NORTON HEALTHCARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202203189349318995
Schema version: 2021v4.2
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 F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T20:00:39-06:00	ReturnTs
Tax Period End	2021-12-31	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	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611028725	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Healthcare Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	5026298249	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Accounting 224 E Broadway 5th Fl	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40202	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Adam Kempf	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Adam	PersonFirstNm
Person Last	Kempf	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RUSSELL F COX	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4967 US HIGHWAY 42 SUITE 100	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40222	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$919,530,743	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	2994	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$112,458	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$31,618	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,761,368	PYContributionsGrantsAmt
CY Contributions Grants	$2,257,661	CYContributionsGrantsAmt
PY Program Service Revenue	$420,130,148	PYProgramServiceRevenueAmt
CY Program Service Revenue	$448,482,736	CYProgramServiceRevenueAmt
PY Investment Income	$64,598,532	PYInvestmentIncomeAmt
CY Investment Income	$163,179,597	CYInvestmentIncomeAmt
PY Other Revenue	$5,826,911	PYOtherRevenueAmt
CY Other Revenue	$3,905,157	CYOtherRevenueAmt
PY Total Revenue	$492,316,959	PYTotalRevenueAmt
CY Total Revenue	$617,825,151	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,233,534	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,357,984	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$207,353,073	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$215,941,217	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$220,405,113	PYOtherExpensesAmt
CY Other Expenses	$244,574,658	CYOtherExpensesAmt
PY Total Expenses	$430,991,720	PYTotalExpensesAmt
CY Total Expenses	$464,873,859	CYTotalExpensesAmt
PY Revenues Less Expenses	$61,325,239	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$152,951,292	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,709,209,349	TotalAssetsBOYAmt
Total Assets EOY	$2,835,434,005	TotalAssetsEOYAmt
Total Liabilities BOY	$2,824,490,513	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,713,518,595	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$115,281,164	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$121,915,410	NetAssetsOrFundBalancesEOYAmt
Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$391,122,025	ExpenseAmt
Grant	$4,357,984	GrantAmt
Revenue	$452,275,435	RevenueAmt
Desc	Norton Healthcare Inc. is a not-for-profit corporation based in Louisville, Kentucky. In 2021, Norton Healthcare, through its affiliate, Norton Hospitals Inc., had a total of 1,907 licensed beds: Norton Audubon Hospital, 432 beds; Norton Brownsboro Hospital, 197 beds; Norton Children's Hospital, 300 beds; Norton Hospital, 605 beds; and Norton Women's & Children's Hospital, 373 beds. These five hospitals operate 24 hours a day, seven days a week. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$391,122,025	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	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	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	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1228	IRPDocumentCnt
IRP Document W2 G	2	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2994	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	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Helena Schulz	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Accounting 224 E BROADWAY 5th Fl	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402022025	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Russell F Cox
President & CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$2,666,577	$0	$216,913
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Craig D Grant
Trustee (partial year)	3.0	2.5	Yes (X)		$1,600	$0	$0
Donald H Robinson
Trustee	4.0	2.5	Yes (X)		$0	$0	$0
Edie Nixon
Chair	13.0	2.5	Yes (X)		$1,600	$0	$0
Erwin Roberts
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
G Hunt Rounsavall Sr
Trustee	4.0	2.5	Yes (X)		$1,600	$0	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Gary L Stewart
Vice-Chair	6.0	2.5	Yes (X)		$0	$0	$0
Gregory E Mayes
Trustee	5.0	2.5	Yes (X)		$1,600	$0	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Judge Denise Clayton
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$0	$0	$0
Maria Hampton
Trustee	2.0	2.5	Yes (X)		$1,600	$0	$0
Maria L Bouvette
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Martha K Heyburn MD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Rev William J Schultz
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Richard R Ivey
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Richard S Wolf MD
Chair Emeritus	1.0	2.5	Yes (X)		$0	$0	$0
Rick Guillaume
Chair Emeritus	2.0	2.5	Yes (X)		$0	$0	$0
Rita Hudson Shourds EdD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Ronald Lehocky MD
Trustee	3.0	2.5	Yes (X)		$1,600	$0	$0
Sue Davis EdD RN
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Adam Kempf
Sr VP, CFO/Treasurer	30.0	20.0		Yes (X)	$936,741	$0	$161,352
Michael W Gough
Exec VP and COO	30.0	20.0		Yes (X)	$1,640,775	$0	$153,475
Robert B Azar
Sr VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$867,301	$0	$134,830
Cheryl Martin
Sys VP & Chief Nursing Officer	50.0	0			$500,095	$0	$47,846	Yes (X)
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$573,608	$0	$59,251	Yes (X)
Douglas Winkelhake
Division President	50.0	0			$1,075,035	$0	$200,399	Yes (X)
Gladys Abarca-Lopez
Sr VP Chief HR Officer	50.0	0			$739,526	$0	$121,801	Yes (X)
James Frazier MD
VP Medical Affairs	50.0	0			$636,492	$0	$115,564	Yes (X)
Kathleen Exline
Sys VP Perf Excel & Care Continium	50.0	0			$497,099	$0	$95,521	Yes (X)
Mary Lynn Meyer
Sr VP WCCP/ CDO	30.0	20.0			$222,968	$405,820	$109,715	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$609,691	$0	$120,456	Yes (X)
Scott Watkins
Sr VP Operations	50.0	0			$742,599	$0	$150,872	Yes (X)
Shelly Gast
Sys VP Mngd Care & Payor Strategy	50.0	0			$474,195	$0	$86,015	Yes (X)
Steve Ready
Sr VP & CIO	50.0	0			$849,248	$0	$164,644	Yes (X)
Steven Heilman MD
Sr VP & Chief Innovation Officer	50.0	0			$641,823	$0	$126,119	Yes (X)
Steven Hester MD
Div President Provider Ops & Sys CMO	50.0	0			$1,193,470	$0	$224,207	Yes (X)
Helena Schulz
Sys VP Treasurer	50.0	0			$450,452	$0	$85,575		Yes (X)
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	50.0	0			$596,544	$0	$104,355		Yes (X)
Kimberly Tharp-Barrie
Sys VP NHC Institute for Education & Development	50.0	0			$506,849	$0	$45,809		Yes (X)
Stephen Wyatt MD
Chief Research Executive	50.0	0			$496,140	$0	$30,471		Yes (X)
William Allen
Sys VP Pharmacy	50.0	0			$466,119	$0	$53,011		Yes (X)
Tracy Williams
Former Sr VP & CNO & Learning Officer	0.0	0			$593,047	$0	$44,159			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,997,193	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$405,820	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,652,359	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	330	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
Firstsource Solutions USA LLC
10400 Linn Station Rd	Suite 100	Louisville	KY	40223	Patient Financial Services	$6,974,739
Brooksource
P O Box 55767		Indianapolis	IN	46205	Consulting	$5,589,018
Doe-Anderson Inc
680 S Fourth St		Louisville	KY	40202	Marketing	$3,707,130
The CSI Companies Inc
P O Box 890841		Charlotte	NC	282890841	Consulting	$3,383,800
Vocera Communications Inc
P O Box 809087		Chicago	IL	606809087	Support for clinical alarms and alert systems	$3,312,035

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	107	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,810,296	RelatedOrganizationsAmt
Government Grants	$447,365	GovernmentGrantsAmt
Total Contributions	$2,257,661	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$354,269,098	$354,269,098
Net Patient Revenue	621999	$76,964,296	$76,964,296
Clinical Research Trials	541715	$17,180,006	$17,180,006
Education Programs	624190	$69,336	$69,336

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	$448,482,736	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,193,579	TotalRevenueColumnAmt
Exclusion	$32,193,579	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$180,552	TotalRevenueColumnAmt
Exclusion	$180,552	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$432,511,058	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$301,705,592	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$130,805,466	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,805,466	TotalRevenueColumnAmt
Exclusion	$130,805,466	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Credit Card Rebate	900099	$1,644,247	$1,644,247
Employee Emergency Fund	900099	$5,319	$5,319
Miscellaneous Income	900099	$2,255,591	$2,143,133	$112,458

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$3,905,157	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$617,825,151	TotalRevenueColumnAmt
Related Or Exempt Func Income	$452,275,435	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$112,458	UnrelatedBusinessRevenueAmt
Exclusion	$163,179,597	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	$4,052,237	TotalAmt
Program Services	$4,052,237	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$305,747	TotalAmt
Program Services	$305,747	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,501,397	TotalAmt
Program Services	$9,053,755	ProgramServicesAmt
Management And General	$7,447,642	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$174,353	TotalAmt
Program Services	$113,647	ProgramServicesAmt
Management And General	$60,706	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$158,580,757	TotalAmt
Program Services	$142,287,475	ProgramServicesAmt
Management And General	$16,293,282	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,330,800	TotalAmt
Program Services	$6,546,648	ProgramServicesAmt
Management And General	$784,152	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,120,280	TotalAmt
Program Services	$18,290,025	ProgramServicesAmt
Management And General	$1,830,255	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,233,630	TotalAmt
Program Services	$11,621,835	ProgramServicesAmt
Management And General	$1,611,795	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,325,524	TotalAmt
Program Services	$2,013,416	ProgramServicesAmt
Management And General	$312,108	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$750,119	TotalAmt
Program Services	$300,048	ProgramServicesAmt
Management And General	$450,071	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$120,000	TotalAmt
Program Services	$48,000	ProgramServicesAmt
Management And General	$72,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,335,505	TotalAmt
Program Services	$8,335,505	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,753,169	TotalAmt
Program Services	$54,116,589	ProgramServicesAmt
Management And General	$16,636,580	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,440,735	TotalAmt
Program Services	$5,741,369	ProgramServicesAmt
Management And General	$699,366	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,601,842	TotalAmt
Program Services	$8,570,980	ProgramServicesAmt
Management And General	$2,030,862	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$602,721	TotalAmt
Program Services	$474,312	ProgramServicesAmt
Management And General	$128,409	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,789,501	TotalAmt
Program Services	$39,789,501	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,206,326	TotalAmt
Program Services	$90,105	ProgramServicesAmt
Management And General	$19,116,221	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$25,883,673	TotalAmt
Program Services	$22,394,426	ProgramServicesAmt
Management And General	$3,489,247	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$58,448,835	$53,128,484	$5,320,351
Pharmacy Drugs	$69,049,484	$68,985,143	$64,341
Interest allocation	-$45,527,091	-$45,527,091
Insurance allocation	-$25,060,142	-$21,677,023	-$3,383,119

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,854,457	TotalAmt
Program Services	$2,066,892	ProgramServicesAmt
Management And General	$787,565	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$464,873,859	TotalAmt
Program Services	$391,122,025	ProgramServicesAmt
Management And General	$73,751,834	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$76,122,625	BOYAmt
EOY	$130,310,908	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$185,147,524	BOYAmt
EOY	$104,339,390	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,248,876	BOYAmt
EOY	$30,106,863	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$3,266	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,940,926	BOYAmt
EOY	$4,152,545	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$48,887,387	BOYAmt
EOY	$64,805,861	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$291,127,658	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$217,318,708	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$87,539,984	BOYAmt
EOY	$73,808,950	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,684,333,129	BOYAmt
EOY	$1,657,061,621	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$543,906,777	BOYAmt
EOY	$620,654,574	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$21,775,973	BOYAmt
EOY	$21,775,973	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,302,882	BOYAmt
EOY	$128,417,320	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,709,209,349	BOYAmt
EOY	$2,835,434,005	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$226,501,636	BOYAmt
EOY	$248,853,414	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,204,074	BOYAmt
EOY	$5,225,496	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,471,207,784	BOYAmt
EOY	$1,427,824,227	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,122,577,019	BOYAmt
EOY	$1,031,615,458	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,824,490,513	BOYAmt
EOY	$2,713,518,595	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	-$116,125,005	BOYAmt
EOY	$120,973,742	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$843,841	BOYAmt
EOY	$941,668	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$115,281,164	BOYAmt
EOY	$121,915,410	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,709,209,349	BOYAmt
EOY	$2,835,434,005	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$152,951,292	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$85,762,335	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,517,053	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
NORTON HOSPITALS INC
610703799	3	Yes (true)	$0	$2,096,126,112
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$0	$832,758,203
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$0	$1,408,831
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$0	$4,545,568

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$2,934,838,714	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	Yes (true)	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part I, Line 12g(vi) Type of other support	Other support includes administration overhead and direct support of operations for all supported organizations.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name	Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc., and the other three supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals.
Schedule A, Part IV, Section C, Line 1 Majority director detail	As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same President/Chief Executive Officer, Chief Legal Officer, Executive Vice President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations.

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	$120,000	OtherActivitiesAmt
Total Lobbying Expenditures	$120,000	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 Description of the activities reported on lines 1A through 1i	FormAndLineReferenceDesc
Explanation	Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Rotunda Group LLC totaling $120,000.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,125,807	OtherCostOrOtherBasisAmt
Book Value	$2,125,807	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,517,411	OtherCostOrOtherBasisAmt
Depreciation	$24,984,082	DepreciationAmt
Book Value	$6,533,329	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$220,096,861	OtherCostOrOtherBasisAmt
Depreciation	$192,131,985	DepreciationAmt
Book Value	$27,964,876	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,387,579	OtherCostOrOtherBasisAmt
Depreciation	$202,641	DepreciationAmt
Book Value	$37,184,938	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$73,808,950	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$380,475,810
REAL ESTATE MASTER TRUST UNITS	$140,227,251
Private Equity Master Trust	$99,951,513

Field	Value	IRS element (for citing)
Total Book Value Securities	$620,654,574	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$792,914,499
SELF INSURANCE TRUST	$97,485,275
OTHER LIABILITIES	$90,700,259
INTEREST RATE SWAP LIABILITY	$3,156,074
OTHER INSURANCE	$2,821,171
Pension	$44,538,180
Capital Lease
Deferred Income LT

Field	Value	IRS element (for citing)
Total Liability	$1,031,615,458	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	$454,219,104
Europe (Including Iceland and Greenland)	0	0	Investments	$36,814,372

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$491,033,476	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$491,033,476	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (77 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
BELLARMINE UNIVERSITY
2001 NEWBURG RD	LOUISVILLE	KY	40205	610482955	501(c)(3)	$2,055,097	Support Nursing, sports medicine, healthcare analytics and student health services
Jefferson County Public Schools
P O BOX 34020	LOUISVILLE	KY	402324020	616001316	Jefferson Co	$360,000	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.	ATTN TREASURER JCPS
METRO UNITED WAY INC
DEPT 52860	LOUISVILLE	KY	402950148	610444680	501(c)(3)	$245,000	Support the United Community System by linking information and referrals between the health, education and social sectors more effectively and general support the engagement of community and volunteerism	P O BOX 950148
UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY	LEXINGTON	KY	405360596	616001218	state of KY	$200,600	Support University Pharmacy College general support School of Journalism	789 S LIMESTONE ST
LEADERSHIP LOUISVILLE CENTER
707 WEST MAIN ST	LOUISVILLE	KY	40202	310958491	501(c)(3)	$61,950	Program support of leadership programming
LIGHTER THAN AIR BALLOON ADVENTURE LLC
321 JADE DRIVE	SHEPHERDSVILLE	KY	40165	822120525	for profit	$55,360	Support to provide hot air balloon ride certificates to other not for profit organizations
COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA	LOUISVILLE	KY	40202	611100993	501(c)(3)	$55,000	General program support	325 W MAIN ST
Habitat for Humanity of Metro Louisville Inc
ROB LOCKE-EXECUTIVE DIRECTOR	LOUISVILLE	KY	40203	581735528	501(c)(3)	$50,000	Support of funding for a home build project	1620 BANK ST
NEW DIRECTIONS HOUSING CORPORATION
1000 E LIBERTY ST	LOUISVILLE	KY	402041029	610715630	501(c)(3)	$50,000	Support New Directions Housing Corporation 'I Rise" and "Repair Affair" programs by addressing housing and family self-sufficiency needs in our community
New Albany-Floyd County Consolidated School Corp
ATTN SUZANNE PONDER	NEW ALBANY	IN	471503152	356005953	New Albany	$45,000	Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.	1020 VINCENNES ST
MERCY ACADEMYACADEMY OF OUR LADY OF MERCY
ATHLETIC DIRECTOR	LOUISVILLE	KY	40228	611116388	501(c)(3)	$45,000	Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.	5801 FEGENBUSH LANE
FUND FOR THE ARTS INC
623 W MAIN ST	LOUISVILLE	KY	40202	610479626	501(c)(3)	$37,500	Supporting the development and education and quality of life through the arts
WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST	LOUISVILLE	KY	40202	237075524	501(c)(3)	$35,000	Supporting children with special needs
CHRISTIAN ACADEMY FOUNDATION INC
700 S ENGLISH STATION RD	LOUISVILLE	KY	402453912	611323813	501(c)(3)	$34,000	General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
Friend for Life A Cancer Support Network Inc
4003 KRESGE WAY	LOUISVILLE	KY	40207	611139410	501(c)(3)	$30,000	Program support for providing a network of resources to cancer survivors
CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST	LOUISVILLE	KY	40202	611294640	501(c)(3)	$27,000	Support the growth and vitality of catholic parishes and schools in the archdiocese of Louisville
SACRED HEART SCHOOLS INC
3115 LEXINGTON RD	LOUISVILLE	KY	40206	611181710	501(c)(3)	$25,000	General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing
FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLE	LOUISVILLE	KY	40208	611285124	501(c)(3)	$25,000	Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
LouisvilleJefferson County Metro Government
9th FLOOR	LOUISVILLE	KY	402023396	320049006	Jefferson County	$24,000	Supporting hike bike and paddle- promotion of healthy lifestyle	531 COURT PLACE
Trinity High School Foundation Inc
4011 SHELBYVILLE RD	LOUISVILLE	KY	40207	311105966	501(c)(3)	$23,500	General education support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
CHRISTIAN ACADEMY OF INDIANA
1000 ACADEMY DR	NEW ALBANY	IN	47150	061686237	501(c)(3)	$22,500	Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
Presentation Academy Inc
861 SOUTH 4th ST	LOUISVILLE	KY	402032100	610507080	501(c)(3)	$22,500	General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
KENTUCKY COUNTRY DAY SCHOOL
Director of Development	LOUISVILLE	KY	40241	610731998	501(c)(3)	$22,500	Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.	4100 SPRINGDALE RD
KENTUCKY PHYSICIANS HEALTH FOUNDATION INC
9000 WESSEX PLACE	LOUISVILLE	KY	40222	611242062	501(c)(3)	$21,500	General support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	402031745	610476694	501(c)(3)	$20,250	support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
The Louisville Urban League Inc
1535 WEST BROADWAY	LOUISVILLE	KY	40203	610444771	501(c)(3)	$17,000	Support the assistance of African Americans and other minority groups to attain social and economic equality and stability	ATTN SARAH GRAVES
AMERICAN RED CROSS
510 E CHESTNUT	LOUISVILLE	KY	40202	530196605	501(c)(3)	$16,000	Support red cross efforts of emergency assistance, disaster relief and education
Downtown Development Corp
315 GUTHRIE ST	LOUISVILLE	KY	40202	310992627	501(c )(3)	$15,000	Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
ARTHRITIS FOUNDATION INC
1355 PEACHTREE ST NE	ATLANTA	GA	30309	581341679	501(c)(3)	$15,000	Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community.
HOSPARUS INC
ATTN FINANCE	LOUISVILLE	KY	40205	610921718	501(c)(3)	$15,000	Support for Pediatric bereavement program	3532 EPHRAIM MCDOWELL DR
BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD	LOUISVILLE	KY	40222	611128496	501(c)(3)	$15,000	Outreach, education and support for patients with brain injuries
The Healing Place Inc
1020 W MARKET ST	LOUISVILLE	KY	40202	611164775	501(c)(3)	$15,000	Program support for homeless shelter for men and women
GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST	LOUISVILLE	KY	40202	611365860	501(c)(3)	$15,000	Support of promoting healthy lifestyles
SOS INTERNATIONAL INC
1500 ARLINGTON AVE	LOUISVILLE	KY	40206	272624272	501(c)(3)	$14,000	Support of providing medical supplies to areas of need
Good Health Ideas Inc
P O BOX 4039	LOUISVILLE	KY	40204	201510713	501(c)(3)	$13,000	Support for colon cancer awareness initiatives
YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST	LOUISVILLE	KY	40202	610444843	501(c)(3)	$13,000	Support for safe shelters, youth nutrition program, and youth refugee integration program
VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST	LOUISVILLE	KY	402022504	610480950	501(c)(3)	$12,500	Program support to provide affordable housing and other assistance to low income families
BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN	LOUISVILLE	KY	40218	616057856	501(c)(3)	$12,500	Program support for all children to reach their potential through professional supported 1:1 relationships with volunteer mentors
COMMUNITY MEDICAL ASSOCIATES INC
224 E BROADWAY	LOUISVILLE	KY	402022025	611276316	501(c)(3)	$12,330	Support of a nurse practitioner for the Bellarmine Student Health Clinic and support local public schools for school-based telemedicine services
AMERICAN CANCER SOCIETY INC
ATTN ELLEN SCHROEDER	INDIANAPOLIS	IN	46268	131788491	501(c)(3)	$10,500	Support Contribution for cancer prevention, outreach, patient services through Relay for Life	P O BOX 681405
Leukemia & Lymphoma Society Inc
301 E MAIN ST	LOUISVILLE	KY	40202	135644916	501(c)(3)	$10,000	General support for education and outreach
SPINA BIFIDA ASSOCIATION OF KENTUCKY INC
982 EASTERN PKWY	LOUISVILLE	KY	40217	311081176	501(c)(3)	$10,000	supporting education and resources for families affected by spina bifida	Box 18
NEIGHBORHOOD HOUSE INC
201 N 25TH ST	LOUISVILLE	KY	40212	610445842	501(c)(3)	$10,000	Support children and families
ALZHEIMERS ASSOCIATION
GREATER KY SOUTHERN IND CHAP	LOUISVILLE	KY	40205	611048849	501(c)(3)	$10,000	support education of alzheimer's disease	6100 DUTCHMANS LN
ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	611135907	501(c)(3)	$10,000	Support homeless population
LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD	FRANKFORT	KY	406019260	311096215	501(c)(3)	$9,100	General donation to sustain LKY programs
Louisville Pride Foundation DBA Louisville Pride Festival
P O BOX 4341	LOUISVILLE	KY	40204	471945331	501(c)(3)	$9,000	Support inclusion and unity for all
LOUISVILLE AREA CHAMBER OF COMMERCE INC
614 W MAIN ST	LOUISVILLE	KY	40202	610434089	501(c)(6)	$9,000	General program support
NATIONAL KIDNEY FOUNDATION OF KENTUCKY
161 ST MATTHEWS AVE	LOUISVILLE	KY	40207	610673518	501(c)(3)	$9,000	Supporting the awareness, prevention and treatment of kidney disease
AMERICAN LUNG ASSOCIATION
10168 LINN STATION RD	LOUISVILLE	KY	402233894	131632524	501(c)(3)	$8,800	Support for improving lung health and preventing lung disease through education, advocacy and research
MARCH OF DIMES FOUNDATION
DONATIONS PROCESSING CENTER	ATLANTA	GA	31126	131846366	501(c)(3)	$8,000	Support for Outreach, education and support for families with premature babies	P O BOX 18819
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1201 STORY AVE	LOUISVILLE	KY	40206	135661935	501(c)(3)	$8,000	Support education and resources related to multiple sclerosis
YOUTH ETHICS AND SKILLS CENTER
812 LYNDON LN	LOUISVILLE	KY	40222	262737625	501(c)(3)	$7,500	supporting youth to become positive leaders
SHIVELY AREA MINISTRIES INC
4415 DIXIE HWY	LOUISVILLE	KY	40216	611134579	501(c)(3)	$7,500	Contribution for health/wellness programs, medical assistance for underserved population in Shively Area
LEADERSHIP SOUTHERN INDIANA
8204 HWY 311	SELLERSBURG	IN	47172	351644080	501(c)(3)	$6,850	Support for leadership development program
TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIR	LOUISVILLE	KY	40245	030528530	501(c)(3)	$6,500	Support of telugu people in the community
LIFEHOUSE INC
2710 RIEDLING DR	LOUISVILLE	KY	40206	208514733	501(c)(3)	$6,500	supporting emotional, spiritual, physical and intellectual needs of mother and baby
THE CENTER FOR WOMEN AND FAMILIES INC
P O BOX 2048	LOUISVILLE	KY	402012048	610444846	501(c)(3)	$6,500	Support trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
BOARD OF CHAPLAINCY CERTIFICATION INC
2800 W HIGGINS RD	HOFFMAN ESTATES	IL	60169	363911509	501(c )6	$5,500	Support for empowering leadership for ministry
BAPTIST SEMINARY OF KENTUCKY
400 E COLLEGE ST	GEORGETOWN	KY	40324	611312812	501(c)(3)	$5,400	Support for empowering leadership for ministry
21st Century Parks Inc
471 W MAIN ST	LOUISVILLE	KY	40202	201780317	501(c)(3)	$5,000	Support to PRESERVE, PROTECT AND MAINTAIN OPEN GREEN SPACES
JDRF INTERNATIONAL
INDIANA KENTUCKY CHAPTER	INDIANAPOLIS	IN	46202	231907729	501(c)(3)	$5,000	support families with type 1 diabetes	225 S EAST ST
WELLSPRING INC
P O BOX 1927	LOUISVILLE	KY	402011927	311020023	501(c)(3)	$5,000	Supporting mental health recovery
MORTON CENTER INC
1028 BARRETT AVE	LOUISVILLE	KY	402041667	311068020	501(c)(3)	$5,000	support and treatment for addiction
PRP ALUMNI ASSOCIATION INC
P O BOX 58051	LOUISVILLE	KY	40268	320087730	501(c)(3)	$5,000	Sponsorship of Excellence in Education Award for PRPAA
HABITAT FOR HUMANITY Clark & Floyd Indiana Inc
P O BOX 1814	NEW ALBANY	IN	47150	351817055	501(c)(3)	$5,000	Support of funding for a home build project
CHOOSE WELL COMMUNITIES INC
226 N 17th ST	LOUISVILLE	KY	40203	472822055	501(c)(3)	$5,000	General program support - support young families working to maintain sobriety while improving the health and well-being of their family
NATIVITY ACADEMY AT ST BONIFACE
529 E LIBERTY ST	LOUISVILLE	KY	40202	510450314	501(c)(3)	$5,000	general education support
Home of the Innocents Inc
1100 EAST MARKET ST	LOUISVILLE	KY	402061874	610445834	501(c)(3)	$5,000	support the enrichment of the lives of children and families in our community
Legal Aid Society Inc
416 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	610537626	501(c)(3)	$5,000	Support of free legal services to disadvantaged in the community
BRIDGEHAVEN INC
950 S FIRST ST	LOUISVILLE	KY	40203	610548949	501(c)(3)	$5,000	Mental health support
KENTUCKY PEDIATRIC SOCIETY
EXECDIRECTOR	FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians	420 CAPITAL AVE
AMERICANA COMMUNITY CENTER
4801 SOUTHSIDE DR	LOUISVILLE	KY	40214	611251306	501(c)(3)	$5,000	Support for the education and outreach for Louisville's refugee, immigrant and underserved populations
OVARIAN AWARENESS OF KENTUCKY
2440 GRINSTEAD DRIVE	LOUISVILLE	KY	40204	611393292	501(c)(3)	$5,000	Support education and awareness of ovarian cancer and provide support women with ovarian cancer
ELDERSERVE INC
631 S 28TH ST	LOUISVILLE	KY	40211	616024140	501(c)(3)	$5,000	Program support for the empowerment of older adults to live independently with dignity
IMPACT100 LOUISVILLE INC
3044 BARDSTOWN RD	LOUISVILLE	KY	40205	843784887	501(c)(3)	$5,000	supporting women through collective giving
THE ALS ASSOCIATION KY CHAPTER
13102 EASTPOINT PARK BLVD	LOUISVILLE	KY	40223	943124729	501(c)(3)	$5,000	Support for ALS patient care services program

Field	Value	IRS element (for citing)
Total501c3 Org	74	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances	341	$105,747
UNDERGRADUATE SCHOLARSHIPS FOR STUDENTS PURSUING EDUCATION FOR A CAREER IN THE HEALTHCARE FIELD	100	$200,000

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	ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE MANAGER OF STEWARDSHIP. THE GRANT IS REVIEWED AND APPROVED BY NORTON HEALTHCARE MANAGEMENT. ALL GRANT REQUESTS GREATER THAN $100,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS OR THE CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Russell F Cox
President & CEO/Trustee	$1,277,682	$0	$850,949	$0	$537,946	$0	$181,585	$0	$35,328	$0	$2,883,490	$0	$183,280	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$493,194	$0	$257,754	$0	$116,353	$0	$120,137	$0	$14,693	$0	$1,002,131	$0	$70,756	$0
Michael W Gough
Exec VP and COO	$873,877	$0	$501,896	$0	$265,002	$0	$122,482	$0	$30,993	$0	$1,794,250	$0	$127,756	$0
Adam Kempf
Sr VP, CFO/Treasurer	$529,098	$0	$278,616	$0	$129,027	$0	$129,625	$0	$31,727	$0	$1,098,093	$0	$75,796	$0
Tracy Williams
Former Sr VP & CNO & Learning Officer	$0	$0	$113,522	$0	$479,525	$0	$31,006	$0	$13,152	$0	$637,205	$0	$472,691	$0
Gladys Abarca-Lopez
Sr VP Chief HR Officer	$405,598	$0	$218,327	$0	$115,601	$0	$93,972	$0	$27,829	$0	$861,327	$0	$58,181	$0
Dana Allen
Sys VP Chief Mktg & Communication Officer	$311,047	$0	$169,395	$0	$93,167	$0	$42,700	$0	$16,551	$0	$632,859	$0	$47,432	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$328,254	$0	$181,480	$0	$99,957	$0	$85,150	$0	$35,307	$0	$730,147	$0	$49,132	$0
Kathleen Exline
Sys VP Perf Excel & Care Continium	$324,498	$0	$116,349	$0	$56,251	$0	$67,433	$0	$28,088	$0	$592,619	$0	$36,752	$0
James Frazier MD
VP Medical Affairs	$395,445	$0	$148,366	$0	$92,681	$0	$85,558	$0	$30,007	$0	$752,056	$0	$49,872	$0
Shelly Gast
Sys VP Mngd Care & Payor Strategy	$309,790	$0	$111,996	$0	$52,409	$0	$64,745	$0	$21,270	$0	$560,210	$0	$35,584	$0
Steven Heilman MD
Sr VP & Chief Innovation Officer	$394,112	$0	$148,206	$0	$99,505	$0	$93,988	$0	$32,130	$0	$767,941	$0	$49,816	$0
Steven Hester MD
Div President Provider Ops & Sys CMO	$694,126	$0	$361,670	$0	$137,674	$0	$190,832	$0	$33,375	$0	$1,417,676	$0	$92,420	$0
Cheryl Martin
Sys VP & Chief Nursing Officer	$332,660	$0	$91,622	$0	$75,812	$0	$36,358	$0	$11,488	$0	$547,940	$0	$0	$0
Mary Lynn Meyer
Sr VP WCCP/ CDO	$222,968	$142,097	$0	$185,806	$0	$77,916	$0	$88,814	$0	$20,901	$222,968	$515,535	$0	$51,004
Steve Ready
Sr VP & CIO	$478,511	$0	$253,552	$0	$117,186	$0	$134,418	$0	$30,226	$0	$1,013,893	$0	$64,233	$0
Scott Watkins
Sr VP Operations	$408,379	$0	$218,722	$0	$115,497	$0	$118,110	$0	$32,762	$0	$893,471	$0	$60,040	$0
Douglas Winkelhake
Division President	$608,800	$0	$317,668	$0	$148,567	$0	$170,046	$0	$30,353	$0	$1,275,433	$0	$85,828	$0
William Allen
Sys VP Pharmacy	$262,045	$0	$100,136	$0	$103,938	$0	$41,127	$0	$11,884	$0	$519,131	$0	$0	$0
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	$387,832	$0	$124,426	$0	$84,287	$0	$82,177	$0	$22,178	$0	$700,900	$0	$46,794	$0
Helena Schulz
Sys VP Treasurer	$293,858	$0	$105,808	$0	$50,786	$0	$63,048	$0	$22,526	$0	$536,027	$0	$35,564	$0
Kimberly Tharp-Barrie
Sys VP NHC Institute for Education & Development	$265,703	$0	$100,122	$0	$141,024	$0	$33,839	$0	$11,971	$0	$552,658	$0	$31,888	$0
Stephen Wyatt MD
Chief Research Executive	$358,989	$0	$96,538	$0	$40,613	$0	$24,135	$0	$6,336	$0	$526,611	$0	$8,890	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, Inc. EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2021: Russell F. Cox - $30,000 Michael G. Gough - $30,000 Robert B. Azar - $17,500 Adam Kempf - $15,000 Tracy Williams - $17,500 Steve Hester - $17,500 Scott Watkins - $15,000 Gladys Abarca-Lopez - $15,000 Steve Ready - $15,000 James Frazier - $10,000 Steve Heilman - $15,000 Shelly Gast - $10,000 Douglas Winklehake - $17,500 Dana Allen - $15,000 Mary Jo Bean - $15,000 Helena Schulz - $10,000 Cheryl Martin - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 William Allen - $10,000 Kimberly Tharp-Barrie - $10,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2021 by Former Key Employee, Tracy Williams in the amount of $472,691. Other compensation included in Schedule J Column B(iii)
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $158,135 Michael W. Gough - $99,514 Robert Azar - $101,168 Adam Kempf - $110,872 Mary Lynn Meyer - $68,124 Dana Allen - $25,004 Mary Jo Bean - $66,137 Jennifer Evans - $64,777 Shelly Gast - $46,974 Kathleen Exline - $49,528 James Frazier - $67,871 Steven Heilman - $76,292 Steven Hester - $165,014 Cheryl, Martin - $18,958 Steve Ready - $108,721 Scott Watkins - $90,683 Tracy Williams - $12,555 Douglas Winkelhake - $142,061 Stephen Wyatt - $9,635 Helena Schulz - $43,417 William Allen - $17,927 Gladys Abarca-Lopez - $79,472 Kimberly Tharp-Barrie - $14,114 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2021 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $183,280 Michael W. Gough - $127,756 Robert Azar - $71,561 Adam Kempf - $89,619 Mary Lynn Meyer - $51,584 Dana Allen - $47,432 Mary Jo Bean - $56,778 Jennifer Evans - $47,316 Shelly Gast - $35,989 Kathleen Exline - $37,170 James Frazier - $57,482 Steven Heilman - $58,695 Steven Hester - $93,472 Cheryl Martin - $44,764 Steve Ready - $75,585 Scott Watkins - $75,187 Tracy Williams - $58,370 Douglas Winkelhake - $105,287 Stephen Wyatt - $8,890 Helena Schulz - $38,225 William Allen - $65,390 Gladys Abarca-Lopez - $58,820 Kimberly Tharp-Barrie - $106,175
Schedule J, Part I, Line 7 Non-fixed payments	In 2021, Norton Healthcare, Inc. (NHC) had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
A	320049006	54659LAL8	2011-08-10	$75,000,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
B	320049006	54659LAW4	2013-09-26	$200,000,887	SEE SUPPLEMENTAL INFORMATION	false	false	false
LouisvilleJefferson County Metro Government
C	320049006	54659LBV5	2016-08-11	$612,775,838	SEE SUPPLEMENTAL INFORMATION	false	false	false
LouisvilleJefferson County Metro Government
D	320049006	000000000	2016-08-11	$100,075,000	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$75,000,300	$0	$0	$0	$953,000	$2,000	$0	$74,045,259	$41	$0	2011	false	false	Yes (true)	Yes (true)
B	$0	$0	$200,060,571	$0	$0	$0	$0	$0	$31,048	$200,029,523	$0	$0	2014	false	false	Yes (true)	Yes (true)
C	$28,330,000	$0	$616,547,762	$0	$2,490,756	$0	$0	$0	$4,491,780	$300,912,044	$308,563,977	$0	2019	Yes (true)	false	Yes (true)	Yes (true)
D	$75,335,000	$0	$100,075,000	$0	$0	$0	$0	$0	$0	$0	$100,075,000	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0222	0.0222	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.011	0.011	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0087	0.0087	false	false	Yes (true)
D	false	false	false		false	Yes (true)	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NONE
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
B	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
(no name)
C	false	false	false	Yes (true)	false	false	false	false	Yes (true)
(no name)
D	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: ROW A	ROW A: 2011A/B BOND ISSUES - TO REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING THE NORTON CANCER INSTITUTE DOWNTOWN RADIATION CENTER, CONSTRUCTING AND EQUIPPING A PEDIATRIC AMBULATORY CARE CENTER (NORTON CHILDREN'S MEDICAL CENTER - BROWNSBORO) AND RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AND ITS AFFILIATES AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: ROW B	ROW B: 2013A/C BOND ISSUES - TO REIMBURSE THE CORPORATION FOR THE COSTS OF (I) RENOVATIONS AND EQUIPMENT TO CONVERT NORTON SUBURBAN HOSPITAL TO A WOMEN'S AND CHILDREN'S HOSPITAL, (II) RENOVATIONS AND EQUIPMENT FOR NORTON CHILDREN'S HOSPITAL, (III) RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITION OF HOSPITAL EQUIPMENT, INCLUDING BUT NOT LIMITED TO SOFTWARE, MEDICAL AND SURGICAL EQUIPMENT, IMAGING EQUIPMENT AND MONITORING EQUIPMENT AT THE FACILITIES OF THE OBLIGATED GROUP MEMBERS AND (IV) RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AT ITS AFFILIATES.
Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW C	ROW C: 2016A BOND ISSUE - TO REIMBURSE THE CORPORATION FOR COSTS OF (i) EXPANSION AND MAJOR RENOVATION OF NORTON AUDUBON HOSPITAL (ii) ACQUISITION OF TWO PARCELS OF LAND, (iii) BUILDING, RENOVATION, REPAIR AND OTHER PATIENT CARE RELATED PROJECTS AND/OR EQUIPMENT RELATED TO THE CORPORATION (INCLUDING SOFTWARE). NORTON HOSPITALS AND/OR AFFILIATES OF THE CORPORATION, (iv) CERTAIN COSTS OF ISSUANCE AND (v) CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM REVENUE BONDS, SERIES 2006 (NORTON HEALTHCARE, INC.)
Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW D	ROW D: 2016B/C BOND ISSUES - CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.)
Schedule K, Part I, Column (f) Description of Purpose - Issuer Name: - ROW E	ROW E: 2020 A/B/C/D - TO PAY OR REIMBURSE THE CORPORATION FOR THE COST OF (i) various projects consisting of the construction, planning, renovation, expansion, equipping and acquiring patient care related projects and/or equipment related to the Corporation including but not limited to, the expansion of Norton Brownsboro Hospital, the purchase of a pediatric medical office building in Louisville, Kentucky, master plan improvements at the downtown campus, renovations and improvements at the System's campuses and improvements supporting various service lines. (ii) to fund interest on all or a portion of the Bonds during the construction of the New Money Project
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	COLUMN A: 2011A/B BOND ISSUES - DIFFERENCE BETWEEN SERIES 2011 ISSUE PRICE (ISSUE DATE 8/10/11) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	COLUMN B: 2013A/C BOND ISSUES - DIFFERENCE BETWEEN SERIES 2013 ISSUE PRICE (ISSUE DATE 8/10/13) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	COLUMN C: 2016A BOND ISSUE - DIFFERENCE BETWEEN SERIES 2016A ISSUE PRICE (ISSUE DATE 8/11/16) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	COLUMN E: 2020 A/B/C/D BOND ISSUES - DIFFERENCE BETWEEN SERIES 2020 ISSUE PRICE (ISSUE DATE 3/10/20) AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD AND GAIN/LOSS ON SETTLEMENT OF ASSETS.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN B: 2013 A/C BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN C: 2016A BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN D: 2016B/C BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN E: 2020A/B/C/D BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part III PRIVATE BUSINESS USE	COLUMN D: 2016B/C BOND ISSUES - APPLICABLE QUESTIONS ARE LEFT BLANK DUE TO BONDS REFUNDING ISSUES WHICH REFUND PRE-JANUARY 1, 2003 BOND ISSUES.
Schedule K, Part IV, Line 3 IS THE BOND ISSUE A VARIABLE RATE ISSUE	COLUMN B: 2013A/C BOND ISSUES - 2013A BOND ISSUE IS FIXED RATE DEBT AND 2013C BOND ISSUE IS VARIABLE RATE DEBT. PROCEEDS FROM BOTH BOND ISSUES WERE REPORTED ON ONE IRS FORM 8038 AND COMBINED INTO ONE PROJECT ACCOUNT WITH THE TRUSTEE.
Schedule K, Part IV, Line 3 IS THE BOND ISSUE A VARIABLE RATE ISSUE	COLUMN E: 2020A/B/C/D - 2020A BOND ISSUE IS FIXED RATE DEBT AND 2020B/C/D BOND ISSUES ARE PUT BONDS.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/10/2021
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 09/26/2018
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: Louisville/Jefferson County Metro Government The calculation for computing no rebate due was performed on 08/10/2021
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: Louisville/Jefferson County Metro Government The calculation for computing no rebate due was performed on 08/10/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	LouisvilleJefferson County Metro Government	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	320049006	BondIssuerEIN
CUSIP	54659LCE2	CUSIPNum
Bond Issued	2020-03-10	BondIssuedDt
Issue Price	$478,988,828	IssuePriceAmt
Purpose	SEE SUPPLEMENTAL INFORMATION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$479,492,394	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$35,022,965	WorkingCapitalExpendituresAmt
Capital Expenditures	$444,468,755	CapitalExpendituresAmt
Unspent	$673	UnspentAmt
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.0104	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0104	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jessica Lloyd
Family member of Adam Kempf, Officer	$73,176	Compensation	false
Henry Winkelhake
Family member of Doug Winkelhake, Key Employee	$49,811	COMPENSATION	false
Debbie Hall
Family member of Adam Kempf, Officer	$26,840	Compensation	false
Cindy DiGenova
Family member of Shelley Gast, Key Employee	$24,526	Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	(Continued from Part III) In 2021, Norton Healthcare, through its affiliate, Community Medical Associates Inc., had approximately 3.1 million patient encounters. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 68,502 inpatients and 646,869 outpatients, and saw 235,728 emergency room visits. In addition, Norton Healthcare hospitals' operating rooms cared for 16,312 inpatient surgical patients and 39,433 outpatient surgical patients. Additionally, 8,300 babies were delivered at Norton Healthcare birthing facilities at Norton Hospital and Norton Women's & Children's Hospital. As part of our commitment to improving the health of our community, Norton Healthcare provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2021, under its charity care program, Norton Healthcare provided free care to 7,291 patients, at a cost of $14.2 million. Also, Norton Healthcare grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 7,498 patients were provided care at discounted rates. Another contribution to the community was educational support of $77.4 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $20.1 million and contributions to community groups were $1.9 million. Norton Healthcare employees donated more than 209,000 hours of community service, a benefit valued at more than $1.1 million in salaries. In addition, many employees self-reported personal volunteer activities. Norton Healthcare provides programmatic support to the UofL School of Medicine through funding and facilities. During the 2021 calendar year, 209 residents completed clinical rotations in 50 specialties at Norton Healthcare facilities. Residency programs are part of the $77.4 million in educational support and clinical funding provided to the medical school Contributions to the community * Norton Healthcare employees and physicians gave nearly $815,643 to our 2021-2022 Combined Giving Campaign to help support non-profit organizations that also are committed to improving the health and well-being of community residents. Supported organizations include WHAS Crusade for Children, Metro United Way, Fund for the Arts, and our own Norton Children's Hospital Foundation and Norton Healthcare Foundation. * In 2021, 68 employees helped "raise the roof" on Norton Healthcare's 16th Habitat for Humanity home. The number of participating employees remained limited compared to prior years due to COVID-19 restrictions. * In 2021, an estimated 1,400 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 521 employees and their 1,147 children and dependents by providing for their families at Christmas. * More than 44,000 pounds of usable surplus medical supplies valued at more than $716,000, and over $552,805 in equipment, were donated for use locally and around the world. Norton Healthcare donated syringe pumps to Malawi as they tried to recover from rain storms and cyclones in addition to the ongoing struggles against Covid-19. These supplies were delivered in February of 2022 and went to three hospitals and 6 smaller clinics serving orphans, women and infants. Community Education and Workforce Development Workforce Development encourages continuing education, offers programs to improve job performance and provides financial assistance for educational programs aimed toward key areas of workforce need within the organization. Norton Healthcare encourages and supports the career goals of employees and their dependents by providing financial assistance and scholarships as well as other advancement opportunities. Established in the early 2000s, Workforce Development has assisted more than 6,000 students with tuition assistance. In 2021, Workforce Development financially supported more than 750 students with over $4.5 million in educational assistance programs. * In 2021, Workforce Development provided nearly 1,400 career coaching sessions to employees and students. Each program participant worked directly with a career management coach. Coaches offer services in resume writing, career and education exploration, financial assistance opportunities and interviewing skills. * The accelerated Norton Healthcare Scholars Program, a student loan program for employees and nonemployees, provides educational funding to students interested in pursuing health care-related degrees in areas of workforce need. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 1,000 graduates continue their careers with Norton Healthcare. * In 2018, Norton Healthcare was one of the founding partners in Jefferson County Public Schools' Academies of Louisville, a strategic pipeline development program in conjunction with the local public school system. Jefferson County Public Schools created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. Norton Healthcare transformed its summer program and previous high school scholarship offerings into a comprehensive internship program for students on the health care academy track. The program targets high school seniors in health care academy pathways via career exploration in identified health care areas. Beginning in junior year, health care academy students explore career pathways in one of four key areas: patient care, medical office, allied health and pharmacy technician. Each phase offers a rigorous curriculum, training in business acumen and professional development, and hands-on learning opportunities in the students' chosen career fields. The goal is to transition graduating students into staff positions with our organization after completion of the program. Tuition assistance is offered for these new employees to continue their academic and career pursuits while working at Norton Healthcare in the field of their choice. * In 2019, Norton Healthcare announced a strategic partnership program with UPS and its Metropolitan College program. Norton Healthcare-UPS Health Care Career Tracks provides a two-plus-two method, splitting a four-year bachelor's degree into two parts. Typically, the first two years are spent working with UPS in a general or preclinical designation, and then the student begins their clinical program in the last two years. This transition allows students to explore employment with Norton Healthcare as well as become a Norton Healthcare Scholar. This program helps to support career readiness in a health care-related field. The combined tuition assistance offers students a debt-free way to get a college education while working with two of the leading companies in the region. * The Student Nurse Apprenticeship Program (SNAP) is a 12- to 18-month apprenticeship through Norton Healthcare Center for Nursing Practice in which nursing students work and engage in hands-on learning with an experienced mentor while becoming integrated with Norton Healthcare. * In 2019, Norton Healthcare launched new apprenticeship programs. The Surgical Technologist Apprenticeship Program and the Respiratory Therapy Apprenticeship Program allow students to work and learn with tuition assistance as they grow their careers with Norton Healthcare. Development of the Medical Assistant Training Program launched in 2020 with a goal of offering internal training programs to produce quality, prepared medical assistants to introduce into the Norton Healthcare workforce. Several apprenticeship cohorts run throughout each year. Norton Healthcare Institute for Education & Development provides learning opportunities to enhance the professional, educational and personal development of all employees. It consists of seven centers: the Center for Academic Affairs, Center for Allied Health, Center for Continuing Medical, Nursing & Provider Education, Center for eLearning & Clinical Documentation Support, Center for Nursing Practice, Center for Professional Growth, and Center for System Nursing & Ancillary Education. The Center for Professional Growth provides learning and growth opportunities that meet the needs of Norton Healthcare employees. Three types of leadership development courses are offered to address the needs of new, aspiring and current leaders: * N the Know: This is our new leader orientation program. Newly hired and promoted leaders are automatically enrolled. The program has four required courses and six elective courses.
Form 990, Part III, Line 4a Program Service Accomplishment	Continued * Learning the Norton Way: This six week program is focused on preparing employees for leadership. Leadership approval is required for all employees who wish to attend. * Leading the Norton Way: This program is for current Norton Healthcare leaders. It is a six-week program focused on best practices for effective leadership. * Additional leadership development is provided through quarterly Norton Healthcare leadership conferences. * Staff development programs include general enrichment courses and personal and professional development opportunities that honor Norton Healthcare's commitment to lifelong learning. A variety of online and instructor-led courses focus on learning topics such as communication, diversity, interpersonal relationship-building, accountability and proficiency in Microsoft Office tools. * Norton Healthcare uses a comprehensive learning management system to provide a variety of online programs that enable staff in any specialty as well as other employees to expand their knowledge and skills. These programs were designed to meet the needs of Norton Healthcare, as well as our community, and to ensure the highest quality of patient care. Norton Faith & Health Ministries Norton Faith & Health Ministries partners with faith communities to weave together health and wellness promotion with the intentional care of the spirit. The department provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses in ministering to their members. In 2021, the department engaged in 62 events with faith partners, including: * Facilitating administering more than 6,000 COVID-19 vaccines at faith community site-based clinics. * Sponsoring health ministry networking programs on COVID-19 updates, legal documents for seniors and self-care practices for professional caregivers. * Partnering with a network of nearly 200 faith communities to supply speakers on whole-person health and wellness, and provide health educational tools, health screenings and one-on-one health ministry mentoring. The department continued to serve as a trusted communication source for timely health and wellness information through a monthly email to a network of health ministry coordinators, a bimonthly e-newsletter to 1,400 subscribers and three issues of the Health Ministries Connection newsletter distributed to faith communities, Norton Healthcare employees and more. Pastoral Care Department The Pastoral Care Department of Norton Healthcare continued in 2021 to follow through with what they learned during the first year of the pandemic - to bring care, comfort and compassion to weary staff, patients and families 24 hours a day, 7 days a week, every day throughout the year, across the five system hospitals and many outpatient areas. At the start of 2021, there was great hope that the restrictions and heartache from the COVID-19 pandemic would soon be gone, but the year turned out different than expected. Continuing with what was done in 2020, supporting staff remained a high priority for the chaplains. Leadership consistently called on chaplains to be a resource for employees experiencing many stresses throughout the year, and referrals to them were regularly highlighted in communications from leadership describing resources for staff support. While the vaccine was a great sign of hope, the polarization that came with it created uncomfortable situations. Patients continued to be very sick and die unvaccinated. Many departments struggled with staffing shortages. Employees were tired and often burned out. Chaplains responded with relational initiatives, virtual classes on resilience, and even a formal research study on moral distress in the intensive care unit. Chaplains provided care in more than 33,000 documented patient encounters, plus many thousands of family member encounters as well. Some of the many reasons chaplains become involved in the care of patients and families included: * Grief support and facilitation of decision-making at more than 2,000 deaths * Family support for pediatric trauma patients * Conversations about end of-life decisions and goals of care * Education about and enacting advance directives * Offering religious rituals and literature * Discussing ethical dilemmas * Providing comfort and conversation with patients who were lonely, afraid, conflicted, struggling or celebrating good news Chaplains care for people, regardless of their religious or spiritual backgrounds and beliefs, to help them use and strengthen their spiritual, emotional and relational resources to better cope and to thrive. Through formal and informal staff support efforts, teaching, committee involvement, ethics consultations and many other ways, chaplains are fully integrated into the life of the Norton Healthcare system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute is Louisville's leading cardiovascular disease prevention and treatment program. Each year, it provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. Norton Heart & Vascular Institute specialists treat patients at Norton Healthcare's four adult-service hospitals and more than 28 outpatient clinics, diagnostic centers and specialty locations throughout Greater Louisville. * Kentucky has one of the highest occurrences of heart disease in the country. As a result, Norton Heart & Vascular Institute has committed to being a leader in acute chest pain care. All four of Norton Healthcare's adult-service hospitals in Louisville are recognized by the American College of Cardiology as Acute Chest Pain Centers. Optimal care for heart attack patients takes coordination at the hospital, emergency medical services and system levels. In 2021, all three Norton Healthcare adult STEMI receiving hospitals received the American Heart Association's Mission: Lifeline Gold Plus STEMI/Chest Pain Receiving Center designation, recognizing excellence in providing the highest level of care for heart attacks. * Many people in our region have more than one chronic health condition, and/or advancing heart disease, which is leading to increased occurrences of heart failure. The Norton Heart & Vascular Institute Advanced Heart Failure & Recovery Program provides comprehensive care to manage heart failure, and in some cases, help patients recover from heart failure. In 2020, the program expanded its advanced treatment offerings as Norton Audubon Hospital received ventricular assist device (VAD) accreditation from DNV Healthcare and the U.S. Centers for Medicare & Medicaid Services. This advanced level of care, partnered with navigation, patient education and support of those with heart failure, is key to impacting heart failure care in Kentucky. * Norton Healthcare achieved systemwide noninvasive cardiology accreditation from the Intersocietal Accreditation Commission in 2020. Departments that perform noninvasive cardiology procedures are many times the first touchpoint for Norton Healthcare patients for heart and vascular care. This recognition signifies the highest level of diagnostic capabilities at all Norton Healthcare locations through the use of noninvasive echocardiography, noninvasive vascular ultrasound, nuclear cardiology and positron emission tomography (PET) cardiology. In 2021, Norton Heart & Vascular Institute remains the only health system in Louisville that offers fractional flow reserve derived from computed tomography (FFRCT). * Cardiovascular disease is impacting our community across a wide variety of ages and demographics. In 2021, the Norton Heart & Vascular Institute Young Adult Cardiology Clinic was established to treat patients under age 35 with no prior cardiac care conditions who have been seen for chest pain in the emergency department or a primary care office. Norton Orthopedic Institute Norton Orthopedic Institute provides advanced orthopedic care for all bones and joints, and for people of all ages. Norton Orthopedic Institute is made up of board-certified physicians - many of whom are fellowship trained - who work together with therapists, physical rehabilitation specialists, primary care physicians, neurologists, certified athletic trainers and other care providers to offer a full range of multidisciplinary orthopedic services. These specialists practice a team approach in the diagnosis, treatment and rehabilitation of bone and joint conditions and injuries. Norton Orthopedic Institute's hip and knee replacement program has been certified as an Orthopaedic Center of Excellence by DNV Healthcare, as meeting guidelines of the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, Norton Orthopedic Institute offers several specialty centers focused on providing
Form 990, Part III, Line 4a Program Service Accomplishments	continued expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. Norton Women's Care * Norton Women's Care, with childbirth services at Norton Hospital and Norton Women's & Children's Hospital, was recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. This was U.S. News & World Report's first time publishing a list of Best Hospitals for Maternity Care. * In 2021, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's & Children's Hospital provided care and medical services for 8,300 deliveries. * Norton Hospital and Norton Women's & Children's Hospital offered free childbirth education classes, hosting a total of 436 in 2021. Norton Children's Prevention & Wellness * Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2021 731 virtual and in-person car seat checks were completed. Additionally, 50 new child passenger safety technicians were certified on how to properly install car seats. * More than 6,300 second graders across Kentucky learned about bicycle safety through the Norton Children's Hospital Bike Safety Rodeo in 2021. Safety City also welcomed over 2,500 second-grade students to learn about bike and pedestrian safety. * In a virtual program, more than 5,200 kindergarten students participated in the 38th annual Children and Hospitals Week event. The program was held throughout the last three months of the school year, and supported by a Kohl's Cares grant. Children and Hospitals Week is designed to teach safe decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. * Norton Children's food pantries served over 16,000 individuals with food insecurity needs. * Norton Children's Prevention & Wellness provided 15,000 toothbrushes, toothpaste and oral hygiene information to the community. * Norton Children's Prevention & Wellness launched the "Parenting With You" podcast for parents to help children lead healthier lifestyles. Its 10 episodes in 2021 had more than 800 downloads. * After switching from in-person programming in March of 2020 due to the COVID-19 pandemic, Norton Children's Prevention & Wellness continued with virtual events in 2021, serving over 5,000 individuals with prevention and wellness programming. Events included cooking workshops, teen wellness workshops, child safety classes and safe grandparenting classes. * The "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation is provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). In 2021, 2,459 transportation trips were completed. Kentucky Poison Control Center of Norton Children's Hospital Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2021, the center received more than 40,000 calls and provided continued assistance through more than 42,000 follow-up calls to concerned families in all 120 counties in Kentucky, as well as to physicians and other health care providers from every health care facility in the state. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 10,000 prevention education resources to physicians' offices, health departments and schools, and almost 1,000 packets of materials to individuals who called the poison hotline at (800) 222-1222, which is available 24 hours a day, 7 days a week. The staff of the poison control center also answer the Kentucky HIV and Kentucky Opioid Assistance and Resource hotlines, and managed the state's COVID-19 hotline during 2020 and 2021. Norton Neuroscience Institute Founded in 2009, Norton Neuroscience Institute is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. Norton Neuroscience Institute ensures patients will be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists and other neurology-related specialists have joined the growing institute. These physicians and advanced practice providers offer expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS), brain tumors, headaches, concussions, spine care, endovascular and cerebrovascular neurosurgery, and many other neurological conditions. * Kentucky is considered to be part of the "stroke belt," a region of the United States that sees a high number of incidents of stroke cases. As a result, Norton Neuroscience Institute has committed to being a leader in stroke care. Norton Brownsboro Hospital is a designated Comprehensive Stroke Center. Norton Audubon Hospital and Norton Hospital are certified Primary Stroke Centers, and Norton Women's & Children's Hospital is an Acute Stroke Ready certified center. * Neurosurgeons with Norton Neuroscience Institute were the first in Kentucky to use minimally invasive surgery techniques, including robotic surgery, laser ablation and stereoelectroencephalography (SEEG) in the treatment of brain tumors and epilepsy for children and adults. * Norton Neuroscience Institute offers treatment for all neurological disorders. Providers work together for the patient, providing multidisciplinary programs in areas of brain tumor, ALS, movement disorders, epilepsy, trigeminal neuralgia (face pain) and stroke. * In 2019, Norton Neuroscience Institute's pediatric neurosurgeons came together with the UofL School of Medicine Department of Neurology Division of Child Neurology to create Norton Children's Neuroscience Institute, affiliated with the UofL School of Medicine. While both groups having been working together for decades, the creation of the new institute allows for leading experts to work more seamlessly together to treat the full spectrum of spine and brain conditions in children. * In 2021, the Norton Neuroscience Institute Resource Center provided free opportunities for education and support to more than 8,442 total attendees. * In June 2021, a new Norton Neuroscience Institute facility opened on the Norton Brownsboro Hospital campus, providing comprehensive, multidisciplinary neuroscience services with leading-edge technologies and enhanced research and outreach efforts. Norton Neuroscience Institute - Brownsboro comprises more than 48,000 square feet and supports patients with many types of neurological conditions, including brain, spinal and nervous system tumors; stroke; epilepsy; migraine and headache; dementia; and memory disorders. It also is home to Norton Neuroscience Institute Cressman Parkinson's & Movement Disorders Center and Norton Neuroscience Institute Cressman Neurological Rehabilitation. Norton Community Medical Associates Norton Community Medical Associates offices provide primary care in Louisville, Southern Indiana and surrounding areas at over 30 locations. Offices are staffed by teams of experienced providers who help manage short- and long-term health goals, offer guidance on disease prevention, management of chronic conditions and diagnosis of medical concerns, and provide support navigating specialized care when needed. Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. In December 2021, Norton Community Medical Associates - La Clinica Preston, Norton Healthcare's first 100% bilingual practice, opened in the Okolona area of Louisville. The staff and providers all speak English and Spanish and understand the unique concerns of Louisville's Latinx community and families. Norton Prevention & Wellness * Norton Prevention & Wellness played a key role in supporting the community throughout the COVID-19 pandemic. In 2021, this department conducted and supported COVID-19 vaccinations at fixed locations, as well as through mobile vaccine clinics at multiple sites, including places of worship, businesses and schools, providing over 12,000 first, second and third doses of vaccine to members of the community. * In 2021, Norton Prevention & Wellness staff provided preventive screenings aboard the Norton Prevention & Wellness Mobile Prevention Center in collaboration with various community partners. Over 1,400 women received mammograms and/or wellness exams, including cervical cancer screenings, aboard the mobile unit. Of those, approximately 11% had not been screened in the past five years and 12% had never had a mammogram. Of the 164 Mobile Prevention Center events, over half took place in underserved communities and over 60% of patients came from medically underserved areas.
Form 990, Part III, Line 4a Program Service Accomplishments	continued * Education on cardiovascular health, effects of smoking, prostate health, breast health and women's health and more was provided to almost 1,200 community members at various events, such as health fairs and presentations. If eligible and interested, participants were offered referrals for a colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for 65 people and 39 people received at-home testing kits. To help eliminate barriers to care, Norton Prevention & Wellness implemented a dedicated phone number, (502) 446-WELL, that links eligible patients to colonoscopy scheduling or requesting in-home tests. * In collaboration with many community partners, staff provided over 900 health screenings (blood pressure, body mass index, glucose and cholesterol levels) for almost 350 participants in multiple locations throughout Jefferson County and surrounding counties, including in Southern Indiana. Unfortunately, due to COVID-19, health events were significantly reduced. Each participant received education on healthy lifestyle choices, such as diet and exercise. Group education on various health and wellness topics was provided throughout the year. * Norton Prevention & Wellness conducted 15 American Lung Association Freedom From Smoking classes in 2021, with over 242 people attending. One-third reported they were tobacco-free. One class was taught in Spanish. * The Get Healthy Walking Club has over 6,000 members. 2021 brought over 1,000 new members to the free club aimed at improving overall health. Get Healthy Walking Club members have free access to walk at the Louisville Zoo each day from March through October, 8 to 9:30 a.m. Norton Healthcare Research Office Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. At any point in time, more than 750 clinical studies are active or pending at Norton Healthcare. These studies engage more than 400 Norton Healthcare staff and significantly impact our patients and their families. * Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, infectious diseases, neurology, neurosurgery, maternal-fetal medicine and pulmonology. * Norton Healthcare invests significantly in clinical research to benefit our community and patients, and to support clinical science by participating in the development of new clinical interventions (drugs, devices, procedures) that will become generalized and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * In 2021, Norton Healthcare continued to respond to the COVID-19 pandemic by opening and guiding more than 20 COVID-19 treatment studies. As a clinical study site, Norton Healthcare enrolled the first patient in the world for three of those clinical trials. * Norton Healthcare guided a phase 3 study of the one-dose Johnson & Johnson COVID-19 vaccine that gained FDA emergency use authorization early in 2021. Norton Healthcare, in partnership with UK HealthCare and Baptist Health Lexington, gained visibility as the largest enrolling site in the world for this important study. In addition, in June 2021, Norton Children's Research Institute, affiliated with the UofL School of Medicine, announced it would participate in a phase 2/3 clinical trial of the Pfizer COVID-19 investigational vaccine for healthy children ages 6 months to 11 years. It was one of 100 participating sites around the world and the only site in Louisville offering the trial. The study evaluated safety, tolerability and immune response in this age group. Community support from Foundations The Norton Children's Hospital Foundation and Norton Healthcare Foundation raised $24.5 million in support of care at Norton Children's Hospital and its sister facilities and Norton Healthcare's adult-service facilities in 2021. Grants totaling more than $15.2 million were invested in Norton Healthcare facilities to improve access to care and spur innovation in services. The grants supported a wide range of initiatives to expand workforce, enhance facilities, establish new programs and provide advanced facilities. * A virtual reality balance assessment system, driving simulator, robotic-assisted therapy and more at Norton Neuroscience Institute - Brownsboro, a new facility in northeastern Louisville * Three Biotronik Zero-Gravity units purchased for Norton Brownsboro Hospital * Upgrades and equipment for Norton Heart & Vascular Institute * Renovation and modernization of one of our mobile units to establish Norton Prevention & Wellness Mobile Primary Care, a medical facility on wheels * Expressive therapists for the Norton Cancer Institute Pat Harrison Resource Center * Fellowship director for Norton Leatherman Spine * The Heel, Dog, Heal facility dog program across Norton Healthcare facilities, including 11 trained dogs and their handlers * Purchase of the Philips EPIQ Elite diagnostic breast ultrasound system * Operational funding for the Norton Children's Prevention & Wellness team, including Safety City and No Kid Hungry, as well as additional education and outreach * Clinical research nurse at Norton Children's Cancer Institute, affiliated with the UofL School of Medicine * Research and workforce in the development of CAR T-cell therapy for high-risk childhood cancers * Pediatric endocrinology fellowship, child life specialist and community health worker for the Wendy Novak Diabetes Center * Developing food pantries throughout the community * Giraffe Warmers for the neonatal intensive care unit at Norton Women's & Children's Hospital * Extracorporeal membrane oxygenation (ECMO) training simulators in the Jennifer Lawrence Cardiac Intensive Care Unit Norton Pharmacies PLLC Norton Pharmacies PLLC, a disregarded entity of Norton Healthcare, Inc. operates five retail pharmacies and one specialty pharmacy which dispense medications for the convenience of Norton patients and employees. Norton Institute for Health Equity * Norton Healthcare, Inc. established the Institute for Health Equity to address the health and racial inequalities in the community. The purpose of the Institute for Health Equity is to identify and remove obstacles that prevent people from receiving the healthcare they deserve, as well as to eliminate disparities in care. This includes increasing access to care and partnering with local organizations, positioning the Institute for Health Equity to serve as a central hub for community-based organizations and resources to come together to address factors that contribute to health disparities, including housing, healthy food options, transportation and child care.
Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2021 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 1228. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 107 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2021. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 890 VENDORS ON FORM 1096 FOR 2021.
Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED TWO FORM W-2Gs ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION.
Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT.
Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES	NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 2,994 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 20,929 EMPLOYEES ON FORM W-3 FOR 2021.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	James Frazier, Steve Heilman, Douglas Winkelhake - Business relationship, Russell F. Cox, Adam Kempf, Robert B. Azar (Officers, Norton Enterprise, Inc.) - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	At the October 6, 2022 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 27, 2022 NHC Board of Trustees meeting , the Forms 990 and supplemental schedules were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and supplemental schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., and Norton Healthcare-Indiana, Inc.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Please see explanation provided for Form 990, Part VI, Line 15b.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s, for NHC's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Gallagher consultants presented and discussed this comparability data in 2020 for the 2021 compensation review and met in 2021 for the 2022 compensation review with the Executive Committee of the Board of Trustees (Board). The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation.
Form 990, Part VI, Line 19 Required documents available to the public	CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/. GOVERNING DOCUMENTS, AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC
Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments	Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., and The Children's Hospital Foundation, 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 2021.
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 55723360, Program Service Expense: 45222309, Management and General Expenses: 10501051, Fundraising Expenses: ; Other expenses - Total Expense: 1710205, Program Service Expense: 894153, Management and General Expenses: 816052, Fundraising Expenses: ; Contract Labor - Total Expense: 1299993, Program Service Expense: 1046511, Management and General Expenses: 253482, Fundraising Expenses: ; Professional Fees - Total Expense: 785538, Program Service Expense: 785538, Management and General Expenses: , Fundraising Expenses: ; Research Department Fees - Total Expense: 1095590, Program Service Expense: 1095590, Management and General Expenses: , Fundraising Expenses: ; Collection Fees - Total Expense: 2187300, Program Service Expense: 1892015, Management and General Expenses: 295285, Fundraising Expenses: ; Marketing Fees - Total Expense: 7951183, Program Service Expense: 3180473, Management and General Expenses: 4770710, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -481322; SWAP MARK TO MARKET ADJUSTMENT - -11217617; CHANGE IN MINIMUM PENSION LIABILITY - 12115973; CHANGE IN NET PERIODIC PENSION COST - -1934087;
Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance	In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2021. The other components of net periodic pension cost was $2.0 million for year ended December 31, 2021.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Pharmacies PLLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	224 E Broadway 5th FL	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40202	ZIPCd

Field	Value	IRS element (for citing)
EIN	831832543	EIN
Primary Activities	Pharmacy	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Total Income	$83,134,717	TotalIncomeAmt
End Of Year Assets	$10,392,598	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Healthcare Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
NORTON HOSPITALS INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	610703799	PROVIDE HOSPITAL SERVICES	KY	501(c)(3)	3	NA	Yes (true)
COMMUNITY MEDICAL ASSOCIATES INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611276316	OPERATES A NETWORK OF PHYSICIAN PRACTICES	KY	501(c)(3)	10	NA	Yes (true)
NORTON PROPERTIES INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611028724	MAINTAINS OFFICE AND PARKING FACILITIES	KY	501(c)(3)	Type I	NA	Yes (true)
THE CHILDREN'S HOSPITAL FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	616027530	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NA	Yes (true)
NORTON HEALTHCARE FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	310914919	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NA	Yes (true)
NORTON HEALTHCARE - INDIANA INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	850513259	OPERATE HOSPITAL AND OTHER HEALTHCARE FACILITIES	IN	501(c)(3)	10	NA	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NORTON ENTERPRISES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	224 E BROADWAY 5TH FLOOR	AddressLine1Txt
City	LOUISVILLE	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40202	ZIPCd

Field	Value	IRS element (for citing)
EIN	611054301	EIN
Primary Activities	PROVIDE PATHOLOGY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Norton Healthcare Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$20,518,383	ShareOfTotalIncomeAmt
Share Of EOY Assets	$28,630,493	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norton Hospitals Inc
R	$2,096,126,112	FMV
Norton Hospitals Inc
S	$2,270,045,827	FMV
Community Medical Associates Inc
R	$832,758,203	FMV
Community Medical Associates Inc
S	$568,516,846	FMV
Norton Properties Inc
R	$81,874,339	FMV
Norton Properties Inc
S	$65,310,968	FMV
The Children's Hospital Foundation Inc
R	$4,545,468	FMV
The Children's Hospital Foundation Inc
S	$4,253,470	FMV
Norton Healthcare Foundation Inc
R	$1,408,831	FMV
Norton Healthcare Foundation Inc
S	$2,007,504	FMV
Norton Enterprises Inc
R	$8,305,295	FMV
Norton Enterprises Inc
S	$26,384,670	FMV
Norton Healthcare Foundation Inc
C	$763,259	FMV
The Children's Hospital Foundation Inc
C	$1,047,037	FMV