NORTON HEALTHCARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202143169349307889
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule 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	2021-11-12T13:33:47-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	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	2021-11-12	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	2020	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	$842,052,955	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	2798	TotalEmployeeCnt
Total Volunteers	19	TotalVolunteersCnt
Total Gross UBI	$141,598	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,193,327	PYContributionsGrantsAmt
CY Contributions Grants	$1,761,368	CYContributionsGrantsAmt
PY Program Service Revenue	$374,047,414	PYProgramServiceRevenueAmt
CY Program Service Revenue	$420,130,148	CYProgramServiceRevenueAmt
PY Investment Income	$42,615,359	PYInvestmentIncomeAmt
CY Investment Income	$64,598,532	CYInvestmentIncomeAmt
PY Other Revenue	$9,706,703	PYOtherRevenueAmt
CY Other Revenue	$5,826,911	CYOtherRevenueAmt
PY Total Revenue	$427,562,803	PYTotalRevenueAmt
CY Total Revenue	$492,316,959	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,783,882	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,233,534	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$186,667,340	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$207,353,073	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$196,428,728	PYOtherExpensesAmt
CY Other Expenses	$220,405,113	CYOtherExpensesAmt
PY Total Expenses	$390,879,950	PYTotalExpensesAmt
CY Total Expenses	$430,991,720	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,682,853	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,325,239	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,935,993,288	TotalAssetsBOYAmt
Total Assets EOY	$2,709,209,349	TotalAssetsEOYAmt
Total Liabilities BOY	$2,220,822,221	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,824,490,513	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$284,828,933	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$115,281,164	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	$360,175,111	ExpenseAmt
Grant	$3,233,534	GrantAmt
Revenue	$425,815,461	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHC) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2020 NHC, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,907 LICENSED BEDS: NORTON HOSPITAL (Norton) - 605 BEDS; NORTON CHILDREN'S HOSPITAL (NCH)- 300 BEDS; NORTON AUDUBON HOSPITAL (Audubon) - 432 BEDS; NORTON WOMEN'S AND CHILDREN'S HOSPITAL (NWCH)- 373 BEDS; AND NORTON BROWNSBORO HOSPITAL(NBH) - 197 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$360,175,111	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	Yes (true)	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	1051	IRPDocumentCnt
IRP Document W2 G	2	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2798	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	22	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	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 (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Russell F Cox
President & CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$2,512,441	$0	$200,831
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Craig D Grant
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Donald H Robinson
Trustee	5.0	2.5	Yes (X)		$0	$0	$0
Edie Nixon
Vice Chair	6.0	2.5	Yes (X)		$0	$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)		$0	$0	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Gary L Stewart
Chair	10.0	2.5	Yes (X)		$0	$0	$0
Gregory E Mayes
Trustee	5.0	2.5	Yes (X)		$0	$0	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$0	$0	$0
Maria L Bouvette
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Marshall Farrer
Trustee (partial year)	1.0	2.5	Yes (X)		$0	$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)		$0	$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)		$1,600	$0	$0
Ronald Lehocky MD
Trustee	3.0	2.5	Yes (X)		$0	$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)	$860,845	$0	$154,149
Michael W Gough
Exec VP and COO	30.0	20.0		Yes (X)	$1,545,025	$0	$142,238
Robert B Azar
Sr VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$822,706	$0	$129,978
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$542,505	$0	$53,314	Yes (X)
Douglas Winkelhake
Division President	50.0	0			$1,011,759	$0	$186,284	Yes (X)
Gladys Abarca-Lopez
Sr VP Chief HR Officer	50.0	0			$700,214	$0	$118,087	Yes (X)
Helena Schulz
Sys VP Treasurer	50.0	0			$430,706	$0	$83,162	Yes (X)
James Frazier MD
VP Medical Affairs	50.0	0			$609,084	$0	$112,712	Yes (X)
Kathleen Exline
Sys VP Perf Excel & Care Continium	50.0	0			$478,562	$0	$91,408	Yes (X)
Mary Lynn Meyer
Sr VP CDO	30.0	20.0			$222,968	$385,945	$100,273	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$650,152	$0	$105,967	Yes (X)
Scott Watkins
Sr VP Operations	50.0	0			$699,342	$0	$138,912	Yes (X)
Shelly Gast
Sys VP Mngd Care & Payor Strategy	50.0	0			$466,176	$0	$81,984	Yes (X)
Steve Ready
Sr VP & CIO	50.0	0			$803,081	$0	$155,753	Yes (X)
Steven Heilman MD
Sr VP & Chief Innovation Officer	50.0	0			$610,661	$0	$113,646	Yes (X)
Steven Hester MD
Div President Provider Ops & Sys CMO	50.0	0			$1,110,332	$0	$211,477	Yes (X)
Tracy Williams
Sr VP & CNO & Learning Officer	50.0	0			$632,963	$0	$839,220	Yes (X)
Byron Lewis
Sys VP Health Policy	50.0	0			$421,839	$0	$85,274		Yes (X)
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	50.0	0			$589,650	$0	$103,054		Yes (X)
Jim Meyers
Sys VP Revenue Cycle	50.0	0			$428,852	$0	$87,041		Yes (X)
Mark Kircher
Division VP Finance	50.0	0			$422,115	$0	$53,097		Yes (X)
Stephen Wyatt MD
Chief Research Executive	50.0	0			$480,640	$0	$29,081		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,055,815	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$385,945	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,376,940	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	295	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Firstsource Solutions USA LLC
10400 Linn Station Rd	Suite 100	Louisville	KY	40223	Patient Financial Services	$7,753,449
Epic Systems Corporation
P O Box 88314		Milwaukee	WI	532880314	Software Maintenance and Support	$5,606,167
The CSI Companies Inc
P O Box 89084		Charlotte	NC	532880314	Employee Recruitment	$5,122,106
H & H Systems and Design Inc
135 W Market St		New Albany	IN	471503561	Construction	$4,108,876
Medisync
25 Merchant St	Suite 220	Cincinnati	OH	45246	Consulting	$3,254,960

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	151	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,756,733	RelatedOrganizationsAmt
Government Grants	$4,635	GovernmentGrantsAmt
Total Contributions	$1,761,368	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$347,932,696	$347,932,696
Net Patient Revenue	621999	$61,503,549	$61,503,549
Clinical Research Trials	541715	$10,678,593	$10,678,593
Education Programs	624190	$15,310	$15,310

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	$420,130,148	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,161,569	TotalRevenueColumnAmt
Exclusion	$22,161,569	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$546,108	TotalRevenueColumnAmt
Exclusion	$546,108	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	$391,626,851	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$349,735,996	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$41,890,855	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,890,855	TotalRevenueColumnAmt
Exclusion	$41,890,855	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Credit Card Rebate	900099	$1,615,793	$1,615,793
Employee Emergency Fund	900099	$313,456	$313,456
Miscellaneous Income	900099	$1,325,662	$1,184,064	$141,598

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,572,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,572,000	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,826,911	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$492,316,959	TotalRevenueColumnAmt
Related Or Exempt Func Income	$425,815,461	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$141,598	UnrelatedBusinessRevenueAmt
Exclusion	$64,598,532	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	$2,986,638	TotalAmt
Program Services	$2,986,638	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$246,896	TotalAmt
Program Services	$246,896	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,813,811	TotalAmt
Program Services	$9,073,344	ProgramServicesAmt
Management And General	$7,740,467	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$104,943	TotalAmt
Program Services	$76,288	ProgramServicesAmt
Management And General	$28,655	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$154,808,411	TotalAmt
Program Services	$138,919,363	ProgramServicesAmt
Management And General	$15,889,048	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,761,363	TotalAmt
Program Services	$6,019,088	ProgramServicesAmt
Management And General	$742,275	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,580,333	TotalAmt
Program Services	$14,953,656	ProgramServicesAmt
Management And General	$1,626,677	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,284,212	TotalAmt
Program Services	$10,765,838	ProgramServicesAmt
Management And General	$1,518,374	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,272,250	TotalAmt
Program Services	$2,797,049	ProgramServicesAmt
Management And General	$475,201	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$943,945	TotalAmt
Program Services	$377,578	ProgramServicesAmt
Management And General	$566,367	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	$4,275,689	TotalAmt
Management And General	$4,275,689	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,494,527	TotalAmt
Program Services	$48,647,376	ProgramServicesAmt
Management And General	$14,847,151	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,069,881	TotalAmt
Program Services	$3,749,149	ProgramServicesAmt
Management And General	$320,732	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,136,383	TotalAmt
Program Services	$7,940,559	ProgramServicesAmt
Management And General	$2,195,824	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$520,806	TotalAmt
Program Services	$392,136	ProgramServicesAmt
Management And General	$128,670	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,502,571	TotalAmt
Management And General	$39,502,571	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,840,848	TotalAmt
Program Services	$101,905	ProgramServicesAmt
Management And General	$19,738,943	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$30,183,845	TotalAmt
Program Services	$25,964,314	ProgramServicesAmt
Management And General	$4,219,531	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$57,392,964	$51,988,458	$5,404,506
Pharmacy Drugs	$55,937,552	$55,879,370	$58,182
Interest allocation	-$45,128,392		-$45,128,392
Insurance allocation	-$29,058,548	-$24,990,351	-$4,068,197

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,900,792	TotalAmt
Program Services	$4,238,457	ProgramServicesAmt
Management And General	$662,335	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$430,991,720	TotalAmt
Program Services	$360,175,111	ProgramServicesAmt
Management And General	$70,816,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$49,952,722	BOYAmt
EOY	$76,122,625	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,685,528	BOYAmt
EOY	$185,147,524	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,829,189	BOYAmt
EOY	$20,248,876	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$12,703	BOYAmt
EOY	$3,266	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	$3,213,635	BOYAmt
EOY	$4,940,926	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$45,545,275	BOYAmt
EOY	$48,887,387	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$285,657,882	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$198,117,898	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,730,046	BOYAmt
EOY	$87,539,984	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,153,881,863	BOYAmt
EOY	$1,684,333,129	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$480,808,167	BOYAmt
EOY	$543,906,777	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$21,673,409	BOYAmt
EOY	$21,775,973	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,660,751	BOYAmt
EOY	$36,302,882	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,935,993,288	BOYAmt
EOY	$2,709,209,349	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$174,112,992	BOYAmt
EOY	$226,501,636	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,030,130	BOYAmt
EOY	$4,204,074	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,035,039,166	BOYAmt
EOY	$1,471,207,784	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	$1,007,639,933	BOYAmt
EOY	$1,122,577,019	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,220,822,221	BOYAmt
EOY	$2,824,490,513	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	-$284,976,389	BOYAmt
EOY	-$116,125,005	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$147,456	BOYAmt
EOY	$843,841	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$284,828,933	BOYAmt
EOY	-$115,281,164	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,935,993,288	BOYAmt
EOY	$2,709,209,349	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,325,239	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$97,538,020	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,684,510	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	$1,944,015,757
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$0	$656,085,321
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$0	$1,291,356
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$0	$4,684,191

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$2,606,076,625	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
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	$30,806,524	OtherCostOrOtherBasisAmt
Depreciation	$24,030,689	DepreciationAmt
Book Value	$6,775,835	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,523,449	OtherCostOrOtherBasisAmt
Depreciation	$173,895,085	DepreciationAmt
Book Value	$36,628,364	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,202,102	OtherCostOrOtherBasisAmt
Depreciation	$192,124	DepreciationAmt
Book Value	$42,009,978	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,539,984	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$365,617,849
REAL ESTATE MASTER TRUST UNITS	$103,268,988
Private Equity Master Trust	$75,019,940

Field	Value	IRS element (for citing)
Total Book Value Securities	$543,906,777	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$881,413,461
SELF INSURANCE TRUST	$91,314,249
OTHER LIABILITIES	$92,370,254
INTEREST RATE SWAP LIABILITY
OTHER INSURANCE	$2,781,255
Pension	$54,697,800
Capital Lease
Deferred Income LT

Field	Value	IRS element (for citing)
Total Liability	$1,122,577,019	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	$301,651,098
Europe (Including Iceland and Greenland)	0	0	Investments	$14,730,974

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	$316,382,072	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$316,382,072	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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (66 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Simmons College of Kentucky
1018 S 7TH ST	LOUISVILLE	KY	40203	205289168	501(c)(3)	$1,210,000	Support to help diminish health disparities through healthcare services and education
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
UNIVERSITY OF KENTUCKY
OFFICE OF DEVELOPEMENT	LEXINGTON	KY	405065070	616001218	state of KY	$200,750	Support University Pharmacy College general support School of Journalism	WILLIAM B STURGILL BUILDING
West End School
3628 Virginia Ave	Louisville	KY	40211	043798875	501(c)(3)	$225,000	Support for education, health and welfare of students enrolled in the West End School
LEADERSHIP LOUISVILLE CENTER
711 WEST MAIN ST	LOUISVILLE	KY	402022657	310958491	501(c)(3)	$67,900	Program support of leadership programming
METRO UNITED WAY INC
DEPT 52860	LOUISVILLE	KY	402950148	610444680	501(c)(3)	$55,000	Support the engagement of the community to give, advocate and volunteer	PO BOX 950148
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
AMERICAN HEART ASSOCIATION
P O BOX 841390	DALLAS	TX	75284	135613797	501(c)(3)	$45,500	Support Heart Health awareness
New Albany-Floyd County Consolidated School Corp
1020 VINCENNES ST	NEW ALBANY	IN	471503152	356005953	New Albany	$45,000	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.
LOUISVILLE AREA CHAMBER OF COMMERCE INC
METRO CHAMBER OF COMMERCE	LOUISVILLE	KY	40202	610434089	501(c)(6)	$38,200	Program support West Louisville of primary care services and education and other general support for community programs	614 W MAIN ST
WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST	LOUISVILLE	KY	40202	237075524	501(c)(3)	$35,000	Supporting children with special needs
Community Medical Associates Inc
Accounting	LOUISVILLE	KY	402022025	611276316	501(c)(3)	$32,788	Support of a nurse practitioner for the Bellarmine Student Health Clinic; support local public schools for school-based telemedicine services, including e-visits and support of mental/behavioral healthcare	224 E Broadway
FUND FOR THE ARTS INC
ATTN CHRISTEN BOONE	LOUISVILLE	KY	40202	610479626	501(c)(3)	$32,500	Supporting the development and education and quality of life through the arts	623 W MAIN ST
CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST	LOUISVILLE	KY	40202	611294640	501(c)(3)	$30,000	Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
Trinity High School Foundation Inc
4011 SHELBYVILLE RD	LOUISVILLE	KY	40207	311105966	501(c)(3)	$27,500	General education support and Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.
AMERICAN CANCER SOCIETY INC
1640 LYNDON FARM CT	LOUISVILLE	KY	40223	131788491	501(c)(3)	$26,000	Support for cancer prevention, outreach, patient services through Relay for Life
Family Community Clinic Inc
1406 E Washington St	LOUISVILLE	KY	40206	272994215	501(c)(3)	$25,000	Support the continuation of operations, as patients return in-person and via telehealth for vital medical attention and to possibly assist with purchase of medical equipment to benefit the community
The Louisville Orchestra Inc
323 WEST BROADWAY ST	LOUISVILLE	KY	40202	616000384	501(c)(3)	$25,000	General program support for the Louisville Orchestra
Presentation Academy Inc
861 SOUTH 4th ST	LOUISVILLE	KY	402032100	610507080	501(c)(3)	$22,500	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.
BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN	LOUISVILLE	KY	40218	616057856	501(c)(3)	$22,500	Support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors
KENTUCKY PHYSICIANS HEALTH FOUNDATION INC
9000 WESSEX PLACE	LOUISVILLE	KY	40222	611242062	501(c)(3)	$21,500	Support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA	LOUISVILLE	KY	40202	611100993	501(c)(3)	$18,000	General program support	325 W MAIN ST
LOUISVILLE COLLEGIATE SCHOOL
2427 GLENMARY AVE	LOUISVILLE	KY	40204	610449630	501(c)(3)	$17,500	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.
ARTHRITIS FOUNDATION INC
9462 BROWNSBORO RD	LOUISVILLE	KY	40241	581341679	501(c)(3)	$15,000	Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community.
YMCA OF GREATER LOUISVILLE INC
ATTN Y WORK	LOUISVILLE	KY	40202	610444843	501(c)(3)	$15,000	Support for safe shelters, youth nutrition program, and youth refugee integration program	545 SOUTH SECOND ST
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
Friend for Life A Cancer Support Network Inc
4003 KRESGE WAY	LOUISVILLE	KY	40207	611139410	501(c)(3)	$15,000	General program support for cancer patients and families
VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST	LOUISVILLE	KY	402022504	610480950	501(c)(3)	$14,500	General program support to provide affordable housing and other assistance to low income families
The Healing Place Inc
1020 W MARKET ST	LOUISVILLE	KY	40202	611164775	501(c)(3)	$13,000	Support individuals suffering from drug and alcohol addiction, provide the tools for recovery, and restore meaningful and productive lives
CHRISTIAN ACADEMY FOUNDATION INC
700 S ENGLISH STATION RD	LOUISVILLE	KY	402453912	611323813	501(c)(3)	$12,500	General education support
JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	402031745	610476694	501(c)(3)	$12,250	Support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
Kentucky Derby Festival Inc
1001 SOUTH THIRD ST	LOUISVILLE	KY	40203	610713833	501(c)(4)	$11,900	Promoting local festival
Louisville Pride Foundation DBA Louisville Pride Festival
PO BOX 4341	LOUISVILLE	KY	40204	471945331	501(c)(3)	$11,000	Support inclusion and unity for all
Leukemia & Lymphoma Society Inc
301 E MAIN ST	LOUISVILLE	KY	40202	135644916	501(c)(3)	$10,000	General support, outreach and education related to leukemia and lymphoma
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1201 STORY AVE	LOUISVILLE	KY	40206	135661935	501(c)(3)	$10,000	Support education and resources related to multiple sclerosis
21st Century Parks Inc
471 W MAIN ST	LOUISVILLE	KY	40202	201780317	501(c)(3)	$10,000	Support to perserve, protect and maintain open green spaces
The Louisville Urban League Inc
1535 WEST BROADWAY	LOUISVILLE	KY	40203	610444771	501(c)(3)	$10,000	Support the assistance of African Americans and other minority groups to attain social and economic equality and stability
HOSPARUS INC
3532 EPHRAIM MCDOWELL DR	LOUISVILLE	KY	40205	610921718	501(c)(3)	$10,000	Pediatric bereavement program
ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	611135907	501(c)(3)	$10,000	Support homeless population
KIDS CANCER ALLIANCE INC
P O BOX 24337	LOUISVILLE	KY	40224	611256743	501(c)(3)	$10,000	Support pediatric cancer patients
NEIGHBORHOOD HOUSE INC
201 N 25TH ST	LOUISVILLE	KY	40212	610445842	501(c)(3)	$8,500	General program support for children and families
LIFEHOUSE INC
2710 RIEDLING DR	LOUISVILLE	KY	40206	208514733	501(c)(3)	$8,000	Supporting emotional, spiritual, physical and intellectual needs of mother and baby
BRIDGEHAVEN INC
950 S FIRST ST	LOUISVILLE	KY	40203	610548949	501(c)(3)	$7,500	Mental health support
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 CIRCLE	LOUISVILLE	KY	40245	030528530	501(c)(3)	$6,500	Support of telugu people in the community
LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD	FRANKFORT	KY	406019260	311096215	501(c)(3)	$6,500	General support to sustain LKY programs
MORTON CENTER INC
1028 BARRETT AVE	LOUISVILLE	KY	402041667	311068020	501(c)(3)	$6,000	Support and treatment for addiction
Legal Aid Society Inc
416 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	610537626	501(c)(3)	$6,000	Support of free legal services to disadvantaged in the community
SOS INTERNATIONAL INC
1500 ARLINGTON AVE	LOUISVILLE	KY	40206	272624272	501(c)(3)	$5,000	Support of providing medical supplies to areas of need
Maryhurst Inc
1015 DORSEY LN	LOUISVILLE	KY	402232699	311542209	501(c)(3)	$5,000	Support children across Kentucky suffering from neglect and abuse
PRP ALUMNI ASSOCIATION INC
PO 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 and funding for a home build project
Worksite Wellness Council of Louisville Inc
2950 BRECKENRIDGE LN STE 8	LOUISVILLE	KY	40220	383921041	501(c)(3)	$5,000	Support healthy work environments
Young Professionals
C/O BUSINESS SERVICES	LOUISVILLE	KY	40245	450483455	501(c)(3)	$5,000	Support leadership development, educational opportunities and philanthropic support to Louisville's Young Professionals for the benefit of the local community	2201 HIGH WICKHAM PLACE
Kentuckiana Health Collaborative
1415 BARDSTOWN RD	LOUISVILLE	KY	40204	450700087	501(c)(3)	$5,000	Support of general program of community availability of quality health services
Bridgeman Charitable Group Inc
3309 COLLINS LANE	LOUISVILLE	KY	40245	464406300	501(c)(3)	$5,000	General program support for charities and the Louisville community
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
BELLARMINE UNIVERSITY
2001 NEWBURG RD	LOUISVILLE	KY	40205	610482955	501(c)(3)	$5,000	General program support for student education
UNIVERSITY OF LOUISVILLE
323 E CHESTNUT ST	LOUISVILLE	KY	40202	611014882	501(c)(3)	$5,000	General education support
KENTUCKY PEDIATRIC SOCIETY
MARY YORK EXECDIRECTOR	FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians	420 CAPITAL AVE
CENTER FOR INTERFAITH RELATION INC
415 W MULHAMMED ALI BLVD	LOUISVILLE	KY	40202	611149619	501(c)(3)	$5,000	Supporting diversity of faith traditions, strengthen the role of faith in society through common actions
Kentucky and S Indiana Stroke Association
3425 STONY SPRING CIRCLE	LOUISVILLE	KY	40220	611335267	501(c)(3)	$5,000	Support education, outreach for families and stroke patients
Canopy Certified
1500 LYTLE ST	LOUISVILLE	KY	40203	830965241	501(c)(3)	$5,000	Program support for black-owned businesses and educational consultants for racial justice
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	64	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances	GrantTypeTxt
Recipient	606	RecipientCnt
Cash Grant	$246,896	CashGrantAmt

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	$1,278,434	$0	$697,191	$0	$536,817	$0	$167,797	$0	$33,034	$0	$2,713,272	$0	$44,485	$0
Michael W Gough
Exec VP and COO	$873,998	$0	$407,253	$0	$263,773	$0	$112,157	$0	$30,080	$0	$1,687,263	$0	$30,710	$0
Adam Kempf
Sr VP, CFO/Treasurer	$529,306	$0	$228,445	$0	$103,094	$0	$123,967	$0	$30,182	$0	$1,014,993	$0	$57,152	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$493,335	$0	$213,253	$0	$116,118	$0	$115,748	$0	$14,230	$0	$952,684	$0	$69,368	$0
Tracy Williams
Sr VP & CNO & Learning Officer	$236,588	$0	$162,375	$0	$234,000	$0	$824,164	$0	$15,056	$0	$1,472,184	$0	$13,469	$0
Steven Hester MD
Div President Provider Ops & Sys CMO	$694,383	$0	$278,542	$0	$137,408	$0	$179,696	$0	$31,781	$0	$1,321,809	$0	$90,604	$0
Douglas Winkelhake
Division President	$609,007	$0	$258,680	$0	$144,072	$0	$157,475	$0	$28,809	$0	$1,198,043	$0	$81,400	$0
Steve Ready
Sr VP & CIO	$479,285	$0	$216,533	$0	$107,263	$0	$127,071	$0	$28,682	$0	$958,834	$0	$57,304	$0
Scott Watkins
Sr VP Operations	$408,628	$0	$180,955	$0	$109,759	$0	$108,036	$0	$30,876	$0	$838,254	$0	$58,860	$0
Gladys Abarca-Lopez
Sr VP Chief HR Officer	$405,720	$0	$180,630	$0	$113,864	$0	$92,080	$0	$26,006	$0	$818,301	$0	$0	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$302,742	$0	$148,078	$0	$199,331	$0	$79,700	$0	$26,267	$0	$756,118	$0	$105,254	$0
Steven Heilman MD
Sr VP & Chief Innovation Officer	$394,369	$0	$124,081	$0	$92,211	$0	$83,550	$0	$30,096	$0	$724,306	$0	$47,660	$0
James Frazier MD
VP Medical Affairs	$392,790	$0	$124,218	$0	$92,076	$0	$83,627	$0	$29,085	$0	$721,796	$0	$48,892	$0
Mary Lynn Meyer
Sr VP CDO	$222,968	$141,431	$0	$165,944	$0	$78,570	$0	$80,645	$0	$19,628	$222,968	$486,218	$0	$50,000
Dana Allen
Sys VP Chief Mktg & Communication Officer	$313,677	$0	$136,010	$0	$92,817	$0	$40,522	$0	$12,792	$0	$595,819	$0	$11,282	$0
Kathleen Exline
Sys VP Perf Excel & Care Continium	$321,622	$0	$91,547	$0	$65,393	$0	$65,183	$0	$26,225	$0	$569,969	$0	$36,032	$0
Shelly Gast
Sys VP Mngd Care & Payor Strategy	$311,489	$0	$103,791	$0	$50,896	$0	$63,505	$0	$18,479	$0	$548,160	$0	$33,416	$0
Helena Schulz
Sys VP Treasurer	$290,514	$0	$88,588	$0	$51,604	$0	$57,792	$0	$25,370	$0	$513,868	$0	$0	$0
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	$407,367	$0	$119,040	$0	$63,243	$0	$81,854	$0	$21,200	$0	$692,704	$0	$44,328	$0
Jim Meyers
Sys VP Revenue Cycle	$291,516	$0	$88,165	$0	$49,171	$0	$58,441	$0	$28,600	$0	$515,894	$0	$34,700	$0
Stephen Wyatt MD
Chief Research Executive	$362,649	$0	$76,639	$0	$41,352	$0	$23,140	$0	$5,941	$0	$509,721	$0	$13,134	$0
Byron Lewis
Sys VP Health Policy	$314,166	$0	$28,549	$0	$79,124	$0	$59,443	$0	$25,831	$0	$507,112	$0	$0	$0
Mark Kircher
Division VP Finance	$295,629	$0	$69,207	$0	$57,279	$0	$32,091	$0	$21,006	$0	$475,212	$0	$0	$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 2020: 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 - $10,000 Shelly Gast - $10,000 Douglas Winklehake - $17,500 Dana Allen - $15,000 Mary Jo Bean - $15,000 Helena Schulz - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Jim Meyers - $10,000 Mark Kircher - $10,000 Bryon Lewis - $15,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2020 by Key Employee, Tracy Williams in the amount of $125,807. 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 - $149,210 Michael W. Gough - $94,136 Robert Azar - $98,798 Adam Kempf - $108,162 Mary Lynn Meyer - $64,697 Dana Allen - $23,301 Mary Jo Bean - $64,487 Jennifer Evans - $64,754 Shelly Gast - $46,781 Kathleen Exline - $48,340 James Frazier - $66,765 Steven Heilman - $66,673 Steven Hester - $158,764 Jim Meyers - $42,455 Steve Ready - $106,160 Scott Watkins - $88,062 Tracy Williams - $24,723 Douglas Winkelhake - $137,815 Stephen Wyatt - $8,890 Helena Schulz - $42,684 Bryon Lewis - $45,193 Gladys Abarca-Lopez - $77,830 Mark Kircher - $14,777 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2020 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $181,945 Michael W. Gough - $126,527 Robert Azar - $71,360 Adam Kempf - $63,686 Mary Lynn Meyer - $51,436 Dana Allen - $46,856 Mary Jo Bean - $174,738 Jennifer Evans - $45,601 Shelly Gast - $34,376 Kathleen Exline - $37,067 James Frazier - $55,487 Steven Heilman - $57,401 Steven Hester - $93,206 Jim Meyers - $35,696 Steve Ready - $66,178 Scott Watkins - $69,873 Tracy Williams - $58,367 Douglas Winkelhake - $99,572 Stephen Wyatt - $13,271 Helena Schulz - $39,044 Byron Lewis - $40,457 Gladys Abarca-Lopez - $31,647 Mark Kircher - $35,757
Schedule J, Part I, Line 7 Non-fixed payments	In 2020, 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	000000000	2011-08-24	$23,775,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
C	320049006	000000000	2012-10-31	$21,100,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
D	320049006	54659LAW4	2013-09-26	$200,000,887	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt
A	$75,000,300	$953,000	$2,000	$74,045,259	$41	2011	false	false	Yes (true)	Yes (true)
B	$23,775,000	$150,000			$23,625,000		Yes (true)	false	Yes (true)	Yes (true)	$21,635,000
C	$21,100,000	$171,313			$20,928,687		Yes (true)	false	Yes (true)	Yes (true)	$18,950,000
D	$200,060,571			$200,029,523		2014	false	false	Yes (true)	Yes (true)		$31,048

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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	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)	0.0215	0.0097	0.0312	false	false	Yes (true)
B									0.0
C									0.0
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0133	0.0097	0.0230	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)
NONE
C	false	false	false	Yes (true)	false	false	false	false	Yes (true)
NONE
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) Issuer Name: Louisville/Jefferson County Metro Government	ROW B, TO REFUND A PORTION OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government	ROW A, 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) Issuer Name: Louisville/Jefferson County Metro Government	ROW C, TO REFUND THE REMAINDER OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	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. 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. 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 I, Column (f) DESCRIPTION OF PURPOSE	ROW D, 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 II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN D, E and F - 2013 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 IV, Line 5c IS THE BOND ISSUE A VARIABLE RATE ISSUE?	COLUMN E - 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 I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW E; 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) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW F: CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011D (NORTON HEALTHCARE, INC.) AND CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.)
Schedule K, Part III Private Business Use	Applicable questions are left blank due to bonds 8/24/11 and 10/31/12 being refunding issues which refund pre-January 1, 2003 bond issues.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN D, E AND F - 2016 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2016 BOND ISSUE WERE PAID FOR WITH INTEREST INCOME ACCRUED DURING THE FIRST BOND YEAR FROM THE BOND PROCEEDS. NO BOND PROCEEDS WERE USED TO PAY FOR THE COST OF ISSUANCE.
Schedule K, Part IV, Line 2c COLUMN D	ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT THE CALCULATION FOR COMPUTTING NO REBATE DUE WAS PERFORMED ON 9/26/2018
Schedule K, Part IV, Line 3 LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	2020A BOND ISSUE IS FIXED RATE DEBT AND 2020BCD BOND ISSUES ARE PUT BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government	ROW G, 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 7 ISSUANCE COSTS FROM PROCEEDS	ALL ISSUANCE COSTS FOR THE 2020 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 3 TOTAL PROCEEDS OF ISSUE	COLUMN E 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 IV, Line 2c COLUMN A	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/11/2016
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 08/24/2016
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 10/29/2017
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 09/26/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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	54659LBV5	2016-08-11	$612,775,838	SEE SUPPLEMENTAL INFORMATION	false	false	false
LouisvilleJefferson County Metro Government
B	320049006	000000000	2016-08-11	$100,075,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LouisvilleJefferson County Metro Government
C	320049006	54659LCE2	2020-03-10	$478,988,828	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$22,750,000	$616,547,762	$2,490,756	$4,491,780	$300,912,044	$308,563,977	2019	Yes (true)	false	Yes (true)	Yes (true)
B	$62,510,000	$100,075,000				$100,075,000		Yes (true)	false	Yes (true)	Yes (true)
C		$479,382,807		$10,429,315	$308,482,398			false	false	false	Yes (true)	$160,471,094

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	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)	0.0092	0.0097	0.0189	false	false	Yes (true)
B						Yes (true)	0.0	0.0	0.0	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.009	0.0097	0.0187	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kathleen Exline	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	Norton Healthcare, Inc. highly compensated employee	RelationshipWithOrgTxt
Loan Purpose	Norton Healthcare, Inc Scholar Program (Disclosure continued below)	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$28,309	OriginalPrincipalAmt
Balance Due	$3,266	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$3,266	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jessica Lloyd
Family member of Adam Kempf, Officer	$57,184	Compensation	false
Henry Winkelhake
Family member of Doug Winkelhake, Key Employee	$47,759	COMPENSATION	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II, Column (a) Schedule L, Part II, Column (A) - purpose of loan	FormAndLineReferenceDesc
Explanation	THE NORTON HEALTHCARE SCHOLAR PROGRAMS ARE TUITION ASSISTANCE PROGRAMS THAT PROVIDE EDUCATIONAL FUNDING TO STUDENTS INTERESTED IN PURSUING DESIGNATED HEALTHCARE CAREERS. NORTON HEALTHCARE HAS AND CONTINUES SUPPORTING STUDENTS AT OVER 100 COLLEGES AND UNIVERSITIES NATIONALLY. THESE PROGRAMS WERE STARTED BY NORTON HEALTHCARE AS A RESULT OF THE INCREASED NEEDS FOR HEALTHCARE EMPLOYEES IN KEY AREAS OF THE WORKFORCE. THE SCHOLAR PROGRAMS BEGAN AS A WORKFORCE DEVELOPMENT INITIATIVE TO ENSURE THE COMMUNITY HAS ENOUGH HEALTHCARE WORKERS. UPON GRADUATION, NORTON HEALTHCARE SCHOLARS BEGIN CAREERS WITH NORTON HEALTHCARE AND ARE ELIGIBLE TO HAVE THEIR SCHOLAR LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS APPROXIMATELY 275 ACTIVE SCHOLARS IN SCHOOL. THIS PROGRAM HAS ASSISTED MORE THAN 1100 GRADUATES SINCE 2014 WITH OVER 800 OF THESE GRADUATES CURRENTLY CONTINUING THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2020, 252 APPLICANTS WERE GRANTED ENROLLMENT INTO THE NORTON HEALTHCARE SCHOLARS PROGRAM. SCHOLARS WHO FAIL TO GRADUATE OR FULFILL THEIR COMMITMENT WITH NORTON HEALTHCARE ARE REQUIRED TO REPAY THE LOAN AT THE TIME OF WITHDRAWAL FROM THE PROGRAM.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	(Continued from Part III) In 2020, Norton Healthcare, through its affiliate, Community Medical Associates Inc., had approximately 2.5 million patient encounters. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 67,225 inpatients and 543,384 outpatients, and saw 205,571 emergency room visits. In addition, Norton Healthcare hospitals' operating rooms cared for 17,440 inpatient surgical patients and 34,160 outpatient surgical patients. Additionally, 7,986 babies were delivered at Norton Healthcare birthing facilities. 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 2020, under its charity care program, Norton Healthcare provided free care to 8,497 patients, at a cost of $12.8 million. Also, Norton Healthcare grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 9,796 patients were provided care at discounted rates. Other contributions to the community were the unpaid cost of Medicaid services of $51.5 million and educational support of $75.0 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $15.6 million and contributions to community groups were $1.6 million. Norton Healthcare employees donated 55,000 hours of community service, a benefit valued at more than $600,000. 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 2020 calendar year, 198 residents completed clinical rotations in 43 specialties at Norton Healthcare facilities. Residency programs are part of the $75.0 million in educational support and clinical funding provided to the medical school. Contributions to the community * Norton Healthcare employees and physicians gave nearly $ $917,980 to our 2020 - 2021 Combined Giving Campaign to help support community 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. * Due to the COVID-19 pandemic, the number of volunteers in 2020 was limited to 42 employees who helped "raise the roof" on Norton Healthcare's 13th Habitat for Humanity home. * In 2020, more than 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 512 employees and their 1,168 children and dependents by providing for their families at Christmas. * More than 31,000 pounds of usable surplus medical supplies valued at more than $456,000, and over $146,000 in equipment, were donated for use locally and around the world. Of the donated equipment, ventilators valued at $98,000 were returned to Norton Healthcare in April 2020 due to the COVID-19 pandemic. Community education and workforce development As one of Kentucky's largest health care systems, Norton Healthcare has established a culture of continual, lifelong learning. Opportunities are available through our Human Resources Department's Workforce Development team and our Norton Healthcare Institute for Education & Development. Workforce Development encourages continuing education, improves 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 2020, Workforce Development financially supported more than 700 students with over $3.5 million in educational assistance programs. * In 2020, Workforce Development provided nearly 1,100 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 educational exploration, financial assistance opportunities and interviewing skills. * The accelerated Norton Healthcare Scholars Program, a student loan program for employees and non employees, 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. Beginning in a student's 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, business acumen and professional development, as well as 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 Metro College. 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 the 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 tech 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 program launched in 2020 with a goal of internal training programs to produce quality prepared medical assistants to introduce into the Norton Healthcare workforce. There are several cohorts for apprenticeships throughout each year. The Norton Healthcare Institute for Education and Development provides learning opportunities to enhance the professional, educational and personal development of all employees. It consists of seven centers: the Center for Professional Growth; Center for Nursing Practice; Center for Continuing Medical, Nursing & Provider Education; Center for e Learning & Clinical Documentation Support; Center for Allied Health; 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.
Form 990, Part III, Line 4a Program Service Accomplishment	Continued * Norton Healthcare's leadership development program is composed of three programs that 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. * 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. 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 life-long 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 works with faith communities to weave health and faith together, promoting the intentional integration of faith, healing and wellness through the development of health ministries. Norton Faith & Health Ministries provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses in ministering to their members. In 2020, the department served more than 200 faith communities with active health ministry programs and communicated best practices for COVID-19, including mitigation, reopening and other health and safety practices. By maximizing long-standing relationships, the department provided a trusted voice for timely pandemic information relevant to faith communities. Efforts included: * Distribution of 12 issues of the "Coordinators' Connection" email to 220 health ministry volunteer leaders, advising on vital COVID-19 announcements and resources * Hosting five networking sessions with health experts and spiritual support, providing a regular space for questions and answers; 119 individuals attended these sessions * Providing a COVID-19-focused bimonthly newsletter, distributed electronically to an average of 1,400 subscribers per issue * Russell F. Cox, president and CEO, wrote an article informing faith leaders and the larger community of Norton Healthcare's mission-driven response to the pandemic in a midyear issue of "Health Ministries Connection" newsletter, delivered to 5,000 individuals. While the COVID-19 pandemic presented unique challenges, Norton Faith & Health Ministries continued to nurture relationships with faith communities and build bridges to whole-person health and wellness information and services. Pastoral Care Department Norton Healthcare's Pastoral Care Department provides spiritual, religious and emotional care and support for patients, families and staff throughout the system, 24 hours a day, 7 days a week. The COVID-19 pandemic presented many new challenges and opportunities for the department. As visitation restrictions were implemented and patient numbers decreased in the spring of 2020, chaplains put additional focus on supporting staff. With so many changes, uncertainties and anxieties, chaplains listened, prayed with and encouraged staff of all disciplines. The leadership of Norton Healthcare routinely reminded all 17,000+ employees that chaplains were available 24/7 to help them. Together, chaplains and caregivers learned how to use iPads and Zoom videoconferencing technology to help patients communicate with family members. More than three dozen initiatives were undertaken to support staff during 2020, including: * Videotaping worship services for employees unable to attend services in person * Providing small cards with inspirational messages to hand out to staff and patients * Creating "Flat Henry," a paper photo version of a facility dog who is handled by a chaplain, to use when the dog could not be in the hospital * Meeting with family members in the parking lots when they could not come into the hospital * Assigning chaplains individual groups or communities to support. One chaplain focused on the Hispanic community by visiting families at funeral homes and providing ongoing support. Another became the chaplain for staff who were on extended furlough due to long-term COVID-19 symptoms. Even with the total number of patients down for several months during 2020, chaplains made more than 29,000 patient contacts, plus the thousands of family members they also cared for during those visits. Pastoral care conversations were made over the phone with patients and family members alike. As supplies of personal protective equipment (PPE) became more stable, chaplains spent more time in rooms with patients and welcomed visitors back during the summer. The assistance included, but was not limited to: * Grief support and facilitation of decision-making at death * End of-life and goals-of-care conversations * 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 or struggling 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 and Southern Indiana. Norton Heart & Vascular Institute is a progressive group of practices that maintains more than 52% of the total cardiovascular market share, more than any other health care provider in our service area. It offers comprehensive cardiovascular care, including specialized programs for electrophysiology, structural heart defects, advanced cardiac imaging, advanced heart failure and cardiac rehabilitation. * 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 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. For excellence in coordinating this care and creating a regional network of care, Norton Healthcare received the Mission: Lifeline Regional STEMI Trailblazer Achievement Award from the American Heart Association and was the only health care organization in Kentucky to receive this award. * Comorbidities found in many in our region, as well as advancing heart disease, are 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, recover individuals out of heart failure. In 2020, the program expanded its advanced treatment offerings as Norton Audubon Hospital received ventricular assist device (VAD) accreditation from DNV GL Healthcare USA 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. * In 2020, Norton Healthcare achieved systemwide noninvasive cardiology accreditation from the Intersocietal Accreditation Commission. Departments that perform that perform noninvasive cardiology procedures are many times the first
Form 990, Part III, Line 4a Program Service Accomplishments	continued 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. Norton Orthopedic Institute Norton Orthopedic Institute, a part of Norton Healthcare, 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. Utilizing a team approach, these specialists focus on 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 a Center of Excellence by DNV GL Healthcare USA, as meeting guidelines of the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, Norton Orthopedic Institute offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. Norton Women's Care * In 2020, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's & Children's Hospital provided care and medical services for 7,986 deliveries. * Norton Hospital and Norton Women's & Children's Hospital offered free childbirth education classes, hosting a total of 235 in 2020. In response to the COVID-19 pandemic, the expectant parent curriculum was adjusted to offer classes online. Class offerings were significantly reduced due to the lack of resources available for virtual instruction. 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 2020, 97 car seats were given to families in need through the community events and hospital admissions. Additionally, 34 special needs car seats were loaned to children with body casts and premature infants who would not safely fit in a conventional car seat. Certified car seat technicians completed 273 car seat inspections. 41 new car seat technicians were trained and certified locally and throughout the state. * The Norton Children's Bike Safety Rodeo program held 19 rodeo events to teach bicycle safety to 2,010 students from grades 3 through 5 throughout Kentucky. * 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 2020, 1,643 transportation trips were completed. * In early February, more than 3,600 kindergarten students, teachers, chaperones and nursing students participated in the 37th annual Children and Hospitals Week event. The program was held at Louisville Slugger Field 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 in 19 of our pediatric and family medicine primary care practices served over 10,000 individuals with food insecurity needs. * In response to the COVID-19 pandemic, Norton Children's Prevention & Wellness moved all of its in-person programming to a virtual platform in March of 2020, serving over 5,187 individuals with prevention and wellness programming, including cooking workshops, Teen Wellness Workshops, Healthy Living Wellness Group, and Teen Talk, Open Airways, Power Up and Play, Safe Baby Essentials, Safe Kids and Safe Grandparenting classes. Kentucky Poison Control Center of Norton Children's Hospital Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2020, the center received almost 50,000 calls and made more than 16,000 follow-up calls to concerned families from all 120 counties in Kentucky. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 12,000 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, available 24 hours a day, 7 days a week. In addition to answering the poison control hotline, this year the staff of the poison control center also answered the Kentucky COVID-19 hotline. In 2020 the hotline received more than 200,000 calls, including those who called to listen to the recorded information line. 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. Norton Community Medical Associates * Physicians and a chaplain make house calls for elderly patients who have difficulty leaving home for medical care. * Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. Norton Healthcare Prevention & Wellness * Norton Healthcare Prevention and Wellness played a key role in supporting the community throughout the COVID-19 pandemic. In 2020, this department supported the first COVID-19 testing site and provided testing throughout the city at various locations. In December 2020, it began administering COVID-19 vaccinations. * In 2020, Norton Healthcare Prevention & Wellness staff provided preventive screenings aboard the Norton Healthcare Mobile Prevention Center in collaboration with various community partners. Over 800 women received mammograms and/or wellness exams, including cervical cancer screenings, aboard the mobile unit. Of those, approximately 9% had not been screened in the past five years and 13% had never had a mammogram. Of the almost 90 Norton Healthcare Mobile Prevention Center events, over half took place in underserved communities and over 60% of patients came from medically underserved areas. * Education on cardiovascular health, effects of smoking, prostate health, breast and women's health, colon 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
Form 990, Part III, Line 4a Program Service Accomplishments	continued testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for 29 people and 95 people received at-home testing kits. To help eliminate barriers to care, Norton Healthcare 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 almost 2,000 cardiovascular screenings (blood pressure, BMI, glucose and cholesterol) for approximately 700 participants in multiple locations throughout Jefferson and surrounding counties, including in Southern Indiana. Each participant received education on healthy lifestyle choices, such as diet and exercise. Group education on various health and wellness topics was provided throughout the year. * Norton Healthcare Prevention & Wellness conducted nine American Lung Association Freedom From Smoking classes in 2020, with over 20 people attending. Half reported they were tobacco-free. One class was taught in Spanish. * The Get Healthy Walking Club has almost 5,000 members. 2020 brought 1,081 new members to the free club to improve their overall health. Get Healthy Walking Club members have free access to walk each day at the Louisville Zoo from March through October, 8 to 9:30 a.m. Research * 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 300 Norton Healthcare staff and significantly impact our patients and their families. * Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, neurology, neurosurgery, maternal-fetal medicine and pulmonology. * Norton Healthcare invests significantly in clinical research to benefit our community/patients and to support clinical science by participating in the development of new clinical interventions (drugs/device/procedures) that will become generalizable to 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 2020, Norton Healthcare responded to the COVID-19 pandemic by opening and guiding more than 10 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/Janssen 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. Community support in 2020 Cancer doesn't stop for a pandemic. Neither does the birth of a baby or children conquering illnesses and injury. Just like the incredible patients and health care heroes who care for them, support from the community did not stop in the midst of 2020. Norton Children's Hospital Foundation and Norton Healthcare Foundation collectively raised more than $21.3 million in 2020 in support of care at Norton Children's Hospital and its sister facilities and Norton Healthcare's adult-service facilities. Norton Children's Hospital Foundation The Norton Children's Hospital Foundation raises millions of dollars for Norton Children's Hospital, Kentucky's only full-service, free-standing pediatric hospital; Norton Children's Medical Center; and pediatric services at Norton Women's & Children's Hospital to support patient care, programs, equipment and facilities, research, advocacy and education. The Norton Children's Hospital Foundation is motivated to ensure that children from throughout Greater Louisville have the medical care they need when they need it, while keeping kids as close to home as possible. Support from the Norton Children's Hospital Foundation allows the pediatric specialists of Norton Children's facilities and pediatric services to continue to respond to the unique medical needs of all children. Norton Children's Hospital is Louisville's only Level I Pediatric Trauma Center and the primary teaching facility for the UofL School of Medicine Department of Pediatrics. * Norton Children's Prevention & Wellness * General clinical, educational and research program support at the Wendy Novak Diabetes Center * New "Just for Kids" Transport Team ambulance * New 3D EOS Imaging System * Cellular Therapy Program development * New O-Arm Surgical Imaging System * Neuroimmunology Multidisciplinary Clinic support and equipment * New state-of-the-art diagnostic and ultrasound equipment for Norton Children's Outpatient Center - Bowling Green * New X3 monitors for the Jennifer Lawrence Cardiac Intensive Care Unit Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare's adult services and four adult-service hospitals: Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital and Norton Women's & Children's Hospital. The Norton Healthcare Foundation raises funds each year to improve programs, equipment and facilities, research and education, enabling the hospitals to stay up to date with medical advances, technology and maintaining the community's access to high-quality health care. * COVID-19 support, including lab testing, emergency preparedness, therapy research, telemedicine efforts, staff meals, PPE and more * Genomics Platform and Precision Medicine Clinic * New Family Comfort Garden at Norton Hospital * Renovation of the Norton Healthcare Breast Health Center in Norton Healthcare Pavilion * New equipment for Norton Neuroscience Institute Cressman Neurological Rehabilitation * Renovation of the labor and delivery unit at Norton Women's & Children's Hospital * Ambulatory telehealth program expansion * Heel, Dog, Heal facility dog program * New Hologic Brevera breast biopsy system
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 2020 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 1051. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 151 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2020. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 843 VENDORS ON FORM 1096 FOR 2020.
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 2,798 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 19,358 EMPLOYEES ON FORM W-3 FOR 2020.
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, KEY EMPLOYEE, NORTON HEALTHCARE, INC. - Business relationship, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	At the October 7, 2021 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 14, 2021 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 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 2019 for the 2020 compensation review and met in 2020 for the 2021 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 2020.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	- Total Revenue: 2572000, Related or Exempt Function Revenue: 2572000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 49949876, Program Service Expense: 36072304, Management and General Expenses: 13877572, Fundraising Expenses: ; Other expenses - Total Expense: 1628073, Program Service Expense: 834587, Management and General Expenses: 793486, Fundraising Expenses: ; Contract Labor - Total Expense: 1276074, Program Service Expense: 1099981, Management and General Expenses: 176093, Fundraising Expenses: ; Professional Fees - Total Expense: 584582, Program Service Expense: 584582, Management and General Expenses: , Fundraising Expenses: ; Research Department Fees - Total Expense: 1023324, Program Service Expense: 1023324, Management and General Expenses: , Fundraising Expenses: ; Collection Fees - Total Expense: 2121619, Program Service Expense: 2121619, Management and General Expenses: , Fundraising Expenses: ; Marketing Fees - Total Expense: 6910979, Program Service Expense: 6910979, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -343280; SWAP MARK TO MARKET ADJUSTMENT - 4322958; CHANGE IN MINIMUM PENSION LIABILITY - 11093771; CHANGE IN NET PERIODIC PENSION COST - -4388939;
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, 2020. The other components of net periodic pension cost was $4.4 million for year ended December 31, 2020.

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	$66,500,247	TotalIncomeAmt
End Of Year Assets	$5,764,040	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
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	$1,944,015,757	FMV
Norton Hospitals Inc
S	$2,290,785,658	FMV
Community Medical Associates Inc
R	$656,085,322	FMV
Community Medical Associates Inc
S	$471,634,364	FMV
Norton Properties Inc
R	$115,812,541	FMV
Norton Properties Inc
S	$44,609,178	FMV
The Children's Hospital Foundation Inc
R	$4,684,191	FMV
The Children's Hospital Foundation Inc
S	$4,196,283	FMV
Norton Healthcare Foundation Inc
R	$1,291,356	FMV
Norton Healthcare Foundation Inc
S	$1,143,880	FMV
Norton Enterprises Inc
R	$27,505,111	FMV
Norton Enterprises Inc
S	$30,838,565	FMV
Norton Healthcare Foundation Inc
C	$1,176,004	FMV
The Children's Hospital Foundation Inc
C	$580,729	FMV