NORTON - KINGS DAUGHTERS HEALTH INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NORTON - KINGS DAUGHTERS HEALTH INC (EIN 35-0895832)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202343179349300149
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T07:36:57+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 | 350895832 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON - KING'S DAUGHTERS' HEALTH 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 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Adam Kempf | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5026298263 | PhoneNum |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTERS' HEALTH | BusinessNameLine1Txt |
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 | $457,204,569 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KDHMADISON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1899 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | NORTON - KING'S DAUGHTERS' HEALTH, 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 HONORS OUR FAITH HERITAGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1045 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $44,011 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $30,751 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,369,853 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,028,192 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $145,093,966 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,299,593 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,031,572 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,415,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | $409,944 | PYOtherRevenueAmt |
| CY Other Revenue | $616,728 | CYOtherRevenueAmt |
| PY Total Revenue | $171,905,335 | PYTotalRevenueAmt |
| CY Total Revenue | $146,360,432 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $23,579 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,462 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $71,842,418 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $67,688,143 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $121,646 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $65,268,265 | PYOtherExpensesAmt |
| CY Other Expenses | $73,380,346 | CYOtherExpensesAmt |
| PY Total Expenses | $137,134,262 | PYTotalExpensesAmt |
| CY Total Expenses | $141,096,951 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $34,771,073 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,263,481 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $360,802,224 | TotalAssetsBOYAmt |
| Total Assets EOY | $337,254,827 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $99,917,079 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $379,963,394 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $260,885,145 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$42,708,567 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NORTON-KING'S DAUGHTERS' HEALTH'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 HERTIAGE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $109,789,578 | ExpenseAmt |
| Grant | $28,462 | GrantAmt |
| Revenue | $123,562,805 | RevenueAmt |
| Desc | NORTON-KING'S DAUGHTERS' HEALTH, INC. (NKDH) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL LOCATED IN MADISON, INDIANA. NKDH IS ORGANIZED FOR THE PURPOSE OF PROVIDING HEALTH CARE SERVICES TO THE RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA. NKDH INCLUDES AN 86-LICENSED BED ACUTE CARE HOSPITAL, PHYSICIAN PRACTICE GROUPS, AND HOME HEALTH/HOSPICE SERVICES. DURING 2022, NKDH SERVED 2,042 INPATIENTS, 68,718 OUTPATIENTS, AND SAW 18,541 EMERGENCY DEPARTMENT ROOM VISITS AND 1,936 OBSERVATION CASES. IN ADDITION, NKDH'S OPERATING ROOMS CARED FOR 579 INPATIENT SURGICAL PATIENTS AND 2,089 SURGICAL OUTPATIENTS. ADDITIONALLY, 380 DELIVERIES WERE PERFORMED AT NKDH. NKDH'S PHYSICIAN PRACTICE GROUPS SAW 121,689 VISITS. NKDH'S HOME CARE SERVICES SAW 7,319 VISITS. UNDER ITS CHARITY PROGRAM, NKDH PROVIDED FREE CARE TO 295 PATIENTS TOTALING $816,223 IN GROSS CHARGES. ALSO, NKDH GRANTS A DISCOUNT FROM BILLED CHARGES TO ANY PATIENTS THAT HAVE NO ACCESS TO PRIVATE HEALTH INSURANCE OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE OR CHARITY CARE. UNDER THIS PROGRAM, 3,103 PATIENTS WERE PROVIDED CARE AT DISCOUNTED RATES TOTALING $1,467,455 IN DISCOUNTS. | Desc |
| Total Program Service Expenses | $109,789,578 | 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 | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | 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 | false | 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 |
| IRP Document | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1045 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | false | 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 |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAWN NUNAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8128010800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 E SR 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|
| Adam Kempf | |||||||||
| Board Treasurer | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $1,039,507 | $178,515 | ||
| Robert B Azar | |||||||||
| Board Secretary | 1.0 | 50.0 | Yes (X) | Yes (X) | $0 | $1,116,031 | $90,244 | ||
| Annie Schroeder | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Bonnie Colen | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Darleen Connolly | |||||||||
| Board Chairperson | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| David Craig | |||||||||
| Board Vice Chairperson | 1.0 | 3.5 | Yes (X) | $0 | $2,000 | $0 | |||
| Jonathan Hanson MD | |||||||||
| Physician/Board Member | 1.0 | 0 | Yes (X) | $426,774 | $0 | $58,507 | |||
| Kevin Turner | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Mary Bette Voyles | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Mary Kay McCubbin | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Israel MD | |||||||||
| Physician/Board Member | 1.0 | 0 | Yes (X) | $362,057 | $0 | $57,265 | |||
| Scott Watkins | |||||||||
| Board Member | 1.0 | 50.0 | Yes (X) | $0 | $771,364 | $155,802 | |||
| Sharyn Whitman | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Ohlendorf | |||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Tina Hendrick MD | |||||||||
| Physician/Board Member (partial year) | 1.0 | 0 | Yes (X) | $187,337 | $0 | $10,376 | |||
| Carol Dozier | |||||||||
| President/CEO | 40.0 | 0 | Yes (X) | $113,922 | $425,961 | $26,006 | |||
| Denine Fallis-Hallgarth | |||||||||
| VP Physician Services | 40.0 | 0 | $182,999 | $0 | $25,681 | Yes (X) | |||
| Jennifer Liter | |||||||||
| VP Inpatient Services | 40.0 | 0 | $192,267 | $0 | $53,559 | Yes (X) | |||
| John Price | |||||||||
| Vice-President Finance | 40.0 | 0.0 | $68,459 | $259,576 | $26,632 | Yes (X) | |||
| George Alcorn MD | |||||||||
| Physician | 40.0 | 0 | $482,658 | $0 | $60,448 | Yes (X) | |||
| Kenneth Mackinlay MD | |||||||||
| Physician | 40.0 | 0 | $677,706 | $0 | $57,627 | Yes (X) | |||
| Nathan Polley MD | |||||||||
| Physician | 40.0 | 0 | $1,158,220 | $0 | $57,731 | Yes (X) | |||
| Raymonda Stevens MD | |||||||||
| Physician | 40.0 | 0 | $804,492 | $0 | $14,650 | Yes (X) | |||
| Thomas Eckert MD | |||||||||
| Physician | 40.0 | 0 | $575,965 | $0 | $30,247 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,232,856 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,614,439 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $903,290 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| PROLINK STAFFING SERVICES LLC | ||||||
| 4600 MONTGOMERY ROAD | STE 300 | CINCINNATI | OH | 45212 | CONTRACTED STAFFING | $2,271,789 |
| EMCARE INC | ||||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED PHYSICIAN AND MIDLEVEL PROVIDER SERVICES | $1,601,305 | |
| ARUP LABORATORIES INC | ||||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LABORATORY TESTING SERVICES | $1,060,885 | |
| MEDICAL SOLUTIONS LLP | ||||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | CONTRACTED STAFFING SERVICES | $957,718 | |
| WEATHERBY LOCUMS INC | ||||||
| PO BOX 972633 | DALLAS | TX | 753972633 | CONTRACTED PHYSICIAN AND MIDLEVEL PROVIDER SERVICES | $942,639 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $12,713 | FundraisingAmt |
| Government Grants | $1,058,554 | GovernmentGrantsAmt |
| All Other Contributions | $956,925 | AllOtherContributionsAmt |
| Total Contributions | $2,028,192 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $123,299,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,260,492 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $39,101 | UnrelatedBusinessRevenueAmt |
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 | $123,299,593 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,610,563 | TotalRevenueColumnAmt |
| Exclusion | $4,610,563 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,951 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,377 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $91,574 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,574 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,951 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,623 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $326,475,868 | SecuritiesAmt |
| Other | $106,400 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $309,936,359 | SecuritiesAmt |
| Other | $840,553 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,539,509 | SecuritiesAmt |
| Other | -$734,153 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,805,356 | TotalRevenueColumnAmt |
| Exclusion | $15,805,356 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $94,194 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $12,713 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $58,848 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,346 | TotalRevenueColumnAmt |
| Exclusion | $35,346 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA REVENUE | Desc |
| Business | 722310 | BusinessCd |
| Total Revenue Column | $267,157 | TotalRevenueColumnAmt |
| Exclusion | $267,157 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $222,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $217,362 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,910 | UnrelatedBusinessRevenueAmt |
| Exclusion | $379 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $489,808 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,360,432 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,562,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $44,011 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,725,424 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,462 | TotalAmt |
| Program Services | $28,462 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,302 | TotalAmt |
| Program Services | $1,185,917 | ProgramServicesAmt |
| Management And General | $542,573 | ManagementAndGeneralAmt |
| Fundraising | $11,812 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,742 | TotalAmt |
| Program Services | $32,742 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,679,122 | TotalAmt |
| Program Services | $43,102,008 | ProgramServicesAmt |
| Management And General | $8,495,283 | ManagementAndGeneralAmt |
| Fundraising | $81,831 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,999 | TotalAmt |
| Program Services | $1,655,914 | ProgramServicesAmt |
| Management And General | $349,063 | ManagementAndGeneralAmt |
| Fundraising | $3,022 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,708,243 | TotalAmt |
| Program Services | $7,140,722 | ProgramServicesAmt |
| Management And General | $1,554,437 | ManagementAndGeneralAmt |
| Fundraising | $13,084 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,519,735 | TotalAmt |
| Program Services | $2,893,634 | ProgramServicesAmt |
| Management And General | $620,401 | ManagementAndGeneralAmt |
| Fundraising | $5,700 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,970 | TotalAmt |
| Management And General | $165,970 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,011 | TotalAmt |
| Management And General | $367,011 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,853 | TotalAmt |
| Management And General | $623,853 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,218,824 | TotalAmt |
| Program Services | $14,294,678 | ProgramServicesAmt |
| Management And General | $6,917,949 | ManagementAndGeneralAmt |
| Fundraising | $6,197 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,069 | TotalAmt |
| Program Services | $133,069 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,013 | TotalAmt |
| Program Services | $489,661 | ProgramServicesAmt |
| Management And General | $344,352 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,169 | TotalAmt |
| Management And General | $625,169 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,199,550 | TotalAmt |
| Program Services | $1,518,044 | ProgramServicesAmt |
| Management And General | $681,506 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,669 | TotalAmt |
| Program Services | $91,901 | ProgramServicesAmt |
| Management And General | $3,768 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,228,532 | TotalAmt |
| Program Services | $1,491,255 | ProgramServicesAmt |
| Management And General | $737,277 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,017,413 | TotalAmt |
| Program Services | $4,455,326 | ProgramServicesAmt |
| Management And General | $4,562,087 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,507 | TotalAmt |
| Program Services | $793,226 | ProgramServicesAmt |
| Management And General | $567,281 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $23,785,305 | $22,975,463 | $809,842 |
| INDIANA MEDICAID ASSESSMENT FEE | $4,778,855 | $4,778,855 | |
| REPAIRS & MAINTENANCE | $4,827,509 | $2,311,878 | $2,515,631 |
| Physician Recruiting | $551,882 | $551,882 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,215 | TotalAmt |
| Program Services | $416,823 | ProgramServicesAmt |
| Management And General | $150,392 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,096,951 | TotalAmt |
| Program Services | $109,789,578 | ProgramServicesAmt |
| Management And General | $31,185,727 | ManagementAndGeneralAmt |
| Fundraising | $121,646 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,230 | BOYAmt |
| EOY | $9,950 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,181,101 | BOYAmt |
| EOY | $23,867,845 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,510,341 | BOYAmt |
| EOY | $21,311,887 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,908 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $887,443 | BOYAmt |
| EOY | $457,591 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,253,610 | BOYAmt |
| EOY | $3,541,029 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,708,255 | BOYAmt |
| EOY | $738,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $100,351,206 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,269,137 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,632,490 | BOYAmt |
| EOY | $92,082,069 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,392,303 | BOYAmt |
| EOY | $187,620,247 | 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 |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,169,543 | BOYAmt |
| EOY | $7,626,031 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,802,224 | BOYAmt |
| EOY | $337,254,827 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,449,107 | BOYAmt |
| EOY | $8,192,386 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,421 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,193,262 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $806,393 | BOYAmt |
| EOY | $460,556 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,459,896 | BOYAmt |
| EOY | $371,310,452 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,917,079 | BOYAmt |
| EOY | $379,963,394 | 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 | $260,864,458 | BOYAmt |
| EOY | -$43,451,453 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,687 | BOYAmt |
| EOY | $742,886 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,885,145 | BOYAmt |
| EOY | -$42,708,567 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,802,224 | BOYAmt |
| EOY | $337,254,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,263,481 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$46,187,894 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$262,669,299 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $11,625 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,625 | 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 | AMERICAN HOSPITAL ASSOCIATION DUES AND INDIANA HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING EXPENSES AS DISCLOSED ON THE DUES NOTICES OF THE RESPECTIVE ASSOCIATIONS. AHA DUES $28,532 X LOBBYING PERCENTAGE OF 27.29% = $7,786 IHA DUES $44,485 X LOBBYING PERCENTAGE OF 8.63% = $3,839 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,687 | BeginningYearBalanceAmt |
| Contributions | $742,886 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $20,687 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $742,886 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,555 | BeginningYearBalanceAmt |
| Contributions | $3,656 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,524 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $20,687 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,121 | BeginningYearBalanceAmt |
| Contributions | $15,965 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $8,531 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $20,555 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,850 | BeginningYearBalanceAmt |
| Contributions | $4,035 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,764 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $13,121 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,957 | BeginningYearBalanceAmt |
| Contributions | $3,208 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,315 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $12,850 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.0269 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.9731 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,309,781 | OtherCostOrOtherBasisAmt |
| Book Value | $5,309,781 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,433,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,233,543 | DepreciationAmt |
| Book Value | $79,200,068 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,607,814 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,035,594 | DepreciationAmt |
| Book Value | $7,572,220 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $92,082,069 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $18,152 |
| LIFE INSURANCE POLICIES | $406,749 |
| OTHER MISCELLANEOUS LIABILITIES | $20,556 |
| THIRD PARTY PAYABLES | $0 |
| OTHER INTER-COMPANY PAYABLES | $370,864,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $371,310,452 | 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 | NORTON-KING'S DAUGHTERS' HEALTH, INC. UTILIZES INCOME GENERATED FROM ENDOWMENT FUNDS TO SUPPORT VARIOUS PROGRAMS, SERVICES AND CAPITAL PROJECTS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Benefit | Event1Nm |
| Gross Receipts Event1 | $25,245 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $25,245 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,932 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,985 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $10,013 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,267 | OtherDirectExpensesEvent1Amt |
| Event2 | Gala | Event2Nm |
| Gross Receipts Event2 | $81,662 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $12,713 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $68,949 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $6,108 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $18,555 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,500 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $10,488 | OtherDirectExpensesEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $106,907 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $12,713 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $94,194 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,932 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $14,093 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $28,568 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $12,755 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $58,848 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $35,346 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $271,836 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $271,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0019 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,262,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,244,191 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,018,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0781 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| 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 Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $29,534,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,244,191 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,290,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $404,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,175 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $351,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0025 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $236,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,935 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $153,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,516,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,971,545 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $545,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0039 | TotalExpensePct |
Research ResearchGrp
| 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 |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,166,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,107,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,058,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0075 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,701,040 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,351,846 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,349,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0875 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,534,875 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,768,955 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,429,444 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,660,489 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON-KING'S DAUGHTERS' HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KDHMADISON.ORG | WebsiteAddressTxt |
| State License | 22-005063-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON-KING'S DAUGHTERS' HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| 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 | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ | 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 |
| 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 Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule H, Part V, Section B, Line 2 | FormAndLineReferenceDesc |
| Explanation | ON JANUARY 1, 2022, NORTON HEALTHCARE, INC. ACQUIRED KING'S DAUGHTERS' HEALTH TIN 35-0895832 (THE "HOSPITAL") VIA A MEMBER SUBSTITUTION BUSINESS COMBINATION. TIN 35-0895832 IS STILL ACTIVE AND FOLLOWING A NAME CHANGE, THE ENTITY IS NOW NORTON-KING'S DAUGHTERS' HEALTH, INC. PRIOR TO THE ACQUISITION, THE HOSPITAL CONDUCTED A COMMUNITY NEEDS ASSESSMENT IN THE FALL OF 2019. THIS ASSESSMENT WAS BOARD APPROVED ON 10/17/19. FOLLOWING THE ACQUISITION, THE HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH OTHER NORTON HEALTHCARE, INC. FACILITIES. THIS CHNA WAS CONDUCTED IN CALENDAR YEAR 2022 BUT WAS NOT BOARD APPROVED UNTIL 2/13/23. IRS Section 501(R) GUIDANCE STATES "A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (THROUGH MERER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO THE ACQUIRED HOSPITAL FACILITY BY THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED". SINCE KING'S DAUGHTERS' HEALTH WAS ACQUIRED ON 1/1/22, THIS WOULD MEAN THE ORGANIZATION HAS UNTIL 12/31/24 TO SATISFY THE REQUIREMENTS OF SECTION 501(R)(3). AS THE HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY NEEDS ASSESSMENT WITH OTHER NORTON HEALTHCARE, INC. ENTITIES IN 2022 WHICH RECEIVED BOAR APPROVAL ON 2/13/23 AND WHOSE IMPLEMENTATION STRATEGY WAS ADOPTED BY THE BOARD ON 5/8/23, 501(R)(3) REQUIREMENTS HAVE BEEN MET. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| REHABILITATION CENTER AND HOME CARE | ||||
| 2670 N MICHIGAN ROAD | MADISON | IN | 47250 | OUTPATIENT REHABILITATION CENTER AND HOME CARE SERVICES |
| DOWNTOWN MEDICAL OFFICE BUILDING | ||||
| 630 NORTH BROADWAY | MADISON | IN | 47250 | PHYSICIAN MEDICAL OFFICE AND HOSPITAL STAFF |
| CARROLLTON MEDICAL OFFICE BUILDING | ||||
| 205 MARWILL DRIVE | CARROLLTON | KY | 41008 | PHYSICIAN MEDICALL OFFICE |
| TRIMBLE COUNTY MEDICAL OFFICE BUILDING | ||||
| 10235 US HIGHWAY 421 | MILTON | KY | 40045 | PHYSICIAN MEDICAL OFFICE |
| CONVENIENT CARE CENTER | ||||
| 445 CLIFTY DRIVE | MADISON | IN | 47250 | CONVENIENT CARE CENTER |
| HANOVER MEDICAL OFFICE BUILDING | ||||
| 36 MEDICAL PLAZA | HANOVER | IN | 47243 | PHYSICIAN MEDICAL OFFICE |
| SWITZERLAND COUNTY MEDICAL OFFICE BUILDING | ||||
| 1190 WEST MAIN STREET | VEVAY | IN | 47043 | PHYSICIAN MEDICAL OFFICE |
| VERSAILLES MEDICAL OFFICE BUILDING | ||||
| 206 W TYSON STREET | VERSAILLES | IN | 47042 | PHYSICIAN MEDICAL OFFICE |
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part III, Line 8 | THE MEDICARE COST REPORT WAS THE SOURCE OF INFORMATION REPORTED ON PART III LINE 6. |
| Schedule H, Part V, Section B, Line 3 | ON JANUARY 1, 2022, NORTON HEALTHCARE, INC. ACQUIRED KING'S DAUGHTERS' HEALTH TIN 35-0895832 (THE "HOSPITAL") VIA A MEMBER SUBSTITUTION BUSINESS COMBINATION. TIN 35-0895832 IS STILL ACTIVE AND FOLLOWING A NAME CHANGE, THE ENTITY IS NOW NORTON-KING'S DAUGHTERS' HEALTH, INC. PRIOR TO THE ACQUISITION, THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FALL OF 2019. THIS ASSESSMENT WAS BOARD APPROVED ON 10/17/19. FOLLOWING THE ACQUISITION, THE HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH OTHER NORTON HEALTHCARE, INC. FACILITIES. THIS CHNA WAS CONDUCTED IN CALENDAR YEAR 2022 BUT WAS NOT BOARD APPROVED UNTIL 2/13/23. IRS Section 501(R) GUIDANCE STATES "A HOSPITAL ORGANIZATION THAT ACQUIRES A HOSPITAL FACILITY (THROUGH MERGER OR ACQUISITION) MUST MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO THE ACQUIRED HOSPITAL FACILITY BY THE LAST DAY OF THE ORGANIZATION'S SECOND TAXABLE YEAR BEGINNING AFTER THE DATE ON WHICH THE HOSPITAL FACILITY WAS ACQUIRED". SINCE KING'S DAUGHTERS' HEALTH WAS ACQUIRED ON 1/1/22, THIS WOULD MEAN THE ORGANIZATION HAS UNTIL 12/31/24 TO SATISFY THE REQUIREMENTS OF SECTION 501(R)(3). AS THE HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY NEEDS ASSESSMENTS WITH OTHER NORTON HEALTHCARE, INC. ENTITIES IN 2022 WHICH RECEIVED BOARD APPROVAL ON 2/13/23 AND WHOSE IMPLEMENTATION STRATEGY WAS ADOPTED BY THE BOARD ON 5/8/23, 501(R)(3) REQUIREMENTS HAVE BEEN MET. |
| Schedule H, Part I, Line 6a | NORTON-KING'S DAUGHTERS' HEALTH DOES NOT PREPARE A FORMAL COMMUNITY BENEFIT REPORT. HOWEVER, CERTAIN COMMUNITY BENEFIT INFORMATION IS PROVIDED TO THE STATE OF INDIANA ON THE "HOSPITAL FISCAL REPORT STATE FORM 49520" WHICH IS FILED ANNUALLY. |
| Schedule H, Part I, Line 7g Subsidized Health Services | NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC WERE INCLUDED ON LINE 7G. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | IF COSTS COULD BE DIRECTLY IDENTIFIED TO A PARTICULAR LINE, THAN THOSE DIRECT COSTS WERE UTILIZED. IF COSTS COULD NOT BE DIRECTLY INDENTIFIED, THEN A COST-TO-CHARGE RATIO WAS UTILIZED. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION ACCOUNTING STANDARD ISSUED BY FASB AND CODIFIED IN THE FASB ASC AS TOPIC 606 ("ASC 606"). AS A RESULT OF ADOPTING ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE AUDITED FINANCIAL STATEMENTS (STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS) IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED BY ASC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE. UPON ADOPTION OF ASC 606, NET PATIENT SERVICE REVENUES ARE RECORDED AT THE TRANSACTION PRICE ESTIMATED BY THE HOSPITAL TO REFLECT THE TOTAL CONSIDERATION DUE FROM PATIENTS AND THIRD-PARTY PAYORS IN EXCHANGE FOR PROVIDING GOODS AND SERVICES IN PATIENT CARE. THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES, IS DETERMINED BASED ON THE HOSPITAL'S STANDARD CHARGES FOR THE GOODS AND SERVICES PROVIDED, WITH A REDUCTION RECORDED FOR PRICE CONCESSIONS RELATED TO THIRD-PARTY CONTRACTUAL ARRANGEMENTS AS WELL AS PATIENT DISCOUNTS AND OTHER PATIENT PRICE CONCESSIONS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. THE AMOUNT REPORTED ON LINE 2 IS "IMPLICIT PRICE CONCESSIONS" AS REFLECTED ON THE AUDITED, CONSOLIDATED TRIAL BALANCE FOR THE HOSPITAL. THE SPECIFIC AMOUNT OF IMPLICIT PRICE CONCESSIONS IS NOT REQUIRED TO BE DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE, CANDIDATES MUST COOPERATE FULLY. IN ADDITION, THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON, THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES FINANCIAL ASSISTANCE PROGRAM DEDUCTIONS AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FAP POLICY IS NEGLIGIBLE. |
| 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 CONSOLIDATED, AUDITED FINANCIAL STATEMENTS FOR NORTON HEALTHCARE, INC. (PAGE 19, FIRST 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. ADJUSTMENTS ARISING FROM A CHANGE IN THE TRANSACTION PRICE ... WERE NOT MATERIAL TO NET PATIENT SERVICE REVENUE FOR EITHER PERIOD". |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE HOSPITAL ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE HOSPTIAL BELIEVES THAT ANY MEDICARE SHORTFALLS SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT TYPICALLY FULLY COMPENSATE FOR THE COST OF PROVIDING HEALTHCARE TO MEDICARE BENEFICIARIES. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ALL UNINSURED PATIENTS RECEIVED AN AUTOMATIC 30% DISCOUNT FROM GROSS CHARGES. AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE OFFERED PAMPHLETS DETAILING THE PROGRAM. IF THE PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT WILL RECEIVE A DISCOUNT OF UP TO 100% ON THE OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL ATTEMPT TO COLLECT ANY BALANCE REMAINING ON THE UNINSURED ACCOUNT AFTER ALL FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED USING A SERIES OF STATEMENTS, LETTERS, AND TELEPHONE CALLS. THE HOSPITAL WILL ALSO OFFER PATIENTS INTEREST-FREE EXTENDED PAYMENT PLANS. IF THE ACCOUNT REMAINS UNPAID, THE ACCOUNT MAY BE TURNED OVER TO A COLLECTION AGENCY. |
| Schedule H, Part V, Section B, Line 16a FAP website | - NORTON-KING'S DAUGHTERS' HEALTH, INC.: Line 16a URL: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - NORTON-KING'S DAUGHTERS' HEALTH, INC.: Line 16b URL: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - NORTON-KING'S DAUGHTERS' HEALTH, INC.: Line 16c URL: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | THE HOSPITAL CONDUCTED ITS LATEST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES INFORMATION SO THAT THE COMMUNITY MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS IN THE COMMUNITY BY UTILIZING THE FOLLOWING COMPONENTS: (1) TELEPHONE INTERVIEWS OF A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA. NOTE THAT THE SAMPLE CONSISTED SOLELY OF AREA RESIDENTS AGE 18 AND OLDER. DATA ON CHILDREN WERE GIVEN BY PROXY BY THE PERSON MOST RESPONSIBLE FOR THAT CHILD'S HEALTHCARE NEEDS. (2) ON-LINE KEY INFORMANT SURVEY DIRECTED AT PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BY THE HOSPITAL BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICAL UNDERSERVED POPULATIONS. BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL WAS ABLE TO PUT TOGETHER A LIST OF "AREAS OF OPPORTUNITY" REPRESENTING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS. THE PRIORITIZATION OF THE HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT WAS DETERMINED BASED ON A PRIORITIZATION EXERCISE CONDUCTED AMONG COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) IN CONJUNCTION WITH THE ADMINISTRATION OF THE ONLINE KEY INFORMANT SURVEY. IN THIS PROCESS, THESE KEY INFORMANTS WERE ASKED TO RATE THE SEVERITY OF A VARIETY OF HEALTH ISSUES IN THE COMMUNITY. INSOFAR AS THESE HEALTH ISSUES WERE IDENTIFIED THROUGH THE DATA ABOVE AND/OR WERE IDENTIFIED AS TOP CONCERNS AMONG KEY INFORMANTS, THEIR RANKING OF THESE ISSUES INFORMED THE FOLLOWING PRIORITIES: 1. SUBSTANCE ABUSE 2. MENTAL HEALTH 3. TOBACCO USE 4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 5. DIABETES 6. HEART DISEASE & STROKE 7. CANCER 8. RESPIRATORY DISEASES 9. INJURY & VIOLENCE 10. ACCESS TO HEALTHCARE SERVICES |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | SIGNAGE IS POSTED IN ALL HOSPITAL FACILITIES (INCLUDING THE ADMISSION AREA AND EMERGENCY ROOM) WHICH PROVIDES INFORMATION ON THE ABILITY TO APPLY FOR FINANCIAL ASSISTANCE AND TO SEEK HELP IN PAYING A BILL. THE SIGNAGE IS TRANSLATED IN TWO LANGUAGES, ENGLISH AND SPANISH. THERE ARE SEPARATE POSTERS FOR EACH LANGUAGE. 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 ELIGIBILITY VENDOR FOR ASSISTANCE AT NO COST TO THE PATIENT/GUARANTOR. ADDITIONAL QUESTIONS FROM THE PATIENT/GUARANTOR CAN BE FACILITATED THROUGH CUSTOMER SERVICE AND VENDORS. THE HOSPITAL HAS CREATED A NUMBER OF DIFFERENT OPTIONS FOR THE PATIENT/GUARANTOR TO SUPPLY THE INFORMATION/APPLICATION FOR FINANCIAL ASSISTANCE TO THE HOSPITAL. 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 THE HOSPITAL CONTAINED INFORMATION TO START THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THE HOSPITAL EMPLOYS AN OUTSIDE ELIGIBILITY VENDOR, CLAIM AID. ALL SELF-PAY ACCOUNTS ARE PLACED FOR ELIGIBILITY SCREENING WITH CLAIM AID. CLAIM AID SCREENS FOR FINANCIAL ASSISTANCE, MEDICAID, MEDICAID MANAGED CARE ORGANIZATIONS, AND PRESUMPTIVE ELIGIBILITY. IN ADDITION, CLAIM AID 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 CLAIM AID. CLAIM AID PROTECTS FILING DEADLINES BY SUBMITTING THE APPROPRIATE FORMS TO THE STATE/COUNTY. CLAIM AID WILL FOLLOW UP TO SECURE PROOF OF INCOME DOCUMENTS FOR FINANCIAL ASSISTANCE AND FOLLOW UP WITH A STATE CASEWORKER AS NEEDED. CLAIM AID ALSO MAKES OUTSIDE FIELD CALLS TO THE PATIENTS TO SECURE THE NEEDED INFORMATION FOR ELIGIBILITY ASSISTANCE IF THE PATIENT IS HOMEBOUND. ALL OF THE SERVICES PROVIDED BY CLAIM AID ELIGIBILITY ARE AT NO COST TO THE PATIENT. COST TO THE HOSPITALS FOR THESE ELIGIBILITY AND ENROLLMENT SERVICES WAS IN EXCESS OF $253,000 IN 2022. THE HOSPITAL HAS ONE FULL-TIME EMPLOYEE THAT IS DEDICATED TO PERFORMING THE FOLLOWING FUNCTIONS: PROCESSING, REVIEWING, AND OBTAINING APPROVAL OF THE FINANCIAL ASSISTANCE APPLICATIONS RECEIVED EACH WEEK. ADDITIONALLY, THIS EMPLOYEE WILL MAKE OUT-BOUND CALLS TO SOLICIT FINANCIAL ASSISTANCE INFORMATION NEEDED TO PROCESS THE PATIENT'S APPLICATION. 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 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 FINANCIAL ASSISTANCE, MEDICAID, MEDICAID MANAGED CARE ORGANIZATION, PRESUMPTIVE ELIGIBILITY, ETC. THE HOSPITAL 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 HAS SUBSEQUENTLY DECIDED THEY WILL NOW COOPERATE, THE PATIENT/GUARANTOR IS ALLOWED TO APPLY FOR ASSISTANCE. 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 THE HOSPITAL INCLUDE WITH THEIR INITIAL PLACEMENT LETTER AN INSERT OF A COPY OF A FINANCIAL ASSISTANCE APPLICATION FOR THE GUARANTOR TO COMPLETE. THE HOSPITAL HAS TRANSLATED THE FULL FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATIONS, AND THE PLAIN LANGUAGE SUMMARY INTO TWO LANGUAGES, ENGLISH AND SPANISH. THE HOSPITAL'S CUSTOMER SERVICE DEPARTMENT ROUTINELY INSTRUCTS AND SCREENS PATIENTS IN THE PROTOCOL REGARDING FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S ASSISTANCE PROGRAM. THE HOSPITAL HAS HISTORICALLY OFFERED ALL TRUE HOSPITAL SELF-PAY PATIENTS A SIGNIFICANT DISCOUNT OFF OF THE TOTAL CHARGES AT THE TIME OF FINAL BILLING. THIS DISCOUNT IS TYPICALLY 30%. CONTRACTED COLLECTION AGENCIES ARE REQUIRED TO SOLICIT FINANCIAL ASSISTANCE APPLICATIONS WHEN THE PATIENT/GUARANTOR INDICATES "CANNOT PAY". THE STATEMENT PROVIDED BY THE HOSPITAL IN 2022 INCLUDED THE LINK TO THE HOSPITAL'S WEBSITE TO ALLOW THE PATIENT/GUARANTOR TO LEARN MORE ABOUT FINANCIAL ASSISTANCE. 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 | THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO FIVE COUNTIES IN SOUTHERN INDIANA AND NORTHERN KENTUCKY. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED ITS PRIMARY SERVICE AREAS OF JEFFERSON AND SWITZERLAND COUNTIES IN INDIANA AND TRIMBLE COUNTY IN KENTUCKY. THE ADDITIONAL TWO COUNTIES (RIPLEY IN INDIANA AND CARROL IN KENTUCKY) HAVE MULTIPLE HEALTH CARE FACILITIES THAT CURRENTLY CONDUCT A CHNA. TO AVOID DUPLICATION, THE THREE PRIMARY COUNTIES DESCRIBED WERE INCLUDED IN THE 2019 CHNA. A FEW DESCRIPTIVE DEMOGRAPHIC HIGHLIGHTS FOR THE THREE COUNTIES DEFINED AS THE "PRIMARY SERVICE AREA" INCLUDE: - POPULATION: 51,607 (JEFFERSON CO= 32,293, SWITZERLAND CO= 10,617, TRIMBLE CO= 8,697) - URBAN VS. RURAL CLASSIFICATION: 35.2% URBAN AND 64.8% RURAL - AGE GROUP PERCENT: AGE 0-17 WAS 22.0%, AGE 18-64 WAS 61.4%, AGE+65 WAS 16.6% - MEDIAN AGE: JEFFERSON CO= 40.6, SWITZERLAND CO= 40.0, TRIMBLE CO= 41.9 - RACE: 95.9% WHITE, 1.5% BLACK, 1.2% OTHER RACE, 1.4% MULTIPLE RACES - PERCENT POVERTY: 15.2% - EDUCATION LEVEL: 13.4% OF POPULATION AGE 25+ WITHOUT A HIGH SCHOOL DIPLOMA OR EQUIVALENT - UNEMPLOYMENT RATE: 4.0% |
| Schedule H, Part VI, Line 5 Promotion of community health | THE MAJORITY OF HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO LIVE AND WORK IN THE HOSPITAL SERVICES AREA. THE MAJORITY OF THESE INDIVIDUALS ARE NEITHER EMPLOYEES, NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. THE ORGANIZATION ALSO APPLIES A PORTION OF SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. HISTORICALLY, THE HOSPITAL HAS EMPLOYED A FULL TIME COMMUNITY WELLNESS COORDINATOR. THIS POSITION PROVIDES OUTREACH SERVICES IN AREAS OF NEED TO THE COMMUNITIES WE SERVE. IN ADDITION TO THESE SERVICES, THE HOSPITAL ALSO SERVES AS THE FISCAL AGENT FOR VARIOUS GRANTS. ALL OF THESE SERVICES HELP US MEET THE IDENTIFIED NEEDS OF THE COMMUNITIES WE SERVE. PARTICIPATION IN THE BELOW COMMUNITY ORGANIZATIONS IS PART OF THE HOSPITAL'S INDIANA STATE DEPARTMENT OF HEALTH COMMUNITY BENEFIT PLAN AND GOALS. 2022 NORTON-KING'S DAUGHTERS' HEALTH OVERVIEW OF COMMUNITY BENEFIT ACTIVITIES - (1) HEALTH SCREENS / FAIRS: SCREENED 65 PEOPLE AT A FREE SKIN CANCER SCREENING SPECIAL EVENT HELD IN MAY. EDUCATION MATERIAL AND SUNSCREEN WERE ALSO DISTRIBUTED; PARTICIPATED IN THE JEFFERSON AND RIPLEY COUNTY 4-H FAIRS. HEALTH EDUCATION INFORMATION WAS PROVIDED FOR FIVE EVENINGS AT EACH FAIR; HOSTED AN EDUCATION TABLE WITH VARIOUS HEALTH TOPICS AT THE REACHING RURAL VETERAN'S EVENT. BLOOD PRESSURE AND HEART RATE CHECKS WERE ALSO OFFERED. THIS IS IN PARTNERSHIP WITH PURDUE UNIVERSITY AND THE JEFFERSON COUNTY CLEARINGHOUSE. THIS PROGRAM WAS HELD FOR THE FIRST SEVEN MONTHS OF 2022, JANUARY-JULY; WELLNESS AND TOBACCO CESSATION DEPARTMENTS ATTENDED A VETERAN'S STAND DOWN EVENT IN SEPTEMBER. OVER 100 VETERAN'S AND SPOUSES ATTENDED. BLOOD PRESSURE CHECKS WERE OFFERED. (2) CORPORATE FLU SHOTS: THREE CORPORATE FLU SHOT CLINICS WERE HELD FOR AREA BUSINESSES WITH 24 TOTAL PEOPLE RECEIVING A FLU VACCINE. (3) COVID TESTING/VACCINES: IN 2022, THE HOSPITAL ADMINISTERED 9,196 COVID TESTS AND PROVIDED 184 COVID VACCINES/BOOSTERS. (4) HEALTH/WELLNESS SPEAKING ENGAGEMENTS: THE WELLNESS COORDINATOR COMPLETED 43 COMMUNITY SPEAKING ENGAGEMENTS IN 2022. THESE FOCUSED ON WELLNESS AND DISEASE PREVENTION TOPICS SUCH AS; NUTRITION, HEART DISEASE, STRESS MANAGEMENT, SUN SAFETY, PHYSICAL ACTIVITY, SELF-DEFENSE, ETC. (5) FIT KIDS PROGRAM: FOUR LESSON PROGRAM FOR AREA 5TH GRADE CLASSROOMS TARGETING CHILDHOOD OBESITY. LESSONS AND TAKE HOME CHALLENGES AND GUARDIAN INFORMATION FOCUSED ON EXERCISE AND HEALTHY EATING. OFFERED THE PROGRAM TO 4 SCHOOL SYSTEMS AND REACHED EIGHT DIFFERENT 5TH GRADE CLASSES (168 STUDENTS AND TEACHERS). (6) GIRLS ON THE RUN: 10-WEEK FALL SEASON HELD WITH 51 GIRLS PARTICIPATING, 17 COACHES, AT 6 DIFFERENT SITES. 5K FUN RUN EVENT HELD WITH NEARLY 200 PEOPLE IN ATTENDANCE. (7) TOBACCO CESSATION & EDUCATION- THE HOSPITAL EMPLOYS A FULL TIME STATE GRANT FUNDED TOBACCO COORDINATOR. 2022 ACCOMPLISHMENTS INCLUDE: DOCUMENTED 114 ELECTRONIC PATIENT REFERRALS TO THE IN QUITLINE FROM JULY-DECEMBER. REFERRAL NUMBERS WERE NOT AVAILABLE FOR THE FIRST SIX MONTHS OF THE YEAR DUE TO THE HOSPITAL CYBER EVENT/LOSS OF COMPUTER FILES; MOTHER BABY SERVICES PROVIDED TOBACCO FREE CESSATION EDUCATION TO NEW MOMS WITH RESOURCES AND INCENTIVES; CANCER TREATMENT CENTER PROVIDES TOBACCO RESOURCES FOR CANCER PATIENTS AND HAS A TOBACCO TREATMENT SPECIALIST ON STAFF; PROVIDED PHYSICIAN OFFICES WITH FOLDERS FOR PATIENTS THAT INCLUDE CESSATION RESOURCES; COLLABORATED WITH THE JEFFERSON COUNTY SCHOOLS TO EDUCATE SCHOOL EMPLOYEES TOBACCO CESSATION RESOURCES AND POLICIES; PARTICIPATED IN MULTI-UNIT HOUSING SURVEYS IN JEFFERSON COUNTY; PARTICIPATE IN THE STARS (TOBACCO RETAIL SURVEY) FOR JEFFERSON COUNTY, SURVEYING 29 AREA BUSINESSES; PROVIDED TOBACCO RESOURCES TO LOW INCOME MOTHERS WORKING WITH COUNTY WIC SERVICES; PROVIDED FOLLOW-UP TRAINING FOR THE OVO HEAD START EMPLOYEES FOR THE BEATHE PROGRAM. THIS PROGRAM TEACHES PARENTS THE IMPORTANCE OF A SMOKE-FREE ENVIRONMENT; PROVIDED TOBACCO QUIT RESOURCE KITS TO A LOCAL FACTORY FOR THEIR EMPLOYEES DURING THE GREAT AMERICAN SMOKOUT CAMPAIGN; HOSTED A CIGARETTE BUTT/LITTER PICK UP EVENT AT THE HANOVER PARK. (8) CPR AND FIRST AID CLASSES -THE HOSPITAL SERVES AS AN AHA PROVIDER SITE HOSTING A VARIETY OF TRAININGS FOR EMPLOYEES AND COMMUNITY MEMBERS. TRAINING INCLUDE ACLS (INSTRUCTOR AND PROVIDER) BLS (INSTRUCTOR AND PROVIDER) HEARTSAVER( CPR AED, FIRST AID, K-12 SCHOOLS, INSTRUCTOR, AND PEDIATRIC- PALS (INSTRUCTOR AND PROVIDER). IN 2022, A TOTAL OF 1,280 PEOPLE RECEIVED TRAINING AND AN E-COMPLETION CARD. (9) PRENATAL EDUCATION: OB PREP PROGRAM - 328 EXPECTING MOTHERS PARTICIPATED IN AN EDUCATIONAL PREP VISIT PRIOR TO DELIVERY. IN ADDITION, 6 COUPLES ATTENDED THE CHILDBIRTH CLASS SERIES OFFERED BY NKDH. ONE MOTHER CAME TO A BREAST PUMPING EDUCATION CLASS AND THREE MOMS PARTICIPATED IN BREASTFEEDING CONSULTATIONS. (10) MONTHLY "TO YOUR HEALTH" PODCAST: 30-MINUTE EDUCATION PODCAST WITH VARIOUS HEALTH TOPICS WAS OFFERED TEN MONTHS IN 2022 ON A LOCAL RADIO STATION AND AVAILABLE TO LISTEN ON THE HOSPITALS' WEBSITE. (11) RUN THE FALLS 5K WALK/RUN: 199 WALKERS AND RUNNERS PARTICIPATED IN THIS COMMUNITY 5K HOSTED BY THE HOSPITAL. (12) CANCER SUPPORT ACTIVITES: PROVIDED BULK FREE SUNSCREEN FOR THE LOCAL BOYS & GIRLS CLUB TO USE FOR THEIR ENTIRE SUMMER SEASON.; PROVIDED FREE SUNSCREEN TO GOLFERS AT THE HOSPITAL'S GOLF BENEFIT EVENT. (13) EMPLOYEE HEALTH OPPORTUNITIES HOSPITAL STAFF: WELLNESS NEWSLETTERS AND CALENDARS PROVIDED TO STAFF; FREE LIPID BLOOD TEST OFFERED FOR ALL STAFF WITH INSURANCE PREMIUM REDUCTION OPPORTUNITY; FREE SUNSCREEN DISTRIBUTION FOR STAFF WITH SKIN CANCER PREVENTION EDUCATION; EMPLOYEE ASSISTANCE PROGRAM AVAILABLE FREE FOR STAFF AND DEPENDENTS; PROMOTION OF WALKTOBER WALKING CAMPAIGN TO EMPLOYEES; FREE NICOTINE REPLACEMENT THERAPY PRODUCTS FOR STAFF WHEN REQUESTED (14) ACTIVE ATTENDANCE AND PARTICIPATION IN THE FOLLOWING COMMUNITY COALITIONS/GROUPS: JEFFERSON COUNTY JUSTICE TREATMENT AND PREVENTION COALITION (JCJTAP); MADISON CONSOLIDATED SCHOOLS WELLNESS COMMITTEE; PURDUE EXTENSION HEALTH AND HUMAN SERVICES BOARD; PURDUE EXTENSION ADVISORY BOARD; COURT APPOINTED SPECIAL ADVOCATES OF JEFFERSON COUNTY BOARD (CASA); TRILOGY HEALTH CAMPUS ADVISORY BOARD; ADVISORY BOARD FOR HANOVER COLLEGE'S DPT PROGRAM; IVY TECH PROFESSIONAL COMMUNICATIONS ADVISORY COMMITTEE; PARTNER AND HOST SITE FOR THE LEADERSHIP JEFFERSON COUNTY PROGRAM (15) EMS STAND-BY AT VARIOUS COMMUNITY ACTIVITIES - EMS PROVIDES STAND-BY COVERAGE AT A VARIETY OF POPULATED JEFFERSON COUNTY ACTIVITIES. (16) ATHLETIC TRAINING/REHAB SERVICES - SPORTS MEDICINE SERVICES WERE PROVIDED TO THREE JEFFERSON COUNTY SCHOOLS. (17) SUPPORT TO VARIOUS AREA SCHOOLS WITH INTERNSHIPS - A TOTAL OF 188 COLLEGE STUDENTS WERE HOSTED FOR JOB SHADOW OPPORTUNITIES OR STRUCTURED INTERNSHIPS IN 2022. IN ADDITION, 28 HIGH SCHOOL STUDENTS PARTICIPATE IN THE HOSPITAL'S MEDICAL EXPLORERS PROGRAM (18) ART OF HEALING EXHIBIT - HOST A QUARTERLY ART SHOW FOR THE MADISON ART CLUB. VARIOUS PAINTINGS ARE ON DISPLAY IN THE HOSPITAL CAFE AS PART OF THE ON-GOING ART OF HEALING EXHIBIT. (19) HEALTHY COMMUNITIES INITIATIVE (HCI) - EFFORTS ARE LED BY THE HOSPITAL WHICH INCLUDE A PAID COORDINATOR. HCI IS COMPRISED OF THREE TEAMS WHICH INCLUDE STAFF AND COMMUNITY MEMBERS. 2022 HCI TEAM ACCOMPLISHMENTS: SUBSTANCE ABUSE TEAM: HOSTED A RALLY FOR RECOVERY WITH OVER 80 PEOPLE IN ATTENDANCE; MADE SOCIAL MEDIA POST TO WARN ABOUT THE DANGERS OF NEW FENTANYL PILLS; HOSTED A SPEAKER TO LEARNING MORE ABOUT STARTING A RECOVERY CAFE PROGRAM; MAINTAINED A RESOURCE LIST FOR SUBSTANCE ABUSE RECOVERY MEETINGS IN THE COMMUNITY; WORKED WITH A COUNTY LIBRARY TO ADD A NALOXONE BOX AT THEIR FACILITY.; HCI COORDINATOR SERVES ON A COUNTY RESIDENTIAL TREATMENT FACILITY SUBCOMMITTEE. THIS GROUP IS INVESTIGATING THE FEASIBILITY OF AN IN-PATIENT SUBSTANCE ABUSE AND MENTAL HEALTH FACILITY. MENTAL HEALTH/ZERO SUICIDE TEAM: RECOGNIZED MENTAL HEALTH AWARENESS MONTH AND SUICIDE AWARENESS MONTH; DISTRIBUTED GUN LOCKS FOR SUICIDE AND ACCIDENTAL DEATH PREVENTION AT COMMUNITY EVENTS; PROMOTED NEW SUICIDE PREVENTION AND CRISIS HOTLINE, WHICH STARTED IN 2022; HOSTED A BOOTH AT THE OUT OF THE DARKNESS SUICIDE AWARENESS WALK; CONTINUED WORK ON THE ADVERSE CHILDHOOD EXPERIENCES (ACES) INITIATIVE. IN 2022, BOTH JEFFERSON COUNTY LIBRARIES HOSTED VIEWINGS OF THE RESILIENCE FILM. AN ACE INTERFACE TRAINING WAS ALSO CONDUCTED FOR COUNTY 4H LEADERS AND STAFF AT A LOCAL NOT-FOR-PROFIT. HEALTHY LIFESTYLES TEAM- TEAM CHAIRED BY THE NKDH WELLNESS COORDINATOR WITH ASSISTANCE FROM THE TOBACCO COORDINATOR: HOSTED A LARGE COMMUNITY HEALTH FAIR WHICH INCLUDED 20 BOOTHS OFFERING HEALTH INFORMATION AND RESOURCES. N ADDITION, FREE HEALTH SCREENS, HEALTHY SNACKS, AND DOOR PRIZES WERE PROVIDED; HOSTED A MONTH-LONG WALKTOBER WALKING CAMPAIGN; HOSTED A YOUTH TAILGATE PARTY -150 YOUTH & GUARDIANS |
| Schedule H, Part VI, Line 6 Affiliated health care system | NORTON HEALTHCARE, INC. (THE CONTROLLING COMPANY) AND ITS AFFILIATES, INCLUDING NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PHARMACIES, PLLC, 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 NORTON HEALTHCARE, INC. 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 H, Part VI, Line 7 State filing of community benefit report | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IHA HOSPITAL ASSISTANCE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 NORTH MERIDIAN STREET | AddressLine1Txt |
| Address Line2 | SUITE 250 | AddressLine2Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 455573749 | RecipientEIN |
| IRC Section | 501 (c)(3) | IRCSectionDesc |
| Cash Grant | $8,520 | CashGrantAmt |
| Purpose Of Grant | GENERAL DONATION TO SUPPORT THE FOUNDATION - TO AID INDIANA HOSPITALS IN IMPROVING ACCESS TO QUALITY HEALTH CARE FOR INDIVIDUALS WHO ARE POOR, UNINSURED OR ENROLLED IN THE MEDICAID OR MEDICARE PROGRAMS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | FUNDS ARE NOT GRANTED BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert B Azar | ||||||||||||||
| Board Secretary | $0 | $577,778 | $0 | $257,754 | $0 | $280,499 | $0 | $74,695 | $0 | $15,549 | $0 | $1,206,275 | $0 | $165,378 |
| Adam Kempf | ||||||||||||||
| Board Treasurer | $0 | $617,611 | $0 | $278,616 | $0 | $143,280 | $0 | $144,879 | $0 | $33,636 | $0 | $1,218,022 | $0 | $78,012 |
| Jonathan Hanson MD | ||||||||||||||
| Physician/Board Member | $221,705 | $0 | $185,957 | $0 | $19,112 | $0 | $14,650 | $0 | $43,857 | $0 | $485,281 | $0 | $0 | $0 |
| Tina Hendrick MD | ||||||||||||||
| Physician/Board Member (partial year) | $147,858 | $0 | $39,479 | $0 | $0 | $0 | $9,378 | $0 | $998 | $0 | $197,713 | $0 | $0 | $0 |
| Michael Israel MD | ||||||||||||||
| Physician/Board Member | $268,809 | $0 | $92,681 | $0 | $567 | $0 | $14,650 | $0 | $42,615 | $0 | $419,322 | $0 | $0 | $0 |
| Scott Watkins | ||||||||||||||
| Board Member | $0 | $420,274 | $0 | $218,722 | $0 | $132,368 | $0 | $121,362 | $0 | $34,440 | $0 | $927,166 | $0 | $61,244 |
| Carol Dozier | ||||||||||||||
| President/CEO | $8,207 | $392,119 | $0 | $0 | $105,715 | $33,842 | $0 | $20,673 | $0 | $5,333 | $113,922 | $451,967 | $0 | $0 |
| Denine Fallis-Hallgarth | ||||||||||||||
| VP Physician Services | $161,427 | $0 | $0 | $0 | $21,572 | $0 | $8,351 | $0 | $17,330 | $0 | $208,680 | $0 | $0 | $0 |
| Jennifer Liter | ||||||||||||||
| VP Inpatient Services | $171,367 | $0 | $0 | $0 | $20,900 | $0 | $8,933 | $0 | $44,626 | $0 | $245,826 | $0 | $0 | $0 |
| John Price | ||||||||||||||
| Vice-President Finance | $4,637 | $254,687 | $0 | $0 | $63,822 | $4,889 | $0 | $13,023 | $1,099 | $12,509 | $69,558 | $285,108 | $0 | $0 |
| George Alcorn MD | ||||||||||||||
| Physician | $283,399 | $0 | $197,390 | $0 | $1,869 | $0 | $14,650 | $0 | $45,798 | $0 | $543,106 | $0 | $0 | $0 |
| Thomas Eckert MD | ||||||||||||||
| Physician | $409,953 | $0 | $146,283 | $0 | $19,729 | $0 | $14,650 | $0 | $15,597 | $0 | $606,212 | $0 | $0 | $0 |
| Kenneth Mackinlay MD | ||||||||||||||
| Physician | $638,058 | $0 | $5,000 | $0 | $34,648 | $0 | $14,650 | $0 | $42,977 | $0 | $735,333 | $0 | $0 | $0 |
| Nathan Polley MD | ||||||||||||||
| Physician | $612,955 | $0 | $542,867 | $0 | $2,398 | $0 | $14,650 | $0 | $43,081 | $0 | $1,215,951 | $0 | $0 | $0 |
| Raymonda Stevens MD | ||||||||||||||
| Physician | $429,500 | $0 | $353,925 | $0 | $21,067 | $0 | $14,650 | $0 | $0 | $0 | $819,142 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The President/CEO and Vice -President of Finance/CFO are paid by a related organization, Norton Healthcare Inc. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances, including review of other health systems and hospital organizations that have filed Form 990s. In addition, Norton Healthcare, Inc. participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Compensation for the Vice-President of Inpatient Services and Vice-President on Physician Services is determined by Norton-King's Daughters' Health, Inc. and is established by the use of compensation survey data. |
| 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. 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 Carol Dozier - $5,423 Robert Azar - $54,258 Adam Kempf - $125,316 Scott Watkins - $92,369 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 Robert Azar - $228,6116 Adam Kempf - $115,476 Scott Watkins - $91,374 |
| Schedule J, Part I, Line 7 Non-fixed payments | PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED DURING THE CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT. NON-PHYSICIAN BONUS COMPENSATION IS DISCRETIONARY, SOLEY UP TO THE BOARD OF MANAGERS, AND THE CALCULATION FOR SAID BONUS COMPENSATION VARIES FROM YEAR TO YEAR. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSON LYONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF KEY EMPLOYEE DENINE FALLIS-HALLGARTH | RelationshipDescriptionTxt |
| Transaction | $32,742 | TransactionAmt |
| Transaction | EMPLOYMENT COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | BETHANY HOLDING, LLC., AN INDIANA LIMITED LIABILITY COMPANY, IS THE SOLE MEMBER OF THE CORPORATION (THE "CORPORATE MEMBER"). NOTWITHSTANDING THE FOREGOING, ALL RIGHTS, POWER AND AUTHORITY OF BETHANY HOLDING, LLC IN ITS CAPACITY AS THE MEMBER OF THE CORPORATION, WHETHER SET FORTH IN THE ARTICLES OF INCORPORATION, THESE BYLAWS, OR UNDER LAW, SHALL BE VESTED IN, AND EXCLUSIVELY EXERCISED BY, NORTON HEALTHCARE - INDIANA, INC, AN INDIANA NONPROFIT CORPORATION WHICH IS THE SOLE MEMBER OF BETHANY HOLDING, LLC. NORTON HEALTHCARE, INC., A KENTUCKY NONPROFIT CORPORATION IS THE SOLE CORPORATE MEMBER OF NORTON HEALTHCARE - INDIANA, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE BOARD OF TRUSTEES OF NORTON HEALTHCARE - INDIANA, INC. SHALL APPOINT ALL TRUSTEES. IN ADDITION, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION SHALL SERVE AS AN EX-OFFICIO MEMBER OF THE BOARD OF TRUSTEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL HAVE VOTING RIGHTS IN THAT PERSON'S CAPACITY AS A MEMBER OF THE BOARD OF TRUSTEES AND ANY COMMITTEE ON WHICH THEY SERVE. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | NOT WITHSTANDING ANY OTHER PROVISION OF THE BYLAWS, THE FOLLOWING POWERS ARE RESERVED TO THE NORTON-HEALTHCARE, INDIANA, INC., IN ITS CAPACITY AS THE SOLE MEMBER OF BETHANY HOLDING LLC, AND MAY BE EXERCISED EXCLUSIVELY BY NORTON HEALTHCARE-INDIANA, INC. AND MAY NOT BE TAKEN BY THE CORPORATION WITHOUT THE PRIOR CONSENT OF NORTON HEALTHCARE-INDIANA, INC.: A. ADOPTING ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, INCLUDING TO MODIFY THE POWERS OF OR TO ELIMININATE IN ENTIRETY THE BOARD OF TRUSTEES B. ADOPTING ANY AMENDMENT OR RESTATEMENT OF THESE BYLAWS C. DETERMINING THE CORPORATION'S VISION, MISSION AND GOALS D. ADOPTING OR MODIFYING THE STRATEGIC PLAN OF THE CORPORATION E. APPOINTING AND REMOVING TRUSTEES F. APPOINTING AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE SECRETARY AND THE TREASURER OF THE CORPORATION AND ESTABLISHING THEIR COMPENSATION AND OTHER TERMS OF EMPLOYMENT BY THE CORPORATION, SUBJECT TO THE TERMS OF THE AFFILIATION AGREEMENT AND THE EMPLOYMENT AGREEMENT WITH SUCH INDIVIDUAL, IF ANY. G. ADOPTING THE ANNUAL OPERATING AND CAPITAL PLANS AND BUDGETS OF THE CORPORATION, SUBJECT TO THE TERMS OF THE AFFILIATION AGREEMENT WITH RESPECT THERETO, AND EXPENDITURE IN EXCESS OF CURRENT BUDGETS H. THE CORPORATION ENTERING INTO, AMENDING, OR TERMINATING, ANY TRANSACTIONS THAT (i) WILL RESULT IN THE ACQUISITION, RENOVATION OR IMPROVEMENT OF AN ASSET, OR THE SALE, LEASE, ENCUMBRANCE OR DISPOSAL OF AN ASSET WHERE (ii) THE AMOUNT OF SUCH TRANSACTION EXCEEDS $100,000, SUBJECT TO TERMS OF THE AFFILIATION AGREEMENT WITH RESPECT THERETO I. THE CORPORATION ESTABLISHING ORGANIZATIONL RELATIONSHIPS, INCLUDING WITHOUT LIMITATION, PARTNERSHIPS OR JOINT VENTURES, AND THE DISSOLUTION OF ANY SUCH ORGANIZATIONAL RELATIONSHIPS J. ENTERING INTO ANY AGREEMENT WITH RESPECT TO A MERGER, CONSOLIDATION, DISSOULTIONS OR OTHER FUNDAMENTAL CORPORATE REORGANIZATION OF THE CORPORATION K. INCURRENCE OF DEBT BY THE CORPORATION L. ANY MATTER THAT MAY ADVERSELY IMPACT THE TAX EXEMPT STATUS OF THE CORPORATION OR OF NORTON HEALTHCARE-INDIANA, INC. OR ANY OF ITS AFFILIATES IN THE SOLE DISCRETION OF NORTON HEALTHCARE-INDIANA, INC. M. ANY MATTER FOR WHICH THE BOARD IS AUTHORIZED TO MAKE RECOMMENDATIONS TO NORTON HEALTHCARE-INDIANA, INC. AS SET FORTH IN SECTION 4.1 OF THE BYLAWS. SUCH RECOMMENDATIONS INCLUDE THE FOLLOWING: * NUMBER OF TRUSTEE POSITIONS * APPOINTMENT OF MEMBERS TO THE BOARD OF TRUSTEES * APPROVAL OF OPERATING AND CAPITAL BUDGETS * AMENDING/ALTERING/ REPEALING/RESTATING THE ARTICLES OF INCORPORATION OR BYLAWS * APPROVING THE ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER ORGANIZATION * ADOPTING A PLAN OF MERGER OR PLAN OF CONSOLIDATION, AUTHORIZING THE SALE/LEASE/EXCHANGE/MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION, AUTHORIZING THE VOLUNTARY DISSOLTION OF THE CORPORATION, ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION OR ANY SIMILAR TRANSACTION |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | NORTON-KING'S DAUGHTERS' HEALTH, INC.'S FORM 990 WAS REVIEWED BY ITS PARENT COMPANY'S BOARD OF TRUSTEES AND FINANCE COMMITTEE. 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 | NORTON-KING'S DAUGHTERS' HEALTH, INC. HAS A FORMAL CONFLICT OF INTEREST POLICY. THIS POLICY REQIRES EACH MEMBER OF THE BOARD OF DIRECTORS TO ANNUALLY DISCLOSE INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICT. THE PURPOSE OF THIS CONFLICT OF INTEREST POLICY IS TO PROTECT NORTON - KING'S DAUGHTERS' HEALTH, INC.'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE BOARD OR COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THEN THE PROCEDURES UNDER C. (WHICH FOLLOWS), SHALL BE FOLLOWED. IF THE BOARD OR COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES NOT EXIST, THE TRUSTEE MAY PARTICIPATE IN CONSIDERATION OF THE MATTER AS USUAL. THE PROCEDURE FOR ADDRESSING THE CONFLICT OF INTEREST IS - A. THE CHAIR OF THE BOARD OF TRUSTEES OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. B. AFTER EXERCISING DUE DILIGENCE, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. C. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The President/CEO and Vice -President of Finance/CFO are paid by a related organization, Norton Healthcare Inc. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances, including review of other health systems and hospital organizations that have filed Form 990s. In addition, Norton Healthcare, Inc. participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Compensation for the Vice-President of Inpatient Services and Vice-President on Physician Services is determined by Norton-King's Daughters' Health, Inc. and is established by the use of compensation survey data. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | See narrative for line 15a above. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| 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 Kings' 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 | MISCELLANEOUS REVENUE - Total Revenue: 222651, Related or Exempt Function Revenue: 217362, Unrelated Business Revenue: 4910, Revenue Excluded from Tax Under Sections 512, 513, or 514: 379; |
| Form 990, Part IX, Line 11g Other Fees | CONTRACT LABOR - Total Expense: 8188808, Program Service Expense: 6452644, Management and General Expenses: 1729967, Fundraising Expenses: 6197; PROFESSIONAL FEES - Total Expense: 2048951, Program Service Expense: 2048951, Management and General Expenses: 0, Fundraising Expenses: 0; FEES & SPECIAL SERVICES - Total Expense: 10981065, Program Service Expense: 5793083, Management and General Expenses: 5187982, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | LOSS ON DEBT EXTINGUISHMENT - -1523045; TRANSACTIONS RELATED TO MEMBER SUBSTITUTION BUSINESS COMBINATION - -XXX-XX-XXXX; FOUNDATION RELATED ADJUSTMENTS - -261099; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | In 2022, Norton-King's Daughters' Health, Inc. (KDH) was acquired by Norton Healthcare, Inc. Norton Healthcare, Inc. has the ultimate authority in selecting the independent accountant for the audit of all of its consolidated entities and has direct oversight of the audit process. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | 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 FLOOR | LOUISVILLE | KY | 40202 | 611028725 | PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES | KY | 501(c)(3) | Type II | NA | false |
| NORTON HOSPITALS INC | |||||||||||
| ACCOUNTING 224 E BROADWAY | 5TH FLOOR | LOUISVILLE | KY | 40202 | 610703799 | PROVIDE HOSPITAL SERVICES | KY | 501(c)(3) | 3 | NORTON HEALTHCARE INC | false |
| COMMUNITY MEDICAL ASSOCIATES INC | |||||||||||
| ACCOUNTING 224 E BROADWAY | 5TH FLOOR | LOUISVILLE | KY | 40202 | 611276316 | OPERATES A NETWORK OF PHYSICIAN PRACTICES | KY | 501(c)(3) | 10 | NORTON HEALTHCARE INC | false |
| NORTON PROPERTIES INC | |||||||||||
| ACCOUNTING 224 E BROADWAY | 5TH FLOOR | LOUISVILLE | KY | 40202 | 611028724 | MAINTAINS OFFICE AND PARKING FACILITIES | KY | 501(c)(3) | Type I | NORTON HEALTHCARE INC | false |
| THE CHILDREN'S HOSPITAL FOUNDATION INC | |||||||||||
| ACCOUNTING 224 E BROADWAY | 5TH FLOOR | LOUISVILLE | KY | 40202 | 616027530 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCARE INC | false |
| NORTON HEALTHCARE FOUNDATION INC | |||||||||||
| ACCOUNTING 224 E BROADWAY | 5TH FLOOR | LOUISVILLE | KY | 40202 | 310914919 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCARE INC | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON ENTERPRISES INC (61-1054301) | 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 | INVEST IN PARTNERSHIPS | 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 | false | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 |