NORTON HOSPITALS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NORTON HOSPITALS INC (EIN 61-0703799)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202323179349300227
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T07:34:23+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9600 Brownsboro Road Suite 400 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402413902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 610703799 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norton Hospitals Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5026298263 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Accounting 224 E Broadway 5th Floor | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Adam Kempf | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Adam | PersonFirstNm |
| Person Last | Kempf | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Scifres | PreparerPersonNm |
| PTIN | P01316095 | PTIN |
| Phone | 5023263996 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSSELL F COX | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4967 US Highway 42 Suite 100 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,629,119,272 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nortonhealthcare.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | Norton Hospitals, Inc.'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 faith heritage. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 12780 | TotalEmployeeCnt |
| Total Volunteers | 289 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $47,917,001 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,041,708 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,479,713,857 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,590,071,928 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,081 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,458,015 | PYOtherRevenueAmt |
| CY Other Revenue | $8,591,574 | CYOtherRevenueAmt |
| PY Total Revenue | $2,534,122,954 | PYTotalRevenueAmt |
| CY Total Revenue | $2,627,705,210 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $770,870,455 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $865,820,465 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,406,250,969 | PYOtherExpensesAmt |
| CY Other Expenses | $1,521,078,749 | CYOtherExpensesAmt |
| PY Total Expenses | $2,177,121,424 | PYTotalExpensesAmt |
| CY Total Expenses | $2,386,899,214 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $357,001,530 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $240,805,996 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,488,220,444 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,620,090,960 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $274,473,788 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $166,386,443 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,213,746,656 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,453,704,517 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Norton Hospitals, Inc.'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 faith heritage. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,337,465,574 | ExpenseAmt |
| Revenue | $2,597,422,359 | RevenueAmt |
| Desc | Norton Hospitals, Inc. (NHI) was formed to: I) provide on a nonprofit basis, hospital or health care facilities and services for the care and treatment of ill and injured persons and those who otherwise require medical care and related services of the kind customarily furnished most effectively by hospitals or health care facilities; II) conduct educational activities related to rendering care to the sick and injured; III) promote and conduct scientific research related to the care of the sick and injured. NHI has a total of 1,907 licensed beds, Norton Hospital - 605 beds; Norton Children's Hospital - 300 beds; Norton Audubon Hospital - 432 beds; Norton Women's and Children's Hospital - 373 beds; and Norton Brownsboro Hospital - 197 beds. These hospitals operate twenty-four (24) hours a day, seven (7) days a week. In 2022, NHI's hospitals and diagnostic centers served 65,959 inpatients, 659,044 outpatients, 254,632 emergency department visits, and 33,332 observation cases. In addition, NHI's operating rooms cared for 16,402 inpatient surgical patients and 38,876 outpatient surgical patients. Additionally, 8,356 deliveries were performed at NHI birthing centers. As part of our commitment to improving the health of our community, NHI 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 6,574 patients, at a cost of $15.4 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, 6,183 patients were provided care at discounted rates. Another contribution to the community was educational support of $77.5 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $27.1 million and contributions to community groups were $2.2 million. 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 $77.5 million in educational support and clinical funding provided to the medical school. | Desc |
| Total Program Service Expenses | $2,337,465,574 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 260 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 12780 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Helena Schulz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5026298263 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Accounting 224 E BROADWAY 5th Fl | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Russell F Cox | |||||||||
| President & CEO/Trustee | 10.0 | 40.0 | Yes (X) | Yes (X) | $0 | $4,778,102 | $181,103 | ||
| Barry Pennybaker | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Brendan Canavan | |||||||||
| Trustee (partial year) | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | |||
| Craig D Grant | |||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $2,000 | $0 | |||
| David Craig | |||||||||
| Trustee | 1.0 | 3.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Donald H Robinson | |||||||||
| Trustee | 1.0 | 5.5 | Yes (X) | $0 | $0 | $0 | |||
| Edie Nixon | |||||||||
| Chair | 1.0 | 14.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Erwin Roberts | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| G Hunt Rounsavall Sr | |||||||||
| Trustee | 1.0 | 5.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Gail Lyttle | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Gary L Stewart | |||||||||
| Vice-Chair (partial yr) | 1.0 | 6.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Gregory E Mayes | |||||||||
| Trustee | 1.0 | 6.5 | Yes (X) | $0 | $2,000 | $0 | |||
| James L Sublett MD | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Judge Denise Clayton | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Lee K Garlove | |||||||||
| Trustee | 1.0 | 3.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Maria Hampton | |||||||||
| Trustee | 1.0 | 3.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Maria L Bouvette | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Martha K Heyburn MD | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Rev William J Schultz | |||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Richard R Ivey | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Richard S Wolf MD | |||||||||
| Chair Emeritus | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Rick Guillaume | |||||||||
| Chair Emeritus (partial year) | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | |||
| Rita Hudson Shourds EdD | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | |||
| Ronald Lehocky MD | |||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Sue Davis EdD RN | |||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Adam Kempf | |||||||||
| Sr VP, CFO/Treasurer | 10.0 | 41.0 | Yes (X) | $0 | $1,039,507 | $178,515 | |||
| Michael W Gough | |||||||||
| Exec VP and COO | 10.0 | 40.0 | Yes (X) | $0 | $1,834,089 | $133,598 | |||
| Robert B Azar | |||||||||
| Sr VP Chief Legal Officer/Secretary | 10.0 | 41.0 | Yes (X) | $0 | $1,116,031 | $90,244 | |||
| Andrew Strausbaugh | |||||||||
| Hospital CAO | 50.0 | 0 | $499,691 | $0 | $552,632 | Yes (X) | |||
| Charlotte Ipsan | |||||||||
| Hospital CAO | 29.0 | 21.0 | $395,341 | $198,638 | $126,651 | Yes (X) | |||
| Emmett Ramser | |||||||||
| Hospital CAO | 49.0 | 1.0 | $535,504 | $0 | $118,697 | Yes (X) | |||
| Joseph Flynn DO | |||||||||
| CAO NMG - Physician -in-Chief NCI | 50.0 | 0 | $957,323 | $0 | $153,513 | Yes (X) | |||
| Karen Donahue | |||||||||
| Division VP Finance | 50.0 | 0 | $489,592 | $0 | $69,933 | Yes (X) | |||
| Matthew Ayers | |||||||||
| Hospital CAO | 50.0 | 0 | $582,984 | $0 | $105,848 | Yes (X) | |||
| Aaron Spalding MD | |||||||||
| Physician | 50.0 | 0 | $1,770,254 | $0 | $78,433 | Yes (X) | |||
| Don Stevens MD | |||||||||
| Physician | 50.0 | 0 | $1,331,996 | $0 | $60,328 | Yes (X) | |||
| Joseph Maly MD | |||||||||
| Physician | 50.0 | 0 | $1,395,625 | $0 | $64,291 | Yes (X) | |||
| Muneeb Choudry MD | |||||||||
| Physician | 50.0 | 0 | $1,379,763 | $0 | $56,784 | Yes (X) | |||
| Shawn Glisson MD | |||||||||
| Physician | 50.0 | 0 | $1,473,156 | $0 | $56,738 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,811,229 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,006,367 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,027,308 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1140 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Messer Construction Co | ||||||
| 11001 Plantside Dr | LOUISVILLE | KY | 40299 | Construction | $18,271,538 | |
| Northstar Anesthesia of KY II PLLC | ||||||
| 6225 N State Hwy 161 | Irving | TX | 75038 | Anesthesia Services | $15,187,027 | Suite 200 |
| Medical Solutions LLC | ||||||
| P O Box 310737 | Des Moines | IA | 503310737 | Contact Labor | $8,742,544 | |
| Morrison Management Specialist | ||||||
| 400 Northridge Rd | Sandy Springs | GA | 30350 | Food Service | $8,354,027 | Suite 600 |
| Pediatric Anesthesia Assoc | ||||||
| 2600 Meidinger Tower | Louisville | KY | 40202 | Anesthesia Services | $7,313,801 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 138 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,471,116 | RelatedOrganizationsAmt |
| Government Grants | $21,570,592 | GovernmentGrantsAmt |
| Noncash Contributions | $269,782 | NoncashContributionsAmt |
| Total Contributions | $29,041,708 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 621110 | $2,589,779,491 | $2,589,779,491 |
| Healthcare Education | 624190 | $292,437 | $292,437 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,590,071,928 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,086,920 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,414,062 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$327,142 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$327,142 | TotalRevenueColumnAmt |
| Exclusion | -$327,142 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PURCHASING CO-OP INC | 561499 | $3,601,272 | $3,601,272 | |
| PARKING INCOME | 812930 | $1,568,285 | $1,568,285 | |
| AFFILIATION AGREEMENT | 621990 | $674,328 | $674,328 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,074,831 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,074,831 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,918,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,627,705,210 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,597,422,359 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,241,143 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,099,288 | TotalAmt |
| Program Services | $3,099,288 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,587 | TotalAmt |
| Program Services | $428,587 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,496,632 | TotalAmt |
| Program Services | $699,496,632 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,953,262 | TotalAmt |
| Program Services | $34,953,262 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,992,203 | TotalAmt |
| Program Services | $78,992,203 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,850,493 | TotalAmt |
| Program Services | $48,850,493 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,393,308 | TotalAmt |
| Program Services | $303,393,308 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,772,580 | TotalAmt |
| Program Services | $12,772,580 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,729,195 | TotalAmt |
| Program Services | $26,729,195 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,072,381 | TotalAmt |
| Program Services | $1,072,381 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,315,610 | TotalAmt |
| Program Services | $41,315,610 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,097,222 | TotalAmt |
| Program Services | $92,097,222 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,508,868 | TotalAmt |
| Program Services | $11,508,868 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $643,718,842 | $643,718,842 | |
| Allocated Support | $308,960,251 | $259,526,611 | $49,433,640 |
| Provider Tax/HRIP Expenses | $54,454,280 | $54,454,280 | |
| Repairs & Maintenance | $19,752,313 | $19,752,313 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,303,899 | TotalAmt |
| Program Services | $5,303,899 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,386,899,214 | TotalAmt |
| Program Services | $2,337,465,574 | ProgramServicesAmt |
| Management And General | $49,433,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,339 | BOYAmt |
| EOY | $8,300 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,209,653 | BOYAmt |
| EOY | $269,416,878 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,170,691 | BOYAmt |
| EOY | $68,934,055 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,454,993 | BOYAmt |
| EOY | $3,035,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,194,033,309 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,263,403,958 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,056,514 | BOYAmt |
| EOY | $930,629,351 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,445,984 | BOYAmt |
| EOY | $7,445,984 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,195,871,270 | BOYAmt |
| EOY | $2,340,621,315 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,488,220,444 | BOYAmt |
| EOY | $3,620,090,960 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,492,154 | BOYAmt |
| EOY | $147,954,845 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,981,634 | BOYAmt |
| EOY | $18,431,598 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,473,788 | BOYAmt |
| EOY | $166,386,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,209,220,477 | BOYAmt |
| EOY | $3,451,498,916 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,526,179 | BOYAmt |
| EOY | $2,205,601 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,213,746,656 | BOYAmt |
| EOY | $3,453,704,517 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,488,220,444 | BOYAmt |
| EOY | $3,620,090,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $240,805,996 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$848,135 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $54,003 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $54,003 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Norton Hospitals, Inc. pays dues to the Kentucky Hospital Association. A portion of those dues in the amount of $54,003 was spent by the Kentucky Hospital Association on lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,615,700 | BeginningYearBalanceAmt |
| Contributions | $162,657 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,095,470 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,140,989 | OtherExpendituresAmt |
| End Year Balance | $26,541,898 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,056,341 | BeginningYearBalanceAmt |
| Contributions | $488,087 | ContributionsAmt |
| Investment Earnings Or Losses | $4,112,120 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,040,848 | OtherExpendituresAmt |
| End Year Balance | $30,615,700 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,411,014 | BeginningYearBalanceAmt |
| Contributions | $898,799 | ContributionsAmt |
| Investment Earnings Or Losses | $2,852,846 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,106,318 | OtherExpendituresAmt |
| End Year Balance | $27,056,341 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,881,092 | BeginningYearBalanceAmt |
| Contributions | $2,971,598 | ContributionsAmt |
| Investment Earnings Or Losses | $3,518,035 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $959,711 | OtherExpendituresAmt |
| End Year Balance | $24,411,014 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,691,046 | BeginningYearBalanceAmt |
| Contributions | $127,680 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,053,047 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $884,587 | OtherExpendituresAmt |
| End Year Balance | $18,881,092 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,560,360 | OtherCostOrOtherBasisAmt |
| Book Value | $25,560,360 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,239,127,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $546,669,514 | DepreciationAmt |
| Book Value | $692,458,149 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $861,419,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $707,053,478 | DepreciationAmt |
| Book Value | $154,366,290 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,925,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,680,966 | DepreciationAmt |
| Book Value | $58,244,552 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $930,629,351 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLE FROM AFFILIATE | $2,308,549,632 |
| MISCELLANEOUS RECEIVABLES | $622,153 |
| RIGHT OF USE ASSETS | $8,921,762 |
| DUE FROM THIRD PARTY PAYORS | $22,527,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,340,621,315 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | |
| ASSET RETIREMENT OBLIGATION | $9,509,836 |
| LEASE LIABILITIES | $7,444,962 |
| CONTRACT LIABILITIES | $1,476,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,431,598 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | The Children's Hospital Foundation, Inc. and Norton Healthcare Foundation, Inc. utilize income generated from endowment funds to support various programs, services and capital projects for the benefit of Norton Hospitals, Inc. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,526,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $342,821 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,184,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0064 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $620,236,264 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $680,915,407 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $247,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $247,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $636,010,798 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $681,258,228 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,431,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0065 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,259,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,380,695 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,878,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,867,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,362,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,505,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0325 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,797,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,797,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0037 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,569,737 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,569,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0036 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $121,494,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,743,080 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $106,751,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0447 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $757,504,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $696,001,308 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $122,182,741 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0512 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,006,032 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,006,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,226,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,226,120 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0005 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,232,152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,232,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,347,480 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $373,007,981 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $448,924,832 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$75,916,851 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Childrens HospitalChildrensHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Norton Hospital | ||||||||||||
| 1 | 200 E Chestnut St | Louisville | KY | 40202 | https://nortonhealthcare.com/location/hospitals/norton-hospital/ | 100234 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Children's Hospital | ||||||||||||
| 2 | 231 E Chestnut St | Louisville | KY | 40202 | http://www.nortonchildrens.com/ | 100234 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| Norton Women's and Children's Hospital | ||||||||||||
| 3 | 4001 Dutchmans Lane | Louisville | KY | 40207 | https://nortonhealthcare.com/location/hospitals/norton-womens-and-childrens-hospital/ | 100255 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Audubon Hospital | ||||||||||||
| 4 | One Audubon Plaza Drive | Louisville | KY | 40217 | https://nortonhealthcare.com/location/hospitals/norton-audubon-hospital/ | 100252 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Brownsboro Hospital | ||||||||||||
| 5 | 4950 Norton Healthcare Blvd | Louisville | KY | 40241 | https://nortonhealthcare.com/location/hospitals/norton-brownsboro-hospital/ | 100475 | Yes (X) | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://nortonhealthcare.com/about-us/community-health-needs-assessment/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://nortonhealthcare.com/about-us/community-health-needs-assessment/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.NORTONHEALTHCARE.COM/FAP | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.NORTONHEALTHCARE.COM/FAP | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.NORTONHEALTHCARE.COM/FAP | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility A, 1 | Facility A, 1 - ALL HOSPITALS. NORTON HEALTHCARE, INC. (NHC) CONDUCTED A COMMUNITYWIDE SURVEY TO OBTAIN FEEDBACK FROM THE GENERAL PUBLIC REGARDING HEALTH NEEDS AND PERCEPTIONS. THE COMMUNITY SURVEY WAS MADE AVAILABLE IN MULTIPLE LANGUAGES, INCLUDING ENGLISH, SPANISH, FRENCH, ARABIC, CHINESE, NEPALI, RUSSIAN, SOMANI, AND VIETNAMESE, THROUGH ONLINE AND PAPER SURVEYING METHODS. THERE WERE 5,185 SURVEYS COLLECTED. SURVEYS THAT FELL OUTSIDE OF JEFFERSON COUNTY OR WERE MISSING THE ZIP CODE, AGE, GENDER, RACE AND EDUCATIONAL ATTAINMENT DEMOGRAPHIC INFORMATION WERE EXCLUDED FROM THE RESULTS. THIS LEFT 2,794 SURVEYS THAT WERE WEIGHTED BASED ON AGE, GENDER, RACE AND EDUCATIONAL ATTAINMENT IN ORDER TO MAKE THE SURVEY RESULTS MORE REPRESENTATIVE OF THE JEFFERSON COUNTY POPULATION AS A WHOLE. IN ADDITION, NHC OBTAINED INPUT FROM 54 VARIOUS COMMUNITY STAKEHOLDERS, INCLUDING 25 NORTON-EMPLOYED PHYSICIANS, 20 COMMUNITY LEADERS IN JEFFERSON COUNTY AND NINE LEADERS FROM AREAS SURROUNDING JEFFERSON COUNTY THROUGH FACE-TO-FACE VIRTUAL MEETINGS. COMMUNITY LEADERS REPRESENT AREAS OF PUBLIC HEALTH, MAJOR EMPLOYERS, PUBLIC SCHOOLS, SOCIAL SERVICES ORGANIZATIONS AND COMMUNITY HEALTH DEPARTMENTS. SHAWNEE CHRISTIAN HEALTH CENTER, JEFFERSON COUNTY PUBLIC SCHOOLS, URBAN LEAGUE OF LOUISVILLE, FORD MOTOR COMPANY, MOLO VILLAGE CDC, EVOLVE502, YMCA OF GREATER LOUISVILLE, CENTERSTONE, METRO UNITED WAY, BELLEWOOD & BROOKLAWN, FAMILY HEALTH CENTERS, HOSPARUS, CENTER FOR WOMEN & FAMILIES, PARK DUVALLE COMMUNITY HEALTH CENTER, BULLITT COUNTY PUBLIC SCHOOLS, AMERICANA COMMUNITY CENTER, LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, FOUNDATION FOR A HEALTHY KENTUCKY, OLDHAM COUNTY HEALTH DEPARTMENT, KENTUCKY YOUTH ADVOCATES, CLARK COUNTY HEALTH DEPARTMENT, LOUISVILLE METRO OFFICE FOR GLOBALIZATION, BULLITT COUNTY HEALTH DEPARTMENT, LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS , AND NORTH CENTRAL HEALTH DISTRICT REPRESENTATIVES WERE ALL INCLUDED AS PART OF THE PROCESS TO INTERVIEW PEOPLE WHO REPRESENT THE COMMUNITY. THESE INTERVIEWS FOCUSED ON COVID-19, THE BLACK LIVES MATTER MOVEMENT AND GUN SAFETY, AS WELL AS THE FOLLOWING FOUR KEY AREAS: PRESSING PROBLEMS IN HEALTH CARE, BARRIERS TO HEALTH CARE, HEALTH CARE ENGAGEMENT AND GLOBAL OR UNIVERSAL ISSUES INVOLVING HEALTH CARE. TO ENSURE THE MEDICALLY UNDERSERVED WERE REPRESENTED IN THIS COMMUNITY HEALTH NEEDS ASSESMENT, MEDIAN HOUSEHOLD INCOMES IN NEIGHBORHOODS THROUGHOUT JEFFERSON COUNTY WERE COMPARED TO IDENTIFY NEIGHBORHOODS WITH A LOWER MEDIAN INCOME. |
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - ALL HOSPITALS. NORTON HOSPITALS, INC. OWNS AND OPERATES FIVE HOSPITALS LOCATED IN LOUISVILLE, JEFFERSON COUNTY, KENTUCKY. THE HOSPITALS ARE: - NORTON HOSPITAL - NORTON CHILDREN'S HOSPITAL - NORTON WOMEN'S AND CHILDREN'S HOSPITAL - NORTON AUDUBON HOSPITAL - NORTON BROWNSBORO HOSPITAL |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - OTHER ORGANIZATIONS. Norton Healthcare, Inc. (NHC) collaborated with a variety of partners ranging from other local health systems to the Jefferson County Public School system and other community organizations. NHC conducted a community wide survey to obtain feedback from the general public regarding health needs and perceptions. The community survey was made available in multiple languages, including English, Spanish, French, Arabic, Chinese, Nepali, Russian, Somali, and Vietnamese, through online and paper surveying methods. After the conclusion of the survey, a few specific under-represented populations in the survey results were found. To ensure that the opinions and perspectives of these groups were adequately represented, NHC utilized IQS, an independent research organization, to assist with the collection of the surveys to target under-represented populations. Community input also was obtained through key stakeholder interviews of 54 community leaders and health care providers. To ensure the medically underserved were represented in this CHNA, interviews were conducted with representatives from Louisville Metro Department of Public Health and Wellness, Jefferson County Public Schools and health care organizations serving neighborhoods where median household incomes are very low, as well as agencies providing services related to mental health, domestic violence and recent immigration to the United States. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - All Hospitals. SUBSTANCE USE THE KENTUCKY POISON CONTROL CENTER OF NORTON CHILDREN'S HOSPITAL (NCH) PROVIDES A 24/7 SUPPORT HOTLINE FOR HEALTH CARE PROVIDERS, PATIENTS AND FIRST RESPONDERS ON OPIOID-RELATED ISSUES. THE KENTUCKY OPIOID ASSISTANCE & RESOURCE HOTLINE - (800) 854-6813 - IS STAFFED BY TOXICOLOGY-CERTIFIED NURSES AND PHARMACISTS. FOR THE COMMUNITY, THE HOTLINE OFFERS ADVICE ON SAFE MEDICATION DISPOSAL, WHERE TO GET NALOXONE AND HOW TO USE IT. STAFF ALSO CAN DIRECTLY CONNECT USERS AND THEIR FAMILIES TO OPERATION UNITE FOR SUBSTANCE USE DISORDER TREATMENT AND ASSIST DISPLACED PATIENTS OF PAIN CLINICS THAT SUDDENLY CLOSE. THE NORTON MATERNAL OPIATE AND SUBSTANCE TREATMENT (MOST) PROGRAM WAS CREATED TO HELP PREGNANT WOMEN BREAK THE CYCLE OF ADDICTION. THE MOST PROGRAM OFFERS KNOWLEDGEABLE, SUPPORTIVE STAFF MEMBERS WHO ARE SKILLED IN CARING FOR PREGNANT WOMEN WITH SUBSTANCE USE DISORDERS AND FOR THEIR BABIES. IN 2022, 90 WOMEN WERE ENROLLED IN THE PROGRAM. IN 2018 NORTON HEALTHCARE, INC. (NHC) CREATED AN OPIOID STEWARDSHIP PROGRAM TO DEVELOP PROTOCOLS FOR OPIOID USE AND DISPOSAL IN BOTH THE HOSPITAL AND AMBULATORY SETTING, AND TO PROMOTE ALTERNATIVE PAIN MANAGEMENT METHODS TO REDUCE THE NUMBER OF OPIOIDS IN THE COMMUNITY. THE PROGRAM FOCUSES ON CHANGING PRESCRIPTION PRACTICES BASED ON RECOMMENDATIONS MADE BY THE JOINT COMMISSION, A HEALTH CARE ACCREDITATION ORGANIZATION. NHC PREVENTION & WELLNESS OFFERS A COMPREHENSIVE TOBACCO CESSATION PROGRAM TO HELP THOSE IN THE COMMUNITY STRUGGLING WITH TOBACCO ADDICTION. CLASSES MEET FOR EIGHT 60- TO 90-MINUTE SESSIONS OVER SEVEN WEEKS. CLASSES FOLLOW THE AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING PROGRAM, PROVEN TO BE EFFECTIVE FOR MILLIONS OF SMOKERS. NCH'S PREVENTION & WELLNESS HOSTS A FREE PROGRAM CREATED BY THE AMERICAN LUNG ASSOCIATION, N-O-T (NOT ON TOBACCO) WHICH IS AN EVIDENCE-BASED PROGRAM DESIGNED SPECIFICALLY FOR TEENS TO HELP THEM QUIT USING TOBACCO PRODUCTS, INCLUDING VAPES, CIGARETTES AND OTHER FORMS OF TOBACCO. APPROXIMATELY 90% OF TEENS WHO PARTICIPATED IN A N-O-T PROGRAM EITHER QUIT OR CUT BACK ON THEIR USE OF TOBACCO PRODUCTS. GROUP SESSIONS MEET ONCE WEEKLY TO DISCUSS THE IMPORTANCE OF HAVING GOOD HEALTH, LEARN TOOLS TO PREPARE FOR TOUGH MOMENTS AND SUPPORT EACH OTHER ON THEIR JOURNEY TO QUITTING. THIS IS A VOLUNTARY PROGRAM FOR TEENS AGES 14 TO 19. THE COMPREHENSIVE LUNG CENTER AT NORTON CANCER INSTITUTE (NCI) IS THE FIRST AND ONLY HEALTH SYSTEM IN KENTUCKY TO BECOME A GO2 FOUNDATION FOR LUNG CANCER CENTER OF EXCELELNCE IN BOTH CARE CONITUUM AND SCREENINGS. THE COMPREHENSIVE LUNG CENTER ALLOWS PATIENTS TO SEE AN ONCOLOGIST, SURGEON, RADIATION ONCOLOGIST, COUNSELOR, NUTRITIONIST AND OTHER MEMBERS OF THE CARE TEAM ALL IN ONE VISIT. NHC HAS ESTABLISHED A NO SMOKING POLICY ON ALL CAMPUSES TO ELIMINATE EXPOSURE TO TOBACCO SMOKE FOR OUR PATIENTS AND FAMILIES. NORTON HOSPITALS INC. (NHI) HAS MULTIPLE PULMONOLOGISTS ON STAFF AND OFFERS A BROAD RANGE OF ACUTE CARE SERVICES AS WELL AS RESPIRATORY THERAPY AT ALL NHI AND AMBULATORY FACILITIES. OBESITY WEIGHT-LOSS SEMINARS - EITHER ONLINE OR IN-PERSON - ARE FREE AT NORTON WEIGHT MANAGEMENT SERVICES TO GIVE INFORMATION ABOUT BARIATRIC SURGERY OR MEDICALLY GUIDED WEIGHT LOSS. THE BARIATRIC SURGERY SEMINAR IS LED BY A BOARD-CERTIFIED BARIATRIC SURGEON. IN 2019 THE LOUISVILLE URBAN LEAGUE AND NHC ANNOUNCED NHC'S SUPPORT OF THE WEST END MULTI-USE SPORTS AND LEARNING COMPLEX. NHC CONTRIBUTED $5 MILLION TO THE PROJECT THROUGH A $3 MILLION GRANT AND AN ADDITIONAL CHALLENGE GRANT OF $2 MILLION IN MATCHING FUNDS. THE FACILITY IS NAMED THE NORTON SPORTS HEALTH ATHLETICS & LEARNING COMPLEX AND OFFICIALLY OPENED IN FEBRUARY 2021. NHC OPENED A COMPREHENSIVE SPORTS PERFORMANCE AND HEALTH AND WELLNESS FACILITY IN 2022. THE NEW NORTON SPORTS HEALTH PERFORMANCE & WELLNESS CENTER OFFERS STATE-OF-THE-ART TECHNOLOGY AND TRAINING FOR ELITE AND HIGH SCHOOL ATHLETES, AS WELL AS PROGRAMMING AND WORKOUT SPACE FOR CASUAL EXERCISERS AND THOSE NEW TO FITNESS. THE 40,000-SQUARE-FOOT CENTER IS MORE THAN DOUBLE THE SIZE OF THE FORMER LOCATION AND REPRESENTS MORE THAN A $1 MILLION INVESTMENT. THE NEW LOCATION ALSO WILL OFFER A MORE TRADITIONAL GYM WITH CARDIO EQUIPMENT, WEIGHT MACHINES AND CLASSES FOR THE GENERAL PUBLIC. SENIORS WILL HAVE ACCESS TO THE FACILITY THROUGH THEIR MEDICARE SILVERSNEAKERS MEMBERSHIPS. THERE ALSO WILL BE PROGRAMMING FOR HIGH SCHOOL ATHLETES, INCLUDING TEAM TRAINING, STRENGTH AND CONDITIONING. POOR NUTRITION NCH'S PREVENTION & WELLNESS SPONSORS THE CHOPCHOP FAMILY COOKING MAGAZINE FOR AGES 5-12 AND THEIR FAMILIES. ADULTS WHO ARE JUST LEARNING TO COOK ARE ALSO WELCOME TO JOIN. ENDORSED BY THE AMERICAN ACADEMY OF PEDIATRICS, CHOPCHOP: THE FUN COOKING MAGAZINE FOR FAMILIES, IS A NONPROFIT QUARTERLY FOOD MAGAZINE. PUBLISHED BY CHOPCHOP KIDS, INC, A 501(C)(3), CHOPCHOP'S MISSION IS TO INSPIRE AND TEACH CHILDREN AND FAMILIES TO COOK AND EAT REAL FOOD TOGETHER. CHOPCHOP BELIEVES COOKING AND EATING TOGETHER IS A VITAL COMPONENT IN RESOLVING THE WIDESPREAD PROBLEMS OF OBESITY, HUNGER, AND POOR NUTRITION. NCH'S PREVENTION & WELLNESS HOSTS SKILL-BUILDING WORKSHOPS TO SUPPORT FAMILIES WITH TEENS IN THEIR JOURNEY TOWARD HEALTHY LIVING. THE SIX-WEEK WORKSHOP SERIES FOCUSES ON GOAL-SETTING FOR HEALTHY HABITS, HEALTHY MEAL PLANNING AND PREP, FUN WAYS TO STAY ACTIVE, INCLUDING FREE PASSES TO THE YMCA, AND TOOLS TO POSITIVELY REDUCE STRESS. NHI CONTINUES TO OFFER FREE HEALTH SCREENINGS AND EDUCATION TO THE COMMUNITY THROUGH USE OF OUR MOBILE PREVENTION UNIT, AS WELL AS THROUGH VARIOUS COMMUNITY EVENTS AND HEALTH FAIRS. IN 2022, THERE WERE ALMOST 400 FREE SCREENING EVENTS PERFORMED IN THE COMMUNITY. THE NHC MOBILE PREVENTION CENTER CONNECTS PEOPLE TO WELLNESS AT MULTIPLE STOPS EVERY WEEK. MANY OF THE SCREENINGS ARE PROVIDED AT LOW COST OR NO COST, AND OTHERS TYPICALLY ARE COVERED BY INSURANCE. NCI OFFERS ONCOLOGY NUTRITION COUNSELING FOR CANCER PATIENTS AT SEVEN CAMPUSES. LICENSED, REGISTERED DIETITIANS ARE AVAILABLE FOR COMPLIMENTARY, ONE-ON-ONE COUNSELING, IN PERSON OR BY TELEPHONE. NUTRITION SPECIALISTS HAVE EXPERTISE TO OFFER NUTRITION GUIDANCE BEFORE, DURING AND AFTER CANCER TREATMENT, WITH INTERVENTIONS DESIGNED TO OPTIMIZE QUALITY OF LIFE WHILE A PATIENT EXPERIENCES A CANCER DIAGNOSIS. MENTAL HEALTH NHI IMPLEMENTED THE COLUMBIA-SUICIDE SEVERITY RATING SCALE IN APRIL 2019. THIS IS A QUESTIONNAIRE WHICH IS USED TO ASSESS SUICIDE RISKS FOR PATIENTS AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY ROOM AND AMBULATORY SETTING. THE TOOL IS USED TO ASSESS PATIENT RISK AND ENSURE REFERRAL TO APPROPRIATE RESOURCES FOR TREATMENT. FROM 2020 TO 2022 THE NUMBER OF SUICIDE SCREENINGS COMPLETED AT NORTON HEALTHCARE INCREASED BY 12%. HEALTH EDUCATORS FROM NCH'S PREVENTION & WELLNESS TEAM PARTNER WITH LOCAL MIDDLE/HIGH SCHOOLS TO OFFER PEER-TO-PEER EDUCATION AND AWARENESS ABOUT MENTAL HEALTH CONCERNS. WORKSHOPS ARE OFFERED IN SCHOOL HEALTH AND PHYSICAL EDUCATION CLASSROOMS, AT AFTER-SCHOOL EVENTS AND THROUGH SUMMER PROGRAMS. WORKSHOPS PROVIDE PEER EDUCATION TO SUPPORT YOUNG PEOPLE IN DEVELOPING POSITIVE GROUP NORMS AND MAKING HEALTHY DECISIONS. THIS SERIES TEACHES STUDENTS HOW TO REDUCE STRESS AND EMPOWERS STUDENTS TO BECOME VOICES IN THEIR SCHOOLS AND TO ENCOURAGE HEALTHY BEHAVIORS AND DECISION-MAKING. NCH OFFERS INPATIENT PSYCHIATRIC CARE FOR CHILDREN AGES 2 TO 17 THROUGH THE ACKERLY CHILD PSYCHIATRIC UNIT. THEIR MISSION IS TO HELP CHILDREN AND FAMILIES REACH THEIR FULLEST POTENTIAL IN A NURTURING AND SAFE ENVIRONMENT. THEY ARE EQUIPPED TO SERVE PATIENTS WITH DEVELOPMENTAL DISABILITIES AND AUTISM, AND ALSO EXTEND CARE REGARDLESS OF A FAMILY'S BACKGROUND OR ABILITY TO PAY. IN THE AMBULATORY SETTING, NORTON CHILDREN'S MEDICAL GROUP PSYCHIATRY & PSYCHOLOGY OFFERS CHILD AND ADOLESCENT PSYCHIATRY SERVICES. IN 2019, NHI ESTABLISHED THE NORTON BEHAVIORAL HEALTH PRACTICE, WITH THE GOAL OF PROVIDING CLINICALLY INTEGRATED FAMILY AND PATIENT-CENTERED MENTAL HEALTH CARE. THE PRACTICE OFFERS TELEMEDICINE VISITS IN PRIMARY CARE LOCATIONS TO IMPROVE ACCESS AND HELP OVERCOME THE STIGMA OFTEN ASSOCIATED WITH MENTAL HEALTH FACILITIES. THE PRACTICE CARED FOR OVER 10,000 UNIQUE PATIENTS IN 2022. NORTON WOMEN'S MENTAL HEALTH SERVICES PROVIDES OUTPATIENT WOMEN'S MENTAL HEALTH SERVICES ON THE NORTON - ST. MATTHEWS CAMPUS. THEY ARE COMMITTED TO PROVIDING QUALITY MENTAL HEALTH CARE TO WOMEN ACROSS THEIR LIFESPAN. |
| Schedule H, Part V, Section B, Line 11 Facility A, 2 | Facility A, 2 - All Hospitals. THE NCI BEHAVIORAL ONCOLOGY PROGRAM IS STAFFED BY A TEAM TRAINED AND EQUIPPED TO CARE FOR THE EMOTIONAL AND MENTAL HEALTH NEEDS OF PATIENTS AND THEIR FAMILIES. NCI IS ONE OF FEW ONCOLOGY PROGRAMS NATIONWIDE OFFERING A ROBUST PROGRAM FOR MENTAL AND EMOTIONAL HEALTH NEEDS. NORTON CHILDREN'S BEHAVIORAL & MENTAL HEALTH, AFFILIATED WITH THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE, PROVIDES OUTPATIENT AND INPATIENT MENTAL HEALTH CARE FOR CHILDREN AGES 2 TO 21. PATIENTS AND THEIR FAMILIES HAVE ACCESS TO CHILD PSYCHIATRIC AND PSYCHOLOGICAL EVALUATION AND TREATMENTS. SERVICES INCLUDE MEDICATION THERAPY AND A BROAD RANGE OF INDIVIDUAL, GROUP AND FAMILY THERAPIES. A SOCIAL WORKER IS ON CALL TO ASSIST WITH ADDRESSING BARRIERS TO CARE. HEALTH LITERACY AS OF NOVEMBER 2022, A COMMUNITY HEALTH WORKER PROGRAM WAS ESTABLISHED AT THE INSTITUTE FOR HEALTH EQUITY, A PART OF NHC. THESE EIGHT COMMUNITY HEALTH WORKERS BUILD RELATIONSHIPS WITH PATIENTS TO REMOVE BARRIERS TO CARE AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. THE TEAM IS TRAINED TO HELP DEVELOP PERSONALIZED ROAD MAPS TO HEALTHIER LIVES, TAKING INTO ACCOUNT THE UNIQUE NEEDS AND CULTURAL SENSITIVITIES OF UNDERSERVED POPULATIONS. EACH COMMUNITY HEALTH WORKER SPECIALIZES IN SERVING A UNIQUE PATIENT POPULATION SUCH AS THE HISPANIC, AFRICAN AMERICAN AND REFUGEE COMMUNITIES. COLLECTIVELY, THE TEAM SPEAKS 10 LANGUAGES AND DIALECTS. WHILE SPECIALIZING IN SPECIFIC COMMUNITIES, THE HEALTH WORKERS ARE CROSS-TRAINED TO PROVIDE SUPPORT TO ANY PATIENT OR FAMILY. HAVING A DESIGNATED AREA OF EXPERTISE ALLOWS FOR DEDICATED ATTENTION TO THE DISTINCTIVE SOCIAL DETERMINANTS OF HEALTH IMPACTING A PARTICULAR COMMUNITY. FOR ONE PATIENT, A COMMUNITY HEALTH WORKER MAY BE A CONNECTION TO A LOCAL FOOD PANTRY. FOR ANOTHER, THE WORKER MAY HELP TO ARRANGE RELIABLE TRANSPORTATION TO APPOINTMENTS. SOME PATIENTS NEED COACHING ON ACCESSING COMMUNITY RESOURCES. OTHERS MAY NOT FULLY UNDERSTAND THE BENEFITS OF ESTABLISHING A RELATIONSHIP WITH A PRIMARY CARE PROVIDER. HEALTH DISPARITIES NORTON WOMEN'S CARE LAUNCHED A NEW DOULA PROGRAM IN 2021 THAT AIMS TO IMPROVE THE LONG-TERM HEALTH OF NEW MOTHERS IN UNDERSERVED AREAS OF THE COMMUNITY. NHC HAS DEVELOPED THE COMMUNITY-BASED DOULA PROGRAM TO HELP WOMEN WITH STATISTICALLY POOR MATERNAL OUTCOMES IN LOUISVILLE HAVE ACCESS TO A DOULA AND THE BENEFITS ONE OFFERS. THE PROGRAM PROVIDES ELIGIBLE PREGNANT PATIENTS WITH A DOULA AT NO COST TO THEM. WHILE DOULAS ARE WELCOME IN MANY BIRTHING HOSPITALS, THIS IS THE FIRST PROGRAM IN KENTUCKY THAT EMPLOYS DOULAS AS PART OF THE CARE TEAM. THIS NEW PROGRAM INCLUDES SEVERAL HOME VISITS THROUGHOUT THE PATIENT'S PREGNANCY AND THE PERIOD AFTER DELIVERY. ELIGIBLE PATIENTS MUST LIVE IN THE CALIFORNIA, PORTLAND OR RUSSELL NEIGHBORHOOD, AND RECEIVE ADDITIONAL PRENATAL CARE THROUGH NORTON OB/GYN ASSOCIATES AND NORTON WOMEN'S SPECIALISTS DOWNTOWN PRACTICES, WITH BABIES DELIVERED AT NORTON HOSPITAL. INITIALLY, THE PROGRAM EMPLOYED THREE DOULAS. PROVIDERS AT NORTON WOMEN'S SPECIALISTS AND NORTON OB/GYN ASSOCIATES CAN REFER PATIENTS TO THE COMMUNITY-BASED DOULA PROGRAM. NHC ANNOUNCED CHANGES TO ITS FINANCIAL ASSISTANCE PROGRAM. THE CHANGES ARE INTENDED TO INCREASE ACCESS TO HEALTH CARE BY ALLEVIATING FINANCIAL STRESS THAT OFTEN SERVES AS A BARRIER AND PREVENTS INDIVIDUALS FROM SEEKING CARE. PREVIOUSLY, FAMILIES WERE ELIGIBLE FOR NHC'S FINANCIAL ASSISTANCE PROGRAM IF THEIR HOUSEHOLD INCOME WAS EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES. WITH THESE CHANGES, THAT INCOME LEVEL HAS INCREASED TO 350% OF THE FEDERAL POVERTY GUIDELINES. FOR EXAMPLE, A FAMILY OF FOUR WITH A COMBINED HOUSEHOLD INCOME OF UP TO $105,000 NOW COULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ADDITIONALLY, INDIVIDUALS CAN NOW APPLY IN ADVANCE TO PARTICIPATE IN THE EXPANDED FINANCIAL ASSISTANCE PROGRAM. BY COMPLETING THE QUALIFICATION PROCESS AHEAD OF TIME, IT WILL REMOVE THE BARRIER THAT SOME EXPERIENCE WHEN ASKED TO DISCUSS FINANCIAL STATUS MATTERS AT THE POINT OF CARE. PREVIOUSLY, FAMILIES WOULD COMPLETE AN APPLICATION AFTER RECEIVING TREATMENT, INCLUDING AFTER AN EMERGENCY OR SERIOUS MEDICAL CONDITION. NOW THIS CAN BE DONE BEFORE THERE IS A CRISIS OR NEED FOR MEDICAL TREATMENT. COMMUNITY MEMBERS CAN APPLY AT ANY TIME ONLINE OR CAN REQUEST A PAPER COPY OF THE APPLICATION, WHICH IS AVAILABLE IN SEVERAL LANGUAGES. ONCE APPROVED, THE APPLICATION WILL BE VALID FOR ONE YEAR. THOSE TAKING PART IN THE PROGRAM CAN RE-APPLY EVERY YEAR. NHI, IN PARTNERSHIP WITH THE UNITED WAY, IS PARTICIPATING IN THE UNITED COMMUNITY INITIATIVE. UNITED COMMUNITY SEEKS TO LINK HEALTH CARE SERVICES AND SOCIAL SERVICES VIA A DATABASE PLATFORM CALLED UNITE US. BETWEEN 2021 AND 2022 NHI INCREASED UNITED COMMUNITY REFFERED CASES BY 567%. NHI CAN REFER PATIENTS WITH SOCIOECONOMIC NEEDS TO APPROPRIATE RESOURCES USING THIS DATABASE PLATFORM. THE DATABASE IS INTEGRATED INTO THE PATIENT'S ELECTRONIC MEDICAL RECORD SO THAT PROVIDERS CAN SEE PATIENT REFERRALS TO SOCIAL SERVICES AS WELL AS THE OUTCOME OF THOSE REFERRALS. NHI HAS ESTABLISHED A SOCIAL SERVICES ASSESSMENT TOOL TO STREAMLINE THE SCREENING AND DOCUMENTATION OF SOCIAL NEEDS FOR PATIENTS. THE ASSESSMENT IS INTEGRATED IN THE ELECTRONIC MEDICAL RECORD AND UTILIZED BY SOCIAL WORKERS TO IDENTIFY AND DOCUMENT SOCIAL NEEDS AND TO REFER PATIENTS TO APPROPRIATE SOCIAL SERVICES RESOURCES USING THE UNITE US DATABASE PLATFORM. TRUST THE KEY TO ENSURING HEALTH EQUITY IS INCREASING ACCESS TO CARE IN LOUISVILLE'S UNDERSERVED AREAS. NHC EXPANDED ACCESS IN UNDERSERVED AREAS THROUGH THE OPENING OF A NEW PRIMARY CARE PRACTICE IN THE WEST END, INCLUDING A COVID-19 TESTING AND VACCINATION CENTER AT THAT LOCATION. NHC ALSO PURCHASED A SECOND MOBILE UNIT, MAKING IT EASIER FOR THE COMMUNITY TO ACCESS PREVENTIVE SERVICES SUCH AS MAMMOGRAMS, WELL-WOMAN EXAMS AND COLON CANCER SCREENINGS. ADDITIONAL SITE OPENINGS ARE PLANNED IN WEST AND SOUTH LOUISVILLE TO FURTHER EXPAND ACCESS TO CARE. GOODWILL INDUSTRIES OF KENTUCKY AND NHC BROKE GROUND IN 2022 ON THE NHC GOODWILL OPPORTUNITY CAMPUS AT 28TH STREET AND BROADWAY. THE CAMPUS WILL INCLUDE A 120,000 SQUARE-FOOT OPPORTUNITY CENTER AND THE FIRST HOSPITAL IN THE MOST UNDERSERVED PART OF THE COMMUNITY. TOGETHER, BOTH ORGANIZATIONS ARE INVESTING MORE THAN $100 MILLION TO TRANSFORM A 20-ACRE BROWNFIELD SITE IN THE PARKLAND NEIGHBORHOOD INTO AN "OPPORTUNITY CAMPUS" THAT WILL HOUSE GOODWILL'S HEADQUARTERS OPERATION, A FULL-SERVICE HOSPITAL AND A COLLECTION OF LOCAL SOCIAL-SERVICE AGENCIES THAT WILL WORK TOGETHER TO SERVE AN ESTIMATED 50,000 PEOPLE EVERY YEAR. WEST LOUISVILLE IS A NINE-NEIGHBORHOOD COMMUNITY WHERE THE MEDIAN HOUSEHOLD INCOME IS $21,000. THE AREA HAS ENDURED YEARS OF DISINVESTMENT THAT HAS LEFT MANY OF ITS 65,000 RESIDENTS WITH LIMITED EMPLOYMENT AND SELF-SUFFICIENCY RESOURCES. ACCORDING TO THE MOST RECENT LOUISVILLE METRO HEALTH EQUITY REPORT, RESIDENTS IN WEST LOUISVILLE HAVE SOME OF THE HIGHEST RATES OF DEATH CONNECTED TO HEART DISEASE, CANCER AND STROKE. NHC'S NEW HOSPITAL AIMS TO TRULY CHANGE HEALTH OUTCOMES AND PROVIDE ACCESS FOR ALL RESIDENTS. IN NOVEMBER 2022 RUSSELL F. COX, PRESIDENT AND CEO OF NHC, PRESENTED THE RESULTS OF A COMMUNITY SURVEY IN WHICH MORE THAN 4,500 PEOPLE SHARED THEIR IDEAS ABOUT THE FEATURES AND SERVICES THEY WANTED IN THE NEW NORTON WEST LOUISVILLE HOSPITAL. FEEDBACK FROM THE PUBLIC IS BEING INCORPORATED INTO PLANS FOR THE HOSPITAL, WHICH INCLUDES LANDSCAPED ROOFTOPS, A CENTRALIZED AREA FOR PATIENT CHECK-IN, A RETAIL PHARMACY AND A COMMUNITY ROOM. SURVEY RESPONDENTS LISTED THE IMPORTANCE OF ACCESS TO WOMEN'S HEALTH SERVICES, MENTAL HEALTH SERVICES, CARDIOLOGY, ORTHOPEDICS AND PRIMARY CARE FOR ADULTS AND CHILDREN. IT ALSO WILL HAVE A 24-HOUR EMERGENCY DEPARTMENT, INPATIENT CARE, OPERATING ROOMS AND IMAGING TECHNOLOGY. ALL OF THESE AND ADDITIONAL SERVICES WILL BE AVAILABLE AT NORTON WEST LOUISVILLE HOSPITAL WHEN IT OPENS IN 2024. |
| Schedule H, Part V, Section B, Line 11 Facility A, 3 | Facility A, 3 - ALL HOSPITALS. IN 2020 NHC CREATED THE INSTITUTE FOR HEALTH EQUITY AS ONE OF FIVE INITIATIVES TO ADDRESS INEQUALITIES WITHIN THE COMMUNITY. THE PRIMARY FOCUS OF THE INSTITUTE IS TO IDENTIFY AND REMOVE OBSTACLES THAT PREVENT PEOPLE IN UNDERSERVED AREAS FROM RECEIVING THE HEALTH CARE THEY DESERVE, AS WELL AS TO ELIMINATE DISPARITIES IN CARE. IN 2021 THE INSTITUTE MOVED INTO THE VILLAGE @ WEST JEFFERSON, AN OFFICE BUILDING AT THE SOUTHEAST CORNER OF 12TH AND JEFFERSON STREETS, IN THE RUSSELL NEIGHBORHOOD OF LOUISVILLE. NHC IS POSITIONING THE INSTITUTE FOR HEALTH EQUITY TO SERVE AS A CENTRAL HUB FOR COMMUNITY-BASED ORGANIZATIONS AND RESOURCES TO COME TOGETHER TO ADDRESS FACTORS THAT CONTRIBUTE TO HEALTH DISPARITIES, INCLUDING HOUSING, HEALTHY FOOD OPTIONS, TRANSPORTATION AND CHILD CARE. THE 3,751-SQUARE-FOOT SPACE WAS BUILT TO ACCOMMODATE STAFF MEMBERS, COMMUNITY MEETING SPACE, CONSULTATION ROOMS FOR SOCIAL WORK AND MENTAL HEALTH CONSULTATIONS, AND A TELEHEALTH ROOM WHERE PATIENTS CAN HAVE ONE-ON-ONE APPOINTMENTS WITH MEDICAL PROVIDERS THROUGH VIDEOCONFERENCING TECHNOLOGY. THE SPACE ALSO HAS EDUCATIONAL RESOURCES FOR HEALTH AND WELL-BEING. LANGUAGE NORTON COMMUNITY MEDICAL ASSOCIATES - LA CLINICA PRESTON, NHC'S FIRST 100% BILINGUAL PRACTICE, OPENED IN 2021 IN OKOLONA WITH STAFF AND PROVIDERS WHO UNDERSTAND THE UNIQUE CONCERNS OF LOUISVILLE'S LATINX COMMUNITY AND FAMILIES. THOUGH TRANSLATION SERVICES HAVE ALWAYS BEEN AVAILABLE AT NHC FACILITIES, AN OFFICE EQUIPPED WITH TRUSTED EMPLOYEES WHO BRIDGE LANGUAGE AND CULTURE GAPS IS A WAY TO IMPROVE CARE FOR THE GROWING LATINX COMMUNITY. THERE ARE RADIATION ROOMS AT LA CLINICA PRESTON, AS WELL AS COMPLETE SAMPLE TESTING PRIVACY. IN THE HALLWAYS, SPANISH IS DISPLAYED FIRST ON EVERY LABEL. THE ULTIMATE GOAL IS TO IMPROVE HEALTH OUTCOMES. NHC HISPANIC HEALTH FAIR IS HOSTED BY NORTON PREVENTION & WELLNESS TO PROVIDE HEALTH SCREENINGS AND RESOURCES. THE HISPANIC HEALTH FAIR IS LOCATED AT ST. RITA CATHOLIC CHURCH AND PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL AND COMMUNITY RESOURCES, AND FAMILY FRIENDLY ACTIVITIES FOR THE HISPANIC/LATINX COMMUNITY. NHC ALSO HOSTED A FOOD AND DIAPER DRIVE AS PART OF THE HEALTH FAIR IN 2023. NHC'S COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A PRIORITIZATION PROCESS TO RANK IDENTIFIED NEEDS AND ISSUES BASED ON PERCEPTION OF THE COMMUNITY, SECONDARY RESEARCH AND HOW THE ISSUES ALIGN WITH NHC'S MISSION, VISION, VALUES AND STRATEGIC PRIORITIES. IDENTIFIED NEEDS WERE CATEGORIZED INTO FOUR CATEGORIES: HEALTH CONDITIONS, ACCESS TO CARE, BEHAVIORAL CONDITIONS AND SOCIOECONOMIC/DEMOGRAPHIC NEEDS. NHC EXECUTIVE LEADERSHIP AND THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF TRUSTEES IDENTIFIED AREAS IN THE BEHAVIORAL AND SOCIOECONOMIC CATEGORIES WHERE NHC CAN MOST EFFECTIVELY FOCUS ITS RESOURCES TO HAVE SIGNIFICANT IMPACT. THOSE AREAS OF FOCUS ARE: SUBSTANCE USE, OBESITY, MENTAL HEALTH, POOR NUTRITION, HEALTH DISPARITIES, HEALTH LITERACY, LANGUAGE BARRIERS AND TRUST IN THE HEALTH CARE SYSTEM. NEEDS THAT WERE IDENTIFIED BUT ARE CURRENTLY NOT AN AREA OF FOCUS FOR NHC ARE HOME CRIME AND SAFETY CONCERNS, HOUSING INSECURITY, AND POVERTY LEVELS. THESE FALL OUTSIDE OF THE CURRENT CORE COMPETENCIES OF THE ORGANIZATION AND THEREFORE ARE NOT ADDRESSED DIRECTLY IN OUR COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGIES. NHC HAS A DESIRE TO CONTINUE PROVIDING CLINICAL PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS WHILE ALSO PURSUING CONTINUOUS IMPROVEMENT IN EXISTING AND FUTURE PROGRAMS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WE SERVE. |
| Schedule H, Part V, Section B, Line 13 Facility A, 1 | Facility A, 1 - All Hospitals. Other eligibility criteria in addition to the criteria answered above would include as described in the Financial Assistance Policy: * The patient does not qualify for subsidized coverage of government assistance such as Disproportionate Share Hospital, Children's Health Insurance Program, Medicaid, Medicaid Managed Care Organization, or Hoosier Healthcare. * To be eligible for assistance for non-emergent Medically Necessary Care, a patient (or that patient's guarantor) must be a resident of Kentucky, Indiana, Tennessee, Ohio, or Illinois. This residency requirement does not apply to emergency care. |
| Schedule H, Part V, Section B, Line 16 Facility A, 1 | Facility A, 1 - ALL HOSPITALS. See response to Part VI, Line 3; Patient education of eligibility for assistance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Line 7, Input 7 STATE FILING OF COMMUNITY BENEFIT REPORT | Not required at this time by Commonwealth of Kentucky. |
| Schedule H, Part I, Line 6b Community Benefit Report | The annual community benefit initiative report is for all five hospitals in Norton Hospitals, Inc.'s (NHI) and is contained in the report prepared by NHI's parent corporation, Norton Healthcare, Inc. |
| Schedule H, Part VI, Line 5 Promotion of community health pt 1 | In 2022, Norton Hospitals, Inc. (NHI) had a total of 1,907 licensed beds: Norton Audubon Hospital (Audubon), 432 beds; Norton Brownsboro Hospital (NBH), 197 beds; Norton Children's Hospital (NCH), 300 beds; Norton Hospital (Norton), 605 beds; and Norton Women's & Children's Hospital (NWCH), 373 beds. These five hospitals operate 24 hours a day, seven days a week. NHI extends medical privileges to all physicians in the community who meet the credentialing qualifications necessary for appointment to its medical staff by specialty. In 2022, NHI's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 65,959 inpatients and 659,044 outpatients, and saw 254,632 emergency room visits. In addition, NHI's operating rooms cared for 16,402 inpatient surgical patients and 38,876 outpatient surgical patients. Additionally, 8,356 babies were delivered at NHI birthing facilities at Norton and NWCH. As part of our commitment to improving the health of our community, NHI 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, NHI provided free care to 6,574 patients, at a cost of $15.4 million. Also, NHC 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, 6,183 patients were provided care at discounted rates. Another contribution to the community was educational support of $77.5 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $27.1 million and contributions to community groups were $2.2 million. Norton Healthcare, Inc. (NHC) 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. NHC 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 NHC facilities. NHC applies surplus funds to improvements in facilities and equipment, patient care, medical training, education, and research. Residency programs are part of the $77.5 million in educational support and clinical funding provided to the medical school. NHC's Board of Trustees includes representatives from the community and largest employers in the region that live and work in the NHI's primary service area. Members are neither employees of nor independent contractors with the organization, nor family members thereof. Contributions to the community * NHC 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 Children's Hospital Foundation (CHF) and Norton Healthcare Foundation (NHF). * In 2022, 75 employees helped "raise the roof" on NHC's 17th Habitat for Humanity home at 517 Iowa Ave., Louisville, Kentucky. * In 2022, an estimated 1,404 NHC 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. * NHC 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 (IHE), a Part of NHC, 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. NHC'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 IHE 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 NHC, Goodwill Industries of Kentucky and Kentucky Gov. Andy Beshear. Opening in mid-2024, this new 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. |
| Schedule H, Part VI, Line 5 Promotion of community health pt 2 | Community education and workforce development As one of Kentucky's largest health care systems, NHC has established a culture of continual, lifelong learning. Opportunities are available through our Human Resources Department's Workforce Development (WD) team and our Norton Healthcare Institute for Education & Development (IED). WD 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. NHC 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, WD has assisted more than 6,000 students with tuition assistance. In 2022, WD financially supported nearly 850 students with over $5.4 million in educational assistance programs. * In 2022, WD 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 NHC and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 1,000 graduates continue their careers with NHC. * In 2018, NHC was one of the founding partners in Jefferson County Public Schools' (JCPS) Academies of Louisville - a strategic pipeline development program established in conjunction with the local public school system. JCPS created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. NHC 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, JCPS' 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 NHC in the field of their choice. * In 2019, NHC announced a strategic partnership program with UPS and its Metropolitan College program. NHC-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 NHC, as well as become a NHC 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 is a 12- to 18-month apprentice model lead by Norton Healthcare Center for Nursing Practice (CNP), a part of IED. Student nurses in the program engage in hands-on learning with an experienced nurse while living the mission of NHC. * In 2019, NHC 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 NHC. 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 NHC workforce. Several apprenticeship cohorts run throughout each year. * In 2022, CNP, 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. IED 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 NHC 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 NHC leaders. It is a six-week program focused on best practices for effective leadership. * Additional leadership development is provided through quarterly NHC leadership conferences. * Staff development programs include general enrichment courses and personal and professional development opportunities that honor NHC'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. * NHC 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 NHC, as well as our community, and to ensure the highest quality of patient care. |
| Schedule H, Part VI, Line 5 Promotion of community health pt 3 | 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, NHC 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 NHC. 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 NHC system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute (NHVI), a part of NHC, is the Louisville area's leading cardiovascular disease prevention and treatment program. Each year, NHVI provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. A team of specialists treats patients at NHC'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 NHC'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 - Audubon, NBH and Norton - serve as American Heart Association award-winning regional percutaneous coronary intervention receiving centers and participate in the state's first regional STEMI program, providing 24/7 care for patients from throughout Kentucky and Southern Indiana who experience the most severe type of heart attack. NHVI 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 NHVI Heart Rhythm Center provides state-of-the-art monitoring and a comprehensive suite of treatment options for all types of heart arrhythmias. NHVI 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 (NOI) provides advanced orthopedic care for all bones and joints, and for people of all ages. NOI 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. NOI'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, NOI offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. |
| Schedule H, Part VI, Line 5 Promotion of community health pt 4 | Norton Women's Care Norton Women's Care (NWC) 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 NWC at Norton and NWCH to deliver their babies than any other facility in the region. In 2022, NWC birthing facilities at Norton and NWCH provided care and medical services for 8,356 deliveries. NWC 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. NWC 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 and NWCH. 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 CHF, which raises funds exclusively for the not-for-profit NCH 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 NCH 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. * NCH'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 NCH. 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 NCH NCH 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 (NNI) 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. NNI provides leadership for a system of stroke care, including at NBH, designated as a Comprehensive Stroke Center by DNV Healthcare Inc., representing the highest level of stroke care. In addition, The Joint Commission has certified Audubon and Norton as Primary Stroke Centers, and NWCH as an Acute Stroke Ready Hospital. NNI 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 NNI, patients and their families have access to support resources to manage their diagnoses through two NNI Resource Centers. The resource centers offer dedicated patient navigators, support groups, exercise programs and extensive educational resources. |
| Schedule H, Part VI, Line 5 Promotion of Community Health pt5 | Norton Prevention & Wellness Norton Prevention & Wellness (NPW) supported by the NHF, which raises funds exclusively for NHC's adult-services hospitals and services. * In 2022, NPW staff provided preventive screenings aboard the NPW 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, NPW 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. * NPW 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 NHC 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 NHC. These studies engage more than 400 NHC 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. NHC 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, NHC 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 IHE. NCI NCI'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. NCI 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 NCI 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 NCI Resource Centers. NCI 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. |
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | Norton Hospitals, Inc. has a policy where we discount charges for all self-pay patients with no insurance coverage regardless of income qualifications. Because of this policy, we responded "No" to line 3b in that we do not utilize federal poverty guidelines for providing discounted care. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Norton Healthcare, Inc. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The costing methodology used to calculate the community benefit expenses was to calculate the cost by hospital location (five separate locations under one Medicare provider number). The cost was determined based on a specific location cost to charge ratio. The cost used in the calculator was reduced by provider taxes, Graduate Medical Education expenses, and other costs. The adjusted cost to charge ratio was then multiplied times the gross charges for qualified financial assistance charges, Medicaid, and the state Disproportionate Program (other means tested government program) to obtain the specific community benefit expense. Cost of Health Improvement and Community Benefit Programs, Health Education, Research Programs, some Subsidized Health Services, and Donations are stated at actual cost. The cost of these items are tracked throughout the general ledger process and through other accounting software. |
| Schedule H, Part II Community Building Activities | NORTON HOSPITALS, INC. (NHI) SUPPORTED OVER 300 COMMUNITY ORGANIZATIONS WITH LEADERSHIP SUPPORT WHICH INCLUDED OVER 220,000 HOURS AND OVER $1.6 MILLION IN SALARIES. NHI REPRESENTATIVES SERVED ON A VARIETY OF NONPROFITS AND GOVERNMENT AGENCIES THAT HELPED IMPROVE ACCESS TO HEALTH SERVICES, ENHANCED THE HEALTH OF THE COMMUNITY, ADVANCED MEDICAL AND HEALTH CARE KNOWLEDGE, AND RELIEVED OR REDUCED THE BURDEN OF GOVERNMENT OR COMMUNITY EFFORT. NHI'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. OUR COMMUNITY BENEFIT INITIATIVE ALIGNS WITH OUR MISSION TO PROMOTE THE HEALTH OF THE COMMUNITY THROUGH SERVICE ON LOCAL BOARDS, ADVISORY COUNCILS AND VOLUNTEERING. NHI EMPLOYEES REPRESENT NHI ON MANY COMMUNITY BOARD POSITIONS THAT HELP TO ENHANCE THE COMMUNITY INCLUDING THE AMERICAN RED CROSS, GREATER LOUISVILLE INC. BOARD, THE CENTER FOR WOMEN AND FAMILIES, HABITAT FOR HUMANITY, UNITED WAY OF KENTUCKY, THE AMERICAN HEART ASSOCIATION, THE RONALD MCDONALD HOUSE, AND MANY MORE. NHI HAS A RICH CULTURAL HISTORY OF PROVIDING COMMUNITY SUPPORT AND NHI EMPLOYEES ARE PASSIONATE ABOUT SERVING OTHERS AND PROMOTING THE HEALTH OF OUR COMMUNITY. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | FOR FINANCIAL STATEMENT PURPOSES, NORTON HEALTHCARE HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The method used to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under our financial assistance policy is based on our outside vendor's experience with qualifying accounts as financial assistance. Medassist Firstsource, our outside vendor, screens all self-pay accounts and based on an initial screening, will classify the account as probable financial assistance. If the accounts appear to meet Norton Hospitals, Inc.'s (NHI) financial assistance program guidelines, these accounts are then required to submit the necessary documentation to ultimately be classified as a financial assistance account. Based on all accounts that are classified as probable financial assistance by Medassist Firstsource and their experience with getting accounts qualified as financial assistance, it is estimated that 55% of those accounts classified as probable financial assistance and which do not submit the required documentation would qualify as a NHI financial assistance account. The estimated cost of accounts that are estimated to qualify for our financial assistance programs is calculated based on gross charges for accounts for the year that are probable but do not submit the necessary documentation multiplied times our cost to charge ratio times the 55% estimated conversion factor. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | In accordance with accounting guidance, bad debt is no longer an expense, but is included as a reduction in net patient service revenue. The following paragraph per the audited financial statements (page 19, second paragraph) discusses the handling of patient deductible and coinsurance not paid by patients; Generally, patients who are covered by third-party payors are responsible for patient responsibility balances, including deductibles and coinsurance, which vary in amount. The Corporation estimates the transaction price for patients with deductibles and coinsurance based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any explicit price concessions, discounts, and /or implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of change. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | The costing methodology used to determine the Medicare allowable cost was based on the Medicare principles used in completing the Medicare cost report. All cost reported came from the Medicare cost report. Norton Hospitals, Inc. (NHI) accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. NHI believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate NHI for the cost of providing hospital care to Medicare beneficiaries. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | After the patient's initial screening for financial assistance, if it is believed that the patient qualifies for financial assistance; Norton Hospitals Inc. will not start collection efforts pending the patient submitting the necessary information to document meeting the financial assistance qualifications. If the patient submits the necessary documentation within a reasonable time period, then there will not be any collection efforts made to collect any amount from the patient. The patient may receive a statement/bill reflecting the amount due through the financial assistance application process pending the patient's financial assistance application, but there will be no collection efforts. Only after an attempt is made to contact the patient to obtain the necessary documentation for completing the financial assistance application and the patient not responding will collection efforts begin. There is ongoing effort throughout the collection process to screen for Medicaid eligibility, Disproportionate Share Hospital, and the need for providing financial assistance applications to patients. When a patient is approved for financial assistance, their account balance is written off. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - Norton Hospital: Line 16a URL: WWW.NORTONHEALTHCARE.COM/FAP; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - Norton Hospital: Line 16b URL: WWW.NORTONHEALTHCARE.COM/FAP; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - Norton Hospital: Line 16c URL: WWW.NORTONHEALTHCARE.COM/FAP; |
| Schedule H, Part VI, Line 2 Needs assessment | NEEDS ASSESSMENT NORTON HOSPITALS, INC (NHI) REGULARLY AND CONSISTENTLY EVALUATES WORKFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGH PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICES, LOCAL AND STATE UNIVERSITIES, KENTUCKIANA WORKS, AND THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE NHI IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, NHI ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTER FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS, BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATION, FREE SCREENINGS AND ACCESS TO HEALTH CARE. NORTON HEALTHCARE, INC. (NHC), THE PARENT COMPANY of NHI, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ALL FIVE HOSPITALS. THE CHNA DEFINED THE PATIENT SERVICE AREA BY PATIENT ORIGIN FOR INPATIENT STAYS, DEMOGRAPHIC, SOCIOECONOMIC, POPULATION, AND OTHER HEALTH RELATED INDICATORS UTILIZED TO PROVIDE INFORMATION ON THE HEALTH STATUS OF THE COMMUNITY. COMMUNITY INPUT WAS PROVIDED THROUGH PROVIDER AND COMMUNITY INTERVIEWS, TARGETED FOCUS GROUPS AND A COMMUNITY HEALTH SURVEY. HEALTH NEEDS WERE PRIORITIZED AND ADDRESSED BASED ON HEALTH STATUS FINDINGS AND COMMUNITY INPUT. THE CHNA IS A COMPONENT OF THE ORGANIZATIONS STRATEGIC PLANNING PROCESS AS RESOURCES ARE NECESSARY TO IMPLEMENT STRATEGIES OUTLINED FOR PRIORITIES IDENTIFIED. THE NHC BOARD OF TRUSTEES AS WELL AS THE LEADERSHIP OF NHC AND HOSPITAL CHIEF ADMINSTRATIVE OFFICERS HAVE APPROVED THE ASSESSMENT AND IMPLEMENTATION PLAN. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Signage is posted in all Norton Healthcare, Inc. (NHC) hospital facilities, including the admission area and emergency room, providing information on the ability to apply for financial assistance and to seek help in paying your bill. The signage is translated in five languages and all languages are contained on the same poster. The languages are: English, Spanish, Vietnamese, Croatian, and Arabic. At the time of registration, the Patient Access/Registration department discusses with the patient the financial assistance/charity options, guidelines, and provides assistance as needed in filling out a financial assistance application and answering questions. The patient may also be referred to the NHC eligibility vendor for assistance at no cost to the patient/guarantor. Additional questions from the patient/guarantor can be facilitated through the NHC Single Billing Office (SBO) area, Customer Service, and NHC vendors. NHC has created a number of different options for the patient/guarantor to supply the information/application for financial assistance to NHC. Those various methods of delivery include: in person, by mail, by fax, on-line application submission via the website, and by specific email address. These various options are publicized and made known to the patient. In 2022 statements mailed to the guarantors by Norton Hospitals, Inc. (NHI) contained information to start the financial assistance application process. NHI employs an outside eligibility vendor, Medassist Firstsource. All self-pay accounts for the facilities are placed for eligibility screening with Medassist Firstsource. They screen for NHC financial assistance, Medicaid, Medicaid Managed Care organizations, presumptive eligibility, and Disproportionate Share Hospital/Kentucky Children's Health Insurance Program (DSH/KCHIP). In addition, they may provide education and referral assistance to the appropriate county/state departments for food stamps, rent assistance, heating assistance, etc. The process of completing the application is often performed by Medassist Firstsource. They protect filing deadlines by submitting the appropriate forms to the state/county. They follow up to secure proof of income documents for Norton financial assistance and follow up with a state caseworker as needed. Medassist Firstsource also makes outside field calls or home visits to the patients to secure the needed information for eligibility assistance if the patient is homebound. Additionally, Medassist Firstsource may provide assistance with patient transportation needs so that the patient can make their scheduled appointments with their caseworker. All of the services provided by Medassist Firstsource eligibility are at no cost to the patient. Cost to the hospitals for these eligibility and enrollment services was in excess of $6,300,000 in 2022. NHI has a staff of 10 full-time employees including a supervisor that are dedicated to performing the following functions: processing, reviewing, and approving the hundreds of financial assistance applications received each week. Additionally, some of those employees make out-bound calls to solicit financial assistance information needed to process the patient's application. Financial assistance for Norton financial assistance is not limited to the self-pay population. Even patients with insurance coverage are encouraged to apply for assistance so their deductible, co-payments, and co-insurance amounts are covered under the various assistance programs. Financial counselors/social workers at the facilities are educated and trained to assist with counseling patients to determine and explain our financial assistance programs. They continue to receive on-going education throughout the entire year regarding eligibility changes and additions for Norton financial assistance, DSH/KCHIP, Medicaid, Medicaid Managed Care organization, presumptive eligibility, etc. As the foundation office receives inquiries directed to their office, they refer these individuals to Patient Financial Services (PFS) to screen for possible Norton financial assistance or The Children's Hospital Foundation, Inc. (CHF) funding. If a child's account does not qualify for Norton financial assistance, that account is referred to management of PFS for consideration for special funding through CHF as well as other programs. The charity application was provided on the back of the SBO statement. NHI ensures that all patients were made aware of financial assistance regardless of where the patient's account may have been in the collection cycle. Even if the patient/guarantor had not previously availed themselves of the opportunity to apply for financial assistance and decided they will now cooperate, then allowed the patient/guarantor to apply and approved if they met the qualifications. Financial assistance notifications and applications were made available to the patient/guarantor via telephone, face to face meetings, website, mail, electronically, etc. Primary collection agencies chosen by NHI include with their initial placement letter an insert of a copy of a financial assistance application for the guarantor to complete. Calls resulting from notification correspondence sent by the collection agencies may be routed to Spanish-speaking Customer Service representatives or patient/guarantors may also request an interpreter service to assist in facilitating information regarding financial assistance. NHI has translated the full financial assistance policy, financial assistance applications, billing and collection policy and the plain language summary into five languages: English, Spanish, Vietnamese, Croatian, and Arabic. NHI's Customer Service department routinely instructs and screens patients in the protocol regarding financial assistance through the Norton financial assistance program. Since 2007, NHI has offered at the time of final billing all true hospital self-pay patients a significant discount off of the total charges that were reflected on their monthly statements and the amount due. Contracted collection agencies are required to solicit financial assistance applications when the patient/guarantor indicates "cannot pay." The statement provided by NHI in 2022 included the link to the NHC website to allow the patient/guarantor to learn more about financial assistance. The statement contained the financial assistance application on the back of the statement so the guarantor could apply using the actual NHI statement and could then mail, fax, bring the application directly to the facilities, or email the form to PFS. The statement included a phone number to call to learn more about the application process and discuss financial assistance options. |
| Schedule H, Part VI, Line 4 Community information | PRIMARY SERVICE AREA NORTON HOSPITALS INC.'S (NHI) PRIMARY SERVICE AREA POPULATION IS OVER 1.5 MILLION AND EXPECTED TO INCREASE 3% BETWEEN 2023 AND 2028. IN 2016, THE PRIMARY SERVICE AREA INCREASED FROM A 7 COUNTY AREA TO AN AREA INCLUSIVE OF 16 COUNTIES, 5 OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY, 4 BORDER THE RIVER IN INDIANA, AND INCLUDES 5 ADDITIONAL KENTUCKY COUNTIES AND 2 ADDITIONAL INDIANA COUNTIES THAT DO NOT BORDER THE OHIO RIVER. 94% OF NHI'S PATIENTS ARE DERIVED FROM THIS SERVICE AREA. APPROXIMATELY 31% OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 34% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2023 WAS ESTIMATED AT 341,204 AND IS EXPECTED TO DECREASE TO 338,974 WITHIN 5 YEARS AND REPRESENTS 23% OF THE POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 625,651 IN 2023 AND IS EXPECTED TO INCREASE 2% BY 2028. CURRENTLY 10% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 16% HAVE A HOUSEHOLD INCOME THAT IS LESS THAN $25,000 A YEAR; THE MEDIAN HOUSEHOLD INCOME IS $67,708 COMPARED TO $70,784 FOR THE UNITED STATES. NHI TREATS 41.8% OF THE ADULT INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 47% MEDICARE, 24% MEDICAID/PASSPORT AND 1% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS MAY 2023 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 3.6% COMPARED TO 3.8% FOR KENTUCKY AND 3.5% FOR THE UNITED STATES. NHI'S PRIMARY SERVICE AREA HAS ADEQUATE ACCESS TO HOSPITAL CARE, WITH OVER 3,200 INPATIENT SHORT-TERM ACUTE CARE BEDS IN JEFFERSON COUNTY ALONE, 1,712 (53.6%) OF WHICH ARE PART OF THE NORTON HEALTHCARE SYSTEM. REVIEW OF OCCUPANCY RATES FOR EACH HOSPITAL INDICATES THAT THE INPATIENT NEED IS CURRENTLY BEING MET. THROUGH A CERTIFICATE OF NEED (CON) PROCESS, KENTUCKY HAS A STATE HEALTH PLAN THAT REGULATES HEALTH SERVICES PROVIDED. THE CON PROCESS ESTABLISHES CRITERIA BASED ON COMMUNITY NEED IN AN ATTEMPT TO ENSURE THAT UNNECESSARY DUPLICATION OF SERVICES DOES NOT OCCUR. IN JEFFERSON COUNTY 9.4% OF THE COMMUNITY IS BELOW THE FEDERAL POVERTY GUIDELINES AS COMPARED TO 12.1% OF THE POPULATION BELOW THE FEDERAL POVERTY LINE IN KENTUCKY. POVERTY IS A KEY DRIVER OF HEALTH STATUS AND CREATES BARRIERS TO ACCESS, INCLUDING HEALTH SERVICES, HEALTHY FOOD CHOICES AND OTHER FACTORS THAT CONTRIBUTE TO POOR HEALTH. CERTAIN SEGMENTS OF THE COMMUNITIES SERVED BY NHI HAVE EXTREME POVERTY. THE CENTRAL AND WEST SEGMENTS OF JEFFERSON COUNTY HAVE POVERTY RATES TWICE THAT OF KENTUCKY AND NATIONAL RATES. RESIDENTS OF JEFFERSON COUNTY, KENTUCKY, ACCOUNT FOR APPROXIMATELY 64% OF NHI'S INPATIENT DISCHARGES AND 69.6% OF NHI'S INPATIENT AND OUTPATIENT CASES COMBINED. ALMOST 70% OF NHI'S PATIENTS ARE FROM JEFFERSON COUNTY, WHICH IS KENTUKCKY'S HEAVIEST POPULATED URBAN AREA. NHI'S PRIMARY SERVICE AREA'S POPULATION IS 68% URBAN, 31% URBAN, AND 1% RURAL. FOUR AREAS WITHIN JEFFERSON COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AREAS BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THE HRSA IS THE PRIMARY FEDERAL AGENCY FOR IMPROVING HEALTH CARE FOR PEOPLE WHO ARE ECONOMICALLY AND MEDICALLY VULNERABLE. IT WORKS WITH STATE PARTNERS TO DETERMINE AREAS WITH TOO FEW PRIMARY CARE, DENTAL AND MENTAL HEALTH PROVIDERS AND SERVICES. THERE ARE LIMITED FEDERAL RESOURCES, SO THE DESIGNATION HELPS TO PRIORITIZE AND FOCUS RESOURCES TO AREAS WITH THIS DESIGNATION. SECONDARY SERVICE AREA NHI's SECONDARY SERVICE AREA DECREASED FROM 26 COUNTIES TO 17 COUNTIES IN 2016 AS MANY COUNTIES ARE NOW INCLUDED IN THE PRIMARY SERVICE AREA. NHI's SECONDARY SERVICE AREA POPULATION WAS 439,555 IN 2023 AND IS EXPECTED TO INCREASE 3% BETWEEN 2023 AND 2028. THE SECONDARY SERVICE AREA SPREADS ACROSS 15 KENTUCKY COUNTIES AND 2 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 31% OF THE SECONDARY SERVICE AREA POPULATION AND IS BELOW THE 55+ PERCENTAGE IN THE UNITED STATES. THE PEDIATRIC POPULATION IN 2023 WAS ESTIMATED AT 99,754 AND EXPECTED TO INCREASE TO 101,058 BY 2028. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO REMAIN RELATIVELY FLAT (1% GROWTH), THERE IS A NEED FOR CHILDREN TO HAVE APPROPRIATE ACCESS TO CARE IN THE RURAL AREAS OF KENTUCKY. THE NUMBER OF HOUSEHOLDS IN THE SECONDARY SERVICE AREA WAS ESTIMATED AT 172,776 IN 2023 AND IS EXPECTED TO INCREASE 2.9% BY 2028. ALMOST 45,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE AVERAGE HOUSEHOLD INCOME IS UNDER $25,000 FOR 22% OF THE POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $51,364, 5% GREATER THAN KENTUCKY AND 24% LESS THAN THE PRIMARY SERVICE AREA AVERAGE HOUSEHOLD INCOME. NHI'S SECONDARY SERVICE AREA'S POPULATION IS 73% SUBURBAN, 20% URBAN, AND 7% RURAL. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Norton Healthcare, Inc. (the controlling company) (NHC) and its affiliates, including Norton Hospitals, Inc., Norton Properties, Inc., Community Medical Associates, Inc., The Children's Hospital Foundation, Inc., Norton Healthcare Foundation, Inc., and Norton Enterprises, Inc. operate in the Louisville, Kentucky metropolitan area and the operations of the affiliated healthcare system include 1,907 licensed beds, over 300 physician practice locations, and 18 Norton Immediate Care Center locations, and other ancillary health care services. Norton Healthcare - Indiana, Inc. is an affiliate of NHC and operates Norton - King's Daughters' Hospital in Madison IN, which has 86 licensed beds and 8 physician practice and other ancillary health care service locations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Russell F Cox | ||||||||||||||
| President & CEO/Trustee | $0 | $1,381,929 | $0 | $850,949 | $0 | $2,545,224 | $0 | $144,894 | $0 | $36,209 | $0 | $4,959,205 | $0 | $1,456,526 |
| Robert B Azar | ||||||||||||||
| Sr VP Chief Legal Officer/Secretary | $0 | $577,778 | $0 | $257,754 | $0 | $280,499 | $0 | $74,695 | $0 | $15,549 | $0 | $1,206,275 | $0 | $165,378 |
| Michael W Gough | ||||||||||||||
| Exec VP and COO | $0 | $1,006,097 | $0 | $501,896 | $0 | $326,096 | $0 | $101,573 | $0 | $32,025 | $0 | $1,967,687 | $0 | $31,939 |
| Adam Kempf | ||||||||||||||
| Sr VP, CFO/Treasurer | $0 | $617,611 | $0 | $278,616 | $0 | $143,280 | $0 | $144,879 | $0 | $33,636 | $0 | $1,218,022 | $0 | $78,012 |
| Matthew Ayers | ||||||||||||||
| Hospital CAO | $357,956 | $0 | $142,821 | $0 | $82,207 | $0 | $75,945 | $0 | $29,903 | $0 | $688,832 | $0 | $42,848 | $0 |
| Karen Donahue | ||||||||||||||
| Division VP Finance | $274,097 | $0 | $75,417 | $0 | $140,078 | $0 | $40,809 | $0 | $29,124 | $0 | $559,525 | $0 | $0 | $0 |
| Joseph Flynn DO | ||||||||||||||
| CAO NMG - Physician -in-Chief NCI | $619,886 | $0 | $243,818 | $0 | $93,619 | $0 | $118,933 | $0 | $34,580 | $0 | $1,110,836 | $0 | $73,144 | $0 |
| Charlotte Ipsan | ||||||||||||||
| Hospital CAO | $182,409 | $183,608 | $133,786 | $0 | $79,146 | $15,030 | $8,338 | $87,392 | $17,752 | $13,169 | $421,431 | $299,199 | $40,136 | $0 |
| Emmett Ramser | ||||||||||||||
| Hospital CAO | $342,982 | $0 | $124,625 | $0 | $67,897 | $0 | $85,695 | $0 | $33,002 | $0 | $654,201 | $0 | $37,388 | $0 |
| Andrew Strausbaugh | ||||||||||||||
| Hospital CAO | $298,105 | $0 | $124,326 | $0 | $77,260 | $0 | $520,221 | $0 | $32,411 | $0 | $1,052,323 | $0 | $37,296 | $0 |
| Muneeb Choudry MD | ||||||||||||||
| Physician | $354,795 | $0 | $982,502 | $0 | $42,466 | $0 | $19,485 | $0 | $37,299 | $0 | $1,436,547 | $0 | $0 | $0 |
| Shawn Glisson MD | ||||||||||||||
| Physician | $887,606 | $0 | $564,253 | $0 | $21,297 | $0 | $17,336 | $0 | $39,402 | $0 | $1,529,894 | $0 | $0 | $0 |
| Joseph Maly MD | ||||||||||||||
| Physician | $845,868 | $0 | $546,164 | $0 | $3,593 | $0 | $12,924 | $0 | $51,367 | $0 | $1,459,916 | $0 | $0 | $0 |
| Aaron Spalding MD | ||||||||||||||
| Physician | $987,455 | $0 | $636,673 | $0 | $146,126 | $0 | $18,695 | $0 | $59,738 | $0 | $1,848,687 | $0 | $0 | $0 |
| Don Stevens MD | ||||||||||||||
| Physician | $615,539 | $0 | $651,321 | $0 | $65,136 | $0 | $32,779 | $0 | $27,549 | $0 | $1,392,324 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. (NHC) EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NHC 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 NHC 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: Matthew Ayers - $10,000 Charlotte Ipsan - $5,768 Joseph Flynn - $10,000 Andrew Strausbaugh - $9,616 Emmett Ramser - $10,000 Karen Donahue - $10,000 |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | NORTON HEALTHCARE INC (NHC) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR NORTON HOSPITALS, INC. AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF NHC; AN INDEPENDENT COMPENSATION CONSULTANT; REVIEW OF OTHER ORGANIZATION'S FORM 990; WRITTEN EMPLOYMENT AGREEMENTS; THIRD PARTY COMPENSATION SURVEYS AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. SEE NARRATIVE IN SCHEDULE O, REFERENCING PART VI, LINE 15 WHICH FURTHER DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | Severance payment was received during 2022 by Key Employee, Andrew Strausbaugh in the amount of $9,850. 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 Matthew Ayers - $56,854 Charlotte Ipsan - $69,414 Joseph Flynn - $103,683 Andrew Strausbaugh - $37,141 Emmett Ramser - $56,407 Karen Donahue - $22,509 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 Matthew Ayers - $61,094 Charlotte Ipsan - $48,416 Joseph Flynn - $73,175 Andrew Strausbaugh - $53,498 Emmett Ramser - $52,672 Karen Donahue - $100,764 |
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JASON NACHAZEL | |||
| FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE | $93,019 | COMPENSATION | false |
| SARAH A ROBINSON | |||
| FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE | $89,551 | COMPENSATION | false |
| Lorraine Bouvette | |||
| Family member of Maria Bouvette, Trustee | $74,653 | COMPENSATION | false |
| Laura Hortert | |||
| FAMILY MEMBER OF EMMETT RAMSER, KEY EMPLOYEE | $47,720 | COMPENSATION | false |
| Emrie Ipsan | |||
| Family member of Charlotte Ipsan, Key Employee | $21,767 | Compensation | false |
| Emma Kempf | |||
| Family member of Adam Kempf, Officer | $22,833 | Compensation | false |
| Megan Knights | |||
| Family member of Emmett Ramser, Key Employee | $79,044 | Compensation | false |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $48,060 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Donated Meals/Gift Cards | Desc |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $221,722 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Clothing and household goods - Number of contributions Other - Donated Meals/Gift Cards Number of contributions | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES | NORTON HEALTHCARE, INC. (NHC) EIN 61-102875 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC ON BEHALF OF NHI. NHI HAS APPROXIMATELY 12,780 EMPLOYEES. |
| Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S | NORTON HEALTHCARE, INC. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NHC ON BEHALF OF NHI. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2022 BY NHC FOR NHI, WAS APPROXIMATELY 260. NHI HAS 138 INDEPENDENT CONTRACTORS EXCEEDING $100,000 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 OF 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 | Russell F. Cox, Michael W. Gough, Robert B. Azar (Officers, Norton Enterprise, Inc.) - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Norton Healthcare, Inc. (EIN 61-1028725) is the sole member of Norton Hospitals, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Trustees of Norton Healthcare, Inc. appoints the trustees of the organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | According to the Articles of Incorporation of the organization, Norton Healthcare, Inc. (NHC) the sole member, possesses all of the rights granted to a member pursuant to law, including the right to elect trustees or directors and approve amendments to the Articles of Incorporation of the organization. NHC also possesses the right to require the organization to (I) provide contributions of funds of the organization to pay all to a portion of the principle of, interest on, and all other payments to become due and owing with respect to any and all indebtedness incurred by NHC, and (II) provide security for such indebtedness. |
| 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 990S WERE DISCUSSED AND COMMITTEE MEMBERS AND TRUSTEES HAD AN OPPORTUNITY TO ASK QUESTIONS. COINCIDING WITH THE FINANCE COMMITTEE MEETING, ELECTRONIC COPIES OF THE 990S WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND BOARD OF TRUSTEES THROUGH THE DIRECTORS 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 King's Daughters' 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 INTERST OF THE ORGANIZATION. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The top management official is paid by a related organization. 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 (E) 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 | Misc. Income - Total Revenue: 3074831, Related or Exempt Function Revenue: 3074831, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Contract labor - Total Expense: 97408900, Program Service Expense: 97408900, Management and General Expenses: , Fundraising Expenses: ; Professional fees - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Fees & special services - Total Expense: 57496087, Program Service Expense: 57496087, Management and General Expenses: , Fundraising Expenses: ; Lab services - Total Expense: 24015646, Program Service Expense: 24015646, Management and General Expenses: , Fundraising Expenses: ; Other - Total Expense: 11715497, Program Service Expense: 11715497, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | AFFILIATE TRANSFER - -848135; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTON HEALTHCARE INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOO | LOUISVILLE | KY | 40202 | 611028725 | PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES | KY | 501(c)(3) | Type II | NA | false |
| COMMUNITY MEDICAL ASSOCIATES INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOO | LOUISVILLE | KY | 40202 | 611276316 | OPERATES A NETWORK OF PHYSICIAN PRACTICES | KY | 501(c)(3) | 10 | NORTON HEALTHCARE INC | false |
| NORTON PROPERTIES INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOO | LOUISVILLE | KY | 40202 | 611028724 | MAINTAIN OFFICE AND PARKING FACILITIES | KY | 501(c)(3) | Type I | NORTON HEALTHCARE INC | false |
| THE CHILDREN'S HOSPITAL FOUNDATION INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOO | LOUISVILLE | KY | 40202 | 616027530 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCARE INC | false |
| NORTON HEALTHCARE FOUNDATION INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOO | LOUISVILLE | KY | 40202 | 310914919 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCAREINC | false |
| 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 | false |
| NORTON KING'S DAUGHTERS' HEALTH INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 350895832 | PROVIDE HOSPITAL SERVICES | IN | 501(c)(3) | 3 | NORTON HEALTHCARE - Indiana INC | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON ENTERPRISES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 224 E BROADWAY 5TH FLOOR | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402022025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611054301 | EIN |
| Primary Activities | Invests in partnerships that provide medical services. | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norton Healthcare Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |