, patients and their families have access to support resources to manage their diagnoses through two Norton Neuroscience Institute Resource Centers. The resource centers offer dedicated patient navigators, support groups, exercise programs and extensive educational resources. Norton Community Medical Associates Norton Community Medical Associates offices provide primary care in Louisville, Southern Indiana and surrounding areas at over 30 locations. Offices are staffed by teams of experienced providers who help manage short- and long-term health goals, offer guidance on disease prevention, management of chronic conditions and diagnosis of medical concerns, and provide support navigating specialized care when needed. Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. In December 2021, Norton Community Medical Associates - La Clinica Preston, Norton Healthcare's first 100% bilingual practice, opened in the Okolona area of Louisville. The staff and providers all speak English and Spanish and understand the unique concerns of Louisville's Latinx community and families. Norton Prevention & Wellness Norton Prevention & Wellness is supported by the Norton Healthcare Foundation, which raises funds exclusively for Norton Healthcare's adult-services hospitals and services. *In 2022, Norton Prevention & Wellness staff provided preventive screenings aboard the Norton Prevention & Wellness Mobile Prevention Center in collaboration with various community partners. Over 1,541 women received mammograms and/or wellness exams, including cervical cancer screenings, aboard the mobile unit. . Of those, approximately 13% had not been screened in the past five years and 11.3% had never had a mammogram. Of the 169 Mobile Prevention Center events, over half took place in underserved communities and over 60% of patients came from medically underserved areas. *Education on cardiovascular health, effects of smoking, prostate health, breast health and women's health, colon health and more was provided to 1,372 community members at various events, such as health fairs and presentations. If eligible and interested, participants were offered referrals for a colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for 143 people and 52 people received at-home testing kits. To help eliminate barriers to care, Norton Prevention & Wellness implemented a dedicated phone number, (502) 446-WELL, that links eligible patients to colonoscopy scheduling or requesting in-home tests. *In collaboration with many community partners, staff provided 1,804 health screenings (blood pressure, body mass index, glucose and cholesterol levels) for 952 participants in multiple locations throughout Jefferson County and surrounding counties, including in Southern Indiana. Each participant received education on healthy lifestyle choices, such as diet and exercise. Group education on various health and wellness topics was provided throughout the year. *Norton Prevention & Wellness conducted 11 American Lung Association Freedom from Smoking classes in 2022. Nearly half of the attendees reported being tobacco free. *In 2022, the Get Healthy Walking Club increased by 2000 members and reached over 8,000 total members. Members have free access to walk at the Louisville Zoo each day from March through October, from 8 to 9:30 a.m. Norton Healthcare Research Office Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. At any time, more than 750 clinical studies are active or pending at Norton Healthcare. These studies engage more than 400 Norton Healthcare staff and significantly impact our patients and their families. Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, infectious diseases, neurology, neurosurgery and pulmonology. Norton Healthcare invests significantly in clinical research to benefit our community and patients, and to support clinical science by participating in the development of new clinical interventions (drugs, devices, procedures) that will become generalized and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. In 2022, Norton Healthcare started building its research capacity and infrastructure to address health disparity issues in our community and region. This research stream will be coordinated through the Institute for Health Equity, a Part of Norton Healthcare. Norton Cancer Institute Norton Cancer Institute's mission is to blend comprehensive treatment and services with compassion, hope and healing for patients and their families. Through a multidisciplinary approach, its team of specialists offers patients the latest in treatments and technology focused on cancer prevention, diagnosis, care and survivorship across a broad range of specialties that include behavioral oncology, gynecologic oncology, hematology, medical oncology, neuro-oncology, oncologic dermatology, orthopedic oncology and radiation oncology. Norton Cancer Institute offers state-of-the-art medicbural, surgical and radiation therapies, including minimally invasive robotic surgery, stereotactic radiosurgery (Novalis Tx and TrueBeam STx) and advanced brachytherapy. Patients have access to groundbreaking research through its participation in dozens of innovative National Cancer Institute and industry-sponsored clinical trials. Extensive educational, physical and emotional support services, including support groups, seminars, art and music therapy, massage therapy, yoga and nutritional counseling are available through five Norton Cancer Institute Resource Centers. Norton Cancer Institute is designated by the American College of Surgeons Commission on Cancer as the only accredited Integrated Network Cancer Program in Kentucky. More information is available at NortonCancerInstitute.com Community support from our foundations In 2022, Norton Children's Hospital Foundation and Norton Healthcare Foundation raised $40.9 million in support of care at Norton Children's Hospital and its sister facilities, and Norton Healthcare's adult-service facilities. Grants totaling more than $17.9 million were invested in Norton Healthcare facilities to improve access to care and spur innovation in services. The grants supported a wide range of initiatives to expand workforce, enhance facilities, establish new programs and provide advanced facilities. *Support for the Norton Children's Autism Center, affiliated with including driving simulation equipment, a parent resource library and supplies for patients *Pediatric community health safety van provided through Norton Children's Prevention & Wellness *The Heel, Dog, Heal facility dog program across Norton Healthcare facilities, including 11 trained dogs and their handlers *Transport isolette for the "Just for Kids" Transport Team *Support for the Norton Cancer Institute Genomics Lab *Norton Heart & Vascular Institute cardiology and pulmonary mapping system *Expressive therapists for Norton Cancer Institute Pat Harrison Resource Center *Fellowship director for Norton Leatherman Spine *Operational funding for the Norton Children's Prevention & Wellness team, including the Safety City and No Kid Hungry programs, as well as additional education and outreach *Clinical research nurse at Norton Children's Cancer Institute, affiliated with the UofL School of Medicine Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2022 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 1290. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 126 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2021. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 953 VENDORS ON FORM 1096 FOR 2022. Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED THREE FORM W-2Gs ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION, INC. AND FILED ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE FOUNDATION, INC. Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT. Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 3,959 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 22,822 EMPLOYEES ON FORM W-3 FOR 2022. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws Form 990, Part VI, Line 2 Family/business relationships amongst interested persons James Frazier, Steve Heilman, Douglas Winkelhake - Business relationship, Russell F. Cox, Michael W. Gough, Robert B. Azar (Officers, Norton Enterprise, Inc.) - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body At the October 5, 2023 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 26, 2023 NHC Board of Trustees meeting , the Forms 990 and supplemental schedules were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and supplemental schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton Kings Daughter's Health, Inc. and Norton Healthcare-Indiana, Inc. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official Please see explanation provided for Form 990, Part VI, Line 15b. Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s, for NHC's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Gallagher consultants presented and discussed this comparability data in 2021 for the 2022 compensation review and met in 2022 for the 2023 compensation review with the Executive Committee of the Board of Trustees (Board). The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation. Form 990, Part VI, Line 19 Required documents available to the public CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/. GOVERNING DOCUMENTS, AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and Norton King's Daughters' Health, Inc. ) encourages and facilitates board member attendance at educational programs and conferences on subjects relevant to NHC. NHC's travel policy for Board of Trustees provides that for each trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS regulations, NHC provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2022. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other non operating income - Total Revenue: 1532396, Related or Exempt Function Revenue: 1532396, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Outside Services - Total Expense: 53877974, Program Service Expense: 44456412, Management and General Expenses: 9421562, Fundraising Expenses: ; Other expenses - Total Expense: 2327772, Program Service Expense: 915472, Management and General Expenses: 1412300, Fundraising Expenses: ; Contract Labor - Total Expense: 1382433, Program Service Expense: 1185416, Management and General Expenses: 197017, Fundraising Expenses: ; Professional Fees - Total Expense: 196314, Program Service Expense: 196314, Management and General Expenses: , Fundraising Expenses: ; Research Department Fees - Total Expense: 741411, Program Service Expense: 741411, Management and General Expenses: , Fundraising Expenses: ; Collection Fees - Total Expense: 2382953, Program Service Expense: 2061254, Management and General Expenses: 321699, Fundraising Expenses: ; Marketing Fees - Total Expense: 6799385, Program Service Expense: 2719754, Management and General Expenses: 4079631, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances AFFILIATE TRANSFER - 27767; SWAP MARK TO MARKET ADJUSTMENT - 14825987; CHANGE IN MINIMUM PENSION LIABILITY - -6060439; CHANGE IN NET PERIODIC PENSION COST - -1619372; Excess of consideration paid over net assets acquired - XXX-XX-XXXX; Pledge Receivable adjustment - 11438485; Audit to Book tax adjustment - -5000; Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2022. The other components of net periodic pension cost was $1.6 million for year ended December 31, 2022. Norton Pharmacies PLLC 224 E Broadway 5th FL Louisville KY 40202 831832543 Pharmacy KY 101082113 13448322 Norton Healthcare Inc NORTON HOSPITALS INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 610703799 PROVIDE HOSPITAL SERVICES KY 501(c)(3) 3 Norton Healthcare Inc true COMMUNITY MEDICAL ASSOCIATES INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611276316 OPERATES A NETWORK OF PHYSICIAN PRACTICES KY 501(c)(3) 10 Norton Healthcare Inc true NORTON PROPERTIES INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611028724 MAINTAINS OFFICE AND PARKING FACILITIES KY 501(c)(3) Type I Norton Healthcare Inc true THE CHILDREN'S HOSPITAL FOUNDATION INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 616027530 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 Norton Healthcare Inc true NORTON HEALTHCARE FOUNDATION INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 310914919 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 Norton Healthcare Inc true NORTON HEALTHCARE - INDIANA INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 850513259 OPERATE HOSPITAL AND OTHER HEALTHCARE FACILITIES IN 501(c)(3) 10 Norton Healthcare Inc true Norton King's Daughters' Health Inc Accounting 224 E Broadway Louisville KY 40202 350895832 Provide Hospital Services IN 501(c)(3) 3 Norton Healthcare - Indiana Inc true NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611054301 Invests in Partnerships that provide medical services KY Norton Healthcare Inc C Corporation 1 true false false true false false false false false false false true false false false false false false true true Norton Hospitals Inc R 2276375707 FMV Norton Hospitals Inc S 2420960705 FMV Community Medical Associates Inc R 910014197 FMV Community Medical Associates Inc S 720731872 FMV Norton Properties Inc R 78819737 FMV Norton Properties Inc S 80423990 FMV The Children's Hospital Foundation Inc R 6409281 FMV The Children's Hospital Foundation Inc S 17714787 FMV Norton Healthcare Foundation Inc R 1577189 FMV Norton Healthcare Foundation Inc S 4239848 FMV Norton Enterprises Inc R 342656 FMV Norton Enterprises Inc S 1417457 FMV Norton Healthcare Foundation Inc C 2228425 FMV The Children's Hospital Foundation Inc C 574372 FMV Norton King's Daughters' Health Inc R 2280860 FMV Norton King's Daughters' Health Inc S 368452283 FMV