NORTON HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-06
IRS object ID: 202003119349302285
Schema version: 2019v5.0
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	2020-11-06T15:01:52-06:00	ReturnTs
Tax Period End	2019-12-31	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	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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	2020-11-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$646,267,843	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	2753	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$120,731	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,673	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$964,807	PYContributionsGrantsAmt
CY Contributions Grants	$1,193,327	CYContributionsGrantsAmt
PY Program Service Revenue	$321,907,901	PYProgramServiceRevenueAmt
CY Program Service Revenue	$374,047,414	CYProgramServiceRevenueAmt
PY Investment Income	$63,201,899	PYInvestmentIncomeAmt
CY Investment Income	$42,615,359	CYInvestmentIncomeAmt
PY Other Revenue	$3,350,141	PYOtherRevenueAmt
CY Other Revenue	$9,706,703	CYOtherRevenueAmt
PY Total Revenue	$389,424,748	PYTotalRevenueAmt
CY Total Revenue	$427,562,803	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,312,212	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,783,882	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$179,647,109	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$186,667,340	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$152,411,384	PYOtherExpensesAmt
CY Other Expenses	$196,428,728	CYOtherExpensesAmt
PY Total Expenses	$335,370,705	PYTotalExpensesAmt
CY Total Expenses	$390,879,950	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,054,043	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$36,682,853	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,830,303,653	TotalAssetsBOYAmt
Total Assets EOY	$1,935,993,288	TotalAssetsEOYAmt
Total Liabilities BOY	$2,296,959,083	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,220,822,221	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$466,655,430	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$284,828,933	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	$321,291,916	ExpenseAmt
Grant	$7,783,882	GrantAmt
Revenue	$383,691,790	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHC) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2019 NHC, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 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) - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$321,291,916	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	Yes (true)	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	1049	IRPDocumentCnt
IRP Document W2 G	3	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2753	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
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 (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Russell F Cox
President & CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$2,348,374	$0	$190,805
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$3,200	$0	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Craig D Grant
Trustee	3.0	2.5	Yes (X)		$1,600	$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)		$3,200	$0	$0
Erwin Roberts
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
G Hunt Rounsavall Sr
Trustee	4.0	2.5	Yes (X)		$1,600	$0	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Gary L Stewart
Chair	10.0	3.5	Yes (X)		$1,600	$0	$0
Gregory E Mayes
Trustee	5.0	2.5	Yes (X)		$1,600	$0	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$3,200	$0	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$1,600	$0	$0
Maria Gerwing Hampton
Trustee (partial year)	3.0	2.5	Yes (X)		$3,200	$0	$0
Maria L Bouvette
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Marshall Farrer
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Martha K Heyburn MD
Trustee	1.0	2.5	Yes (X)		$3,200	$0	$0
Rev William J Schultz
Trustee	3.0	2.5	Yes (X)		$1,600	$0	$0
Richard R Ivey
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Richard S Wolf MD
Chair Emeritus	1.0	2.5	Yes (X)		$1,600	$0	$0
Rick Guillaume
Chair Emeritus	2.0	2.5	Yes (X)		$3,200	$0	$0
Rita Hudson Shourds EdD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Ronald Lehocky MD
Trustee	3.0	2.5	Yes (X)		$3,200	$0	$0
Sue Davis EdD RN
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Adam Kempf
Sr VP, CFO/Treasurer	30.0	20.0		Yes (X)	$771,597	$0	$145,046
Michael W Gough
Exec VP and COO	30.0	20.0		Yes (X)	$2,563,340	$0	$136,304
Robert B Azar
Sr VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$807,725	$0	$127,164
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$683,407	$0	$51,073	Yes (X)
Douglas Winkelhake
Division President	50.0	0			$956,821	$0	$177,688	Yes (X)
Gladys Abarca-Lopez
Sr VP Chief HR Officer	50.0	0			$535,605	$0	$101,022	Yes (X)
James Frazier MD
VP Medical Affairs	50.0	0			$589,396	$0	$108,365	Yes (X)
Jim Meyers
Sys VP Revenue Cycle	50.0	0			$421,246	$0	$83,429	Yes (X)
Kathleen Exline
Sys VP Perf Excel & Care Continium	50.0	0			$447,399	$0	$83,947	Yes (X)
Mary Lynn Meyer
Sr VP CDO	30.0	20.0			$218,587	$380,594	$97,514	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$555,239	$0	$97,539	Yes (X)
Scott Watkins
Sr VP Operations	50.0	0			$678,597	$0	$134,045	Yes (X)
Shelly Gast
Sys VP Mngd Care & Payor Strategy	50.0	0			$421,802	$0	$73,151	Yes (X)
Steve Ready
Sr VP & CIO	50.0	0			$712,190	$0	$200,733	Yes (X)
Steven Heilman MD
Sr VP & Chief Innovation Officer	50.0	0			$586,272	$0	$104,098	Yes (X)
Steven Hester MD
Div President Provider Ops & Sys CMO	50.0	0			$1,043,216	$0	$194,031	Yes (X)
Tracy Williams
Sr VP & CNO & Learning Officer	50.0	0			$610,607	$0	$65,630	Yes (X)
Byron Lewis
Sys VP Health Policy	50.0	0			$413,535	$0	$81,363		Yes (X)
Helena Schulz
Sys VP Treasurer	50.0	0			$415,101	$0	$80,337		Yes (X)
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	50.0	0			$530,656	$0	$90,642		Yes (X)
Kimberly Tharp-Barrie
Sys VP Nursing Inst/Outreach	50.0	0			$386,833	$0	$62,589		Yes (X)
Stephen Wyatt MD
Chief Research Executive	50.0	0			$436,385	$0	$26,833		Yes (X)
Charles Bohn
Former SYS VP Chief HR Officer	0.0	0			$699,625	$0	$33,510			Yes (X)
Kenneth Wilson MD
SYS VP Clinical Effectiveness	0.0	40.0			$271,223	$0	$30,364			Yes (X)
Stephen Williams
Former CEO	0.0	0.0			$593,451	$0	$23,710			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,741,429	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$380,594	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,600,933	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	273	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
The CSI Companies Inc
PO Box 890841	Charlotte	NC	282890841	Professional Services	$9,760,174
Firstsource Solutions USA LLC
10400 Linn Station Road	Louisville	KY	40223	Patient Financial Services	$8,208,317	Suite 100
Epic Systems Corporation
P O Box 88314	Milwaukee	WI	532880314	Software Maintenance and Support	$4,875,095
Doe-Anderson Inc
620 W Main Street	Louisville	KY	40202	Marking Services and Campaigns	$3,341,183
First Call Network KY LLC
PO Box 6115	Louisville	KY	40206	Patient Financial Services	$2,628,569

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	139	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,193,327	RelatedOrganizationsAmt
Total Contributions	$1,193,327	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$328,260,093	$328,260,093
Net Patient Revenue	621999	$36,614,515	$36,614,515
Clinical Research Trials	900099	$8,971,230	$8,971,230
Education Programs	900099	$201,576	$201,576

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	$374,047,414	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,942,596	TotalRevenueColumnAmt
Unrelated Business Revenue	$7,764	UnrelatedBusinessRevenueAmt
Exclusion	$32,934,832	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$650,910	TotalRevenueColumnAmt
Exclusion	$650,910	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	-$50,640	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$50,640	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$50,640	TotalRevenueColumnAmt
Exclusion	-$50,640	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$227,726,893	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$218,705,040	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,021,853	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,021,853	TotalRevenueColumnAmt
Exclusion	$9,021,853	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Credit Card Rebate	900099	$757,849	$757,849
Employee Emergency Fund	900099	$281,349	$281,349
Miscellaneous Income	900099	$1,808,338	$1,695,371	$112,967

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,909,807	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,909,807	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,757,343	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$427,562,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$383,691,790	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$120,731	UnrelatedBusinessRevenueAmt
Exclusion	$42,556,955	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	$7,538,412	TotalAmt
Program Services	$7,538,412	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$245,470	TotalAmt
Program Services	$245,470	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,050,162	TotalAmt
Program Services	$8,448,918	ProgramServicesAmt
Management And General	$6,601,244	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$54,307	TotalAmt
Program Services	$54,307	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$137,451,392	TotalAmt
Program Services	$121,120,246	ProgramServicesAmt
Management And General	$16,331,146	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,134,945	TotalAmt
Program Services	$5,448,031	ProgramServicesAmt
Management And General	$686,914	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,680,714	TotalAmt
Program Services	$14,983,365	ProgramServicesAmt
Management And General	$1,697,349	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,295,820	TotalAmt
Program Services	$9,773,540	ProgramServicesAmt
Management And General	$1,522,280	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,970,550	TotalAmt
Program Services	$4,236,537	ProgramServicesAmt
Management And General	$734,013	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$707,200	TotalAmt
Program Services	$282,880	ProgramServicesAmt
Management And General	$424,320	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$110,000	TotalAmt
Program Services	$44,000	ProgramServicesAmt
Management And General	$66,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,432,348	TotalAmt
Management And General	$4,432,348	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,127,434	TotalAmt
Program Services	$55,885,603	ProgramServicesAmt
Management And General	$14,241,831	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,131,223	TotalAmt
Program Services	$1,773,439	ProgramServicesAmt
Management And General	$357,784	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,569,093	TotalAmt
Program Services	$7,617,054	ProgramServicesAmt
Management And General	$1,952,039	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,430,043	TotalAmt
Program Services	$1,142,139	ProgramServicesAmt
Management And General	$287,904	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$35,817,627	TotalAmt
Management And General	$35,817,627	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,130,620	TotalAmt
Program Services	$101,321	ProgramServicesAmt
Management And General	$19,029,299	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$24,039,077	TotalAmt
Program Services	$20,678,927	ProgramServicesAmt
Management And General	$3,360,150	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$52,528,763	$47,733,356	$4,795,407
Pharmacy Drugs	$32,690,399	$32,636,958	$53,441
Interest allocation	-$39,970,611		-$39,970,611
Insurance allocation	-$23,621,570	-$20,314,550	-$3,307,020

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,336,532	TotalAmt
Program Services	$1,861,963	ProgramServicesAmt
Management And General	$474,569	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$390,879,950	TotalAmt
Program Services	$321,291,916	ProgramServicesAmt
Management And General	$69,588,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$14,208,413	BOYAmt
EOY	$49,952,722	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$208,661,448	BOYAmt
EOY	$59,685,528	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,592,183	BOYAmt
EOY	$15,829,189	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$22,139	BOYAmt
EOY	$12,703	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	$848,618	BOYAmt
EOY	$3,213,635	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$43,190,144	BOYAmt
EOY	$45,545,275	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$469,731,867	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$395,001,821	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$89,306,507	BOYAmt
EOY	$74,730,046	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,017,378,856	BOYAmt
EOY	$1,153,881,863	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$423,869,660	BOYAmt
EOY	$480,808,167	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$21,749,558	BOYAmt
EOY	$21,673,409	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,892,953	BOYAmt
EOY	$30,660,751	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,830,303,653	BOYAmt
EOY	$1,935,993,288	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$160,544,958	BOYAmt
EOY	$174,112,992	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,188,803	BOYAmt
EOY	$4,030,130	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,065,947,166	BOYAmt
EOY	$1,035,039,166	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	$1,069,278,156	BOYAmt
EOY	$1,007,639,933	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,296,959,083	BOYAmt
EOY	$2,220,822,221	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	-$466,910,591	BOYAmt
EOY	-$284,976,389	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$255,161	BOYAmt
EOY	$147,456	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$466,655,430	BOYAmt
EOY	-$284,828,933	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,830,303,653	BOYAmt
EOY	$1,935,993,288	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$36,682,853	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$147,499,788	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,356,144	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	$1,885,538,707
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$0	$527,129,982
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$0	$1,527,811
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$0	$5,807,555

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$0	SupportSumAmt
Other Support Sum	$2,420,004,055	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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$13,915	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$110,000	OtherActivitiesAmt
Total Lobbying Expenditures	$123,915	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 $110,000. Part II-B, line 1(g): Employees of Norton Healthcare, Inc. are engaged in lobbying health policy issues at the state level to lobby the executive and legislative branches of Kentucky's government. Norton Healthcare, Inc. is not registered to lobby at the federal level. Lobbying compensation paid and activities as reported to the Kentucky Legislative Ethics committee is $13,915.	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	$51,225,304	OtherCostOrOtherBasisAmt
Depreciation	$43,482,641	DepreciationAmt
Book Value	$7,742,663	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$400,356,022	OtherCostOrOtherBasisAmt
Depreciation	$350,773,758	DepreciationAmt
Book Value	$49,582,264	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,024,734	OtherCostOrOtherBasisAmt
Depreciation	$745,422	DepreciationAmt
Book Value	$15,279,312	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$74,730,046	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$315,115,182
REAL ESTATE MASTER TRUST UNITS	$102,257,614
Private Equity Master Trust	$63,435,371

Field	Value	IRS element (for citing)
Total Book Value Securities	$480,808,167	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$787,601,101
SELF INSURANCE TRUST	$88,392,847
OTHER LIABILITIES	$68,531,241
INTEREST RATE SWAP LIABILITY
OTHER INSURANCE	$1,990,791
Pension	$61,123,953
Capital Lease
Deferred Income LT

Field	Value	IRS element (for citing)
Total Liability	$1,007,639,933	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	$347,304,345
Europe (Including Iceland and Greenland)	0	0	Investments	$11,723,444

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	$359,027,789	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$359,027,789	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 (73 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
The Louisville Urban League Inc
1535 WEST BROADWAY	LOUISVILLE	KY	40203	610444771	501(c)(3)	$5,008,000	Support construction and operation of the Sports and Learning Complex to support and assist African Americans and other minority groups to attain social and economic equality and stability
Community Medical Associates Inc
Accounting	LOUISVILLE	KY	402022025	611276316	501(c)(3)	$439,484	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 5th Floor
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 by providing specialized football helmets.	ATTN TREASURER JCPS
University of Louisville Research Foundation
501 E Broadway	LOUISVILLE	KY	40202	611029626	501(c)(3)	$300,000	Support expanded research iniatives through support of laboratory space and equipment
UNIVERSITY OF KENTUCKY
OFFICE OF DEVELOPEMENT	LEXINGTON	KY	405065070	616001218	state of KY	$220,000	Support University of Kentucky Healthcare Leadership Program and Pharmacy College	WILLIAM B STURGILL BUILDING
BELLARMINE UNIVERSITY
2001 NEWBURG RD	LOUISVILLE	KY	40205	610482955	501(c)(3)	$211,178	General program support for nursing, sports medicine, healthcare analytic and general education and student health services
METRO UNITED WAY INC
DEPT52860	LOUISVILLE	KY	402950148	610444680	501(c)(3)	$112,000	Support the engagement of the community to give, advocate and volunteer and linking information and referrals between sectors more effectively	PO BOX 950148
LEADERSHIP LOUISVILLE CENTER
707 W MAIN ST	LOUISVILLE	KY	402022634	310958491	501(c)(3)	$67,600	Program support of leadership programming
COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA	LOUISVILLE	KY	40202	611100993	501(c)(3)	$55,300	General program support	325 W MAIN ST
WORLD TRIATHLON CORP
3407 W DR MARTIN LUTHER KING BLVD	TAMPA	FL	33607	592965638		$40,000	Support for promoting healthy lifestyles
AMERICAN HEART ASSOCIATION
PO BOX 841750	DALLAS	TX	752841750	135613797	501(c)(3)	$35,500	Support Heart Health awareness
WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST	LOUISVILLE	KY	40202	237075524	501(c)(3)	$35,000	General support for children with special needs
FUND FOR THE ARTS INC
623 W MAIN ST	LOUISVILLE	KY	40202	610479626	501(c)(3)	$32,500	Supporting the development and education and quality of life through the arts
Miracle League of Louisville
800 Lily Creek Rd	LOUISVILLE	KY	40243	611740095	501(c)(3)	$30,000	Support of recreational programs for disabled children
CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST	LOUISVILLE	KY	40202	611294640	501(c)(3)	$27,000	Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
AMERICAN CANCER SOCIETY INC
1640 LYNDON FARM CT	LOUISVILLE	KY	40223	131788491	501(c)(3)	$24,000	Support for cancer prevention, outreach, patient services through Relay for Life
FAMILY SCHOLAR HOUSE INC
403 REG SMITH CIRCLE	LOUISVILLE	KY	40208	611285124	501(c)(3)	$23,400	Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
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.
BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN	LOUISVILLE	KY	40218	616057856	501(c)(3)	$21,000	support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors
GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST	LOUISVILLE	KY	40202	611365860	501(c)(3)	$20,000	Support for promoting healthy lifestyles
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 by providing specialized football helmets.
YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST	LOUISVILLE	KY	40202	610444843	501(c)(3)	$17,100	Support for safe shelters, youth nutrition program, and youth refugee integration program
AMERICAN RED CROSS
510 E Chestnut St	LOUISVILLE	KY	40202	530196605	501(c)(3)	$16,100	Support Red Cross efforts of emergency assistance, disaster relief and education
AMERICAN LUNG ASSOCIATION
10168 LINN STATION RD	LOUISVILLE	KY	402233894	131632524	501(c)(3)	$15,600	Support to improve lung health and preventing lung disease through education, advocacy and research
DOWNTOWN DEVELOPMENT CORPORATION
556 S FOURTH ST	LOUISVILLE	KY	40202	310992627	501(c)(3)	$15,000	Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
ARTHRITIS FOUNDATION INC
1355 PEACHTREE ST NE	ATLANTA	GA	30309	581341679	501(c)(3)	$15,000	Support cure research and general support through education and advocacy
SOUTHEAST CHRISTIAN CHURCH OF JEFFERSON COUNTY KENTUCKY INC
920 BLANKENBAKER PKWY	LOUISVILLE	KY	40243	610850307	501(c )(3)	$15,000	General program support
JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	402031745	610476694	501(c)(3)	$12,500	support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD	LOUISVILLE	KY	40222	611128496	501(c)(3)	$12,500	Support for outreach and education for patients with brain injuries
NATIONAL KIDNEY FOUNDATION OF KENTUCKY
161 ST MATTHEWS AVE	LOUISVILLE	KY	40207	610673518	501(c)(3)	$12,400	Supporting the awareness, prevention and treatment of kidney diesease
COLON CANCER PREVENTION PROJECT
PO BOX 4039	LOUISVILLE	KY	40204	201510713	501(c)(3)	$12,000	Support for colon cancer awareness initiatives
VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST	LOUISVILLE	KY	402022504	610480950	501(c)(3)	$11,000	Support to provide affordable housing and other assistance to low income families
LIFEHOUSE INC
2710 RIEDLING DR	LOUISVILLE	KY	40206	208514733	501(c)(3)	$10,500	supporting emotional, spiritual, physical and intellectual needs of mother and baby
ASSOCIATION OF PROFESSIONAL CHAPLAINS
2800 W HIGGINS RD	HOFFMAN EST	IL	601697221	363762667	501(c)(3)	$10,500	Support education to sustain excellence in chaplaincy
LOUISVILLE AREA CHAMBER OF COMMERCE INC
614 W MAIN ST	LOUISVILLE	KY	40202	610434089	501(c)(6)	$10,100	General support for healthcare programs
LEUKEMIA AND LYMPHOMA SOCIETY
301 E MAIN ST	LOUISVILLE	KY	40202	135655916	501(c)(3)	$10,000	General support for outreach and education
Louisville Pride Foundation DBA Louisville Pride Festival
1205 EAST WASHINGTON ST	LOUISVILLE	KY	40206	471945331	501(c)(3)	$10,000	Support inclusion and unity for all
CHRISTIAN ACADEMY FOUNDATION INC
700 S ENGLISH STATION RD	LOUISVILLE	KY	402453912	611323813	501(c)(3)	$10,000	general program support
LOUISVILLEJEFFERSON CO METRO
531 COURT PLACE	LOUISVILLE	KY	402023396	320049006	Jefferson Co	$10,000	Supporting hike bike and paddle- promotion of healthy lifestyle
Simmons College of Kentucky
1000 S Fourth St	LOUISVILLE	KY	40203	205289168	501(c )(3)	$10,000	Support general education
NEIGHBORHOOD HOUSE INC
201 N 25TH ST	LOUISVILLE	KY	40212	610445842	501(c)(3)	$9,200	Support children and families
HOSPARUS INC
3532 EPHRAIM MCDOWELL DR	LOUISVILLE	KY	40205	610921718	501(c)(3)	$9,000	Pediatric bereavement program
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1201 STORY AVE	LOUISVILLE	KY	40206	135661935	501(c)(3)	$8,000	Support education and resources related to multiple sclerosis
ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	611135907	501(c)(3)	$8,000	Support homeless population
KIDS CANCER ALLIANCE INC
P O BOX 24337	LOUISVILLE	KY	40224	611256743	501(c)(3)	$8,000	Support pediatric cancer patients
ELDERSERVE INC
215 W BRECKINRIDGE ST	LOUISVILLE	KY	40203	616024140	501(c ) (3)	$8,000	support the empowerment of older adults to live independently with dignity
THE CENTER FOR WOMEN AND FAMILIESINC
PO BOX 2048	LOUISVILLE	KY	402012048	610444846	501(c)(3)	$7,500	Support for trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
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	Support for health/wellness programs, medical assistance for underserved population in Shively Area
TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIRCLE	LOUISVILLE	KY	40245	030528530	501(c)(3)	$6,500	Support of telugu people in the community
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT AVE	FRANKFORT	KY	40601	610405718	501(c)(6)	$6,500	General support
EPILEPSY FOUNDATION OF KENTUCKIANA INC
982 EASTERN PARKWAY	LOUISVILLE	KY	402171566	611314540	501(c)(3)	$6,500	Epilepsy support groups and outreach
LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD	FRANKFORT	KY	406019260	311096215	501(c)(3)	$6,100	General program support for LKY programs
MARCH OF DIMES FOUNDATION
DONATIONS PROCESSING CENTER	ATLANTA	GA	31126	131846366	501(c)(3)	$6,000	Support outreach and education for families with premature babies	P O BOX 18819
REVOLUTION DEVELOPMENT CYCLING INC
1806 GRESHAM RD	LOUISVILLE	KY	40205	812907077	501(c)(3)	$6,000	Support to promote healthy lifestyle
Parkinson Support Center of Kentucky
315 TOWNEPARK CIRCLE	LOUISVILLE	KY	40243	611367576	501(c )(3)	$5,800	Support programs and services for people with Parkinson's disease and provide public education adna wareness
AMERICANA COMMUNITY CENTER
4801 SOUTHSIDE DR	LOUISVILLE	KY	40214	611251305	501(c)(3)	$5,500	Support for education and outreach for Louisville's refugee, immigrant and underserved populations
KENTUCKY DERBY MUSEUM
704 CENTRAL AVE	LOUISVILLE	KY	40208	311023459	501(c)(3)	$5,450	General program support
NATIVITY ACADEMY AT ST BONIFACE
529 E LIBERTY ST	LOUISVILLE	KY	40202	510450314	501(c)(3)	$5,100	General education support
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
SOS INTERNATIONAL INC
1500 ARLINGTON AVE	LOUISVILLE	KY	40206	272624272	501(c ) (3)	$5,000	Support of providing medical supplies to areas of need
WELLSPRING SPECIAL EVENT
POBOX 1927	LOUISVILLE	KY	402011927	311020023	501(c)(3)	$5,000	Supporting mental health recovery
MORTON CENTER INC
1028 BARRETT AVE	LOUISVILLE	KY	402041667	311068020	501(c)(3)	$5,000	support and treatment for addiction
PRP ALUMNI ASSOCIATION INC
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	General program support
LOUISVILLE MEDICAL LEGAL
COMMUNITY HEALTH PARTNERSHIP	LOUISVILLE	KY	40202	352079715	501(c)(3)	$5,000	General program support	600 W MAIN ST
UNIVERSITY OF LOUISVILLE
EVPHA OFFICE	LOUISVILLE	KY	40202	611014882	501(c)(3)	$5,000	general education support	323 E CHESTNUT ST
PREGNANCY HELPLINE INC OF LOUISVILLE
515 WEST OAK ST	LOUISVILLE	KY	40203	611055060	501(c)(3)	$5,000	General program support for pregnancy center
KENTUCKY PEDIATRIC SOCIETY
420 CAPITAL AVE	FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians
KENTUCKY HARVEST INC
7705 NATIONAL TURNPIKE	LOUISVILLE	KY	40214	611135269	501(c)(3)	$5,000	Supporting nutritional needs of the community
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
OVARIAN AWARENESS OF KENTUCKY
2300 HURSTBOURNE VILLAGE DR	LOUISVILLE	KY	40299	611393292	501(c)(3)	$5,000	Support education and awarness of ovarian cancer and provide support women with ovarian cancer
LYNNHURST UNITED CHURCH OF CHRIST
4401 TAYLOR BLVD	LOUISVILLE	KY	40215	616014324	501(c)(3)	$5,000	Support after school educational programs

Field	Value	IRS element (for citing)
Total501c3 Org	67	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
undergraduate scholarships for students pursuing education for a career in the healthcare field	85	$170,000
Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances	110	$75,470

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
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 (26 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	$1,241,302	$0	$626,112	$0	$480,960	$0	$160,027	$0	$30,779	$0	$2,539,179	$0	$0	$0
Stephen Williams
Former CEO	$0	$0	$0	$0	$593,451	$0	$0	$0	$23,710	$0	$617,161	$0	$0	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$483,956	$0	$212,683	$0	$111,085	$0	$113,661	$0	$13,502	$0	$934,889	$0	$64,572	$0
Michael W Gough
Exec VP and COO	$841,376	$0	$387,193	$0	$1,334,771	$0	$107,654	$0	$28,651	$0	$2,699,645	$0	$1,110,136	$0
Adam Kempf
Sr VP, CFO/Treasurer	$514,491	$0	$175,229	$0	$81,877	$0	$117,543	$0	$27,503	$0	$916,643	$0	$44,472	$0
Charles Bohn
Former SYS VP Chief HR Officer	$0	$0	$0	$0	$699,625	$0	$15,802	$0	$17,708	$0	$733,134	$0	$537,186	$0
Kenneth Wilson MD
SYS VP Clinical Effectiveness	$116,274	$0	$83,140	$0	$71,809	$0	$13,527	$0	$16,837	$0	$301,586	$0	$46,407	$0
Gladys Abarca-Lopez
Sr VP Chief HR Officer	$400,921	$0	$94,654	$0	$40,030	$0	$84,363	$0	$16,658	$0	$636,627	$0	$0	$0
Dana Allen
Sys VP Chief Mktg & Communication Officer	$253,279	$0	$135,649	$0	$294,479	$0	$38,960	$0	$12,113	$0	$734,480	$0	$74,406	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$322,923	$0	$145,578	$0	$86,738	$0	$78,355	$0	$19,184	$0	$652,778	$0	$43,116	$0
Kathleen Exline
Sys VP Perf Excel & Care Continium	$296,073	$0	$90,223	$0	$61,102	$0	$60,396	$0	$23,552	$0	$531,347	$0	$32,384	$0
James Frazier MD
VP Medical Affairs	$385,716	$0	$122,423	$0	$81,257	$0	$82,015	$0	$26,350	$0	$697,761	$0	$47,932	$0
Shelly Gast
Sys VP Mngd Care & Payor Strategy	$291,243	$0	$83,673	$0	$46,885	$0	$58,077	$0	$15,073	$0	$494,952	$0	$31,584	$0
Steven Heilman MD
Sr VP & Chief Innovation Officer	$387,114	$0	$119,341	$0	$79,816	$0	$76,634	$0	$27,464	$0	$690,370	$0	$46,724	$0
Steven Hester MD
Div President Provider Ops & Sys CMO	$632,899	$0	$277,798	$0	$132,519	$0	$165,241	$0	$28,791	$0	$1,237,248	$0	$88,824	$0
Mary Lynn Meyer
Sr VP CDO	$218,587	$140,398	$0	$167,239	$0	$72,958	$0	$79,523	$0	$17,991	$218,587	$478,108	$0	$49,020
Jim Meyers
Sys VP Revenue Cycle	$286,174	$0	$86,886	$0	$48,186	$0	$57,268	$0	$26,162	$0	$504,675	$0	$34,016	$0
Steve Ready
Sr VP & CIO	$479,208	$0	$143,491	$0	$89,491	$0	$114,406	$0	$86,327	$0	$912,923	$0	$53,828	$0
Scott Watkins
Sr VP Operations	$400,983	$0	$180,470	$0	$97,144	$0	$105,809	$0	$28,236	$0	$812,642	$0	$57,704	$0
Tracy Williams
Sr VP & CNO & Learning Officer	$362,065	$0	$161,943	$0	$86,599	$0	$46,768	$0	$18,863	$0	$676,237	$0	$0	$0
Douglas Winkelhake
Division President	$587,778	$0	$249,576	$0	$119,467	$0	$151,215	$0	$26,472	$0	$1,134,508	$0	$79,800	$0
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	$390,159	$0	$90,293	$0	$50,205	$0	$71,194	$0	$19,448	$0	$621,298	$0	$32,400	$0
Byron Lewis
Sys VP Health Policy	$308,615	$0	$28,135	$0	$76,785	$0	$58,086	$0	$23,277	$0	$494,898	$0	$0	$0
Helena Schulz
Sys VP Treasurer	$284,884	$0	$87,305	$0	$42,913	$0	$56,668	$0	$23,669	$0	$495,438	$0	$0	$0
Kimberly Tharp-Barrie
Sys VP Nursing Inst/Outreach	$252,170	$0	$78,280	$0	$56,384	$0	$52,434	$0	$10,155	$0	$449,423	$0	$0	$0
Stephen Wyatt MD
Chief Research Executive	$336,189	$0	$75,530	$0	$24,666	$0	$21,725	$0	$5,108	$0	$463,218	$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 2019: 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 Charles Bohn - $14,808 Steve Ready - $10,000 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 Kimberly Tharp-Barrie - $10,000 Helena Schulz - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Jim Meyers - $10,000 Bryon Lewis - $15,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2019 by former Key Employees, Charles Bohn in the amount of $359,557 . 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 - $141,621 Michael W. Gough - $89,896 Robert Azar - $97,041 Adam Kempf - $102,103 Mary Lynn Meyer - $63,627 Dana Allen - $22,016 Mary Jo Bean - $62,232 Charles Bohn - $4,602 Jennifer Evans - $57,194 Shelly Gast - $41,652 Kathleen Exline - $43,851 James Frazier - $65,462 Steven Heilman - $60,068 Steven Hester - $145,200 Jim Meyers - $41,616 Steve Ready - $93,953 Scott Watkins - $86,532 Tracy Williams - $29,529 Douglas Winkelhake - $132,528 Stephen Wyatt - $7,725 Kimberly Tharp-Barrie - $35,784 Helena Schulz - $41,840 Bryon Lewis - $44,086 Gladys Abarca-Lopez $70,363 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2019 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $133,455 Michael W. Gough - $1,201,977 Robert Azar - $67,016 Adam Kempf - $43,053 Mary Lynn Meyer - $50,068 Dana Allen - $249,363 Mary Jo Bean - $43,394 Charles Bohn - $344,581 Jennifer Evans - $33,093 Shelly Gast - $32,259 Kathleen Exline - $33,076 James Frazier - $45,245 Steven Heilman - $46,724 Steven Hester - $90,723 Jim Meyers - $34,743 Steve Ready - $53,960 Scott Watkins - $56,936 Tracy Williams - $40,407 Kenneth Wilson - $63,931 Douglas Winkelhake - $78,414 Kimberly Tharp-Barrie - $30,494 Helena Schulz - $30,371 Byron Lewis - $37,877
Schedule J, Part I, Line 7 Non-fixed payments	In 2019, 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		2011-08-24	$23,775,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
C	320049006		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	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$75,000,300	$0	$0	$0	$953,000	$2,000	$0	$74,045,259	$41	$0	2011	false	false	Yes (true)	Yes (true)
B	$18,780,000	$0	$23,775,000	$0	$0	$0	$150,000	$0	$0	$0	$23,625,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$16,800,000	$0	$21,100,000	$0	$0	$0	$171,313	$0	$0	$0	$20,928,687	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$200,060,571	$0	$0	$0	$0	$0	$31,048	$200,029,523	$0		2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	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)	0.0209	0.0079	0.0288	false	false	Yes (true)
B									0.0
C									0.0
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0125	0.0079	0.0204	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	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	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
C	false	Yes (true)	false	false	false	false	Yes (true)
NONE
D	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 (16 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 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 (2 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		2016-08-11	$100,075,000	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$17,220,000	$0	$616,547,762	$0	$2,490,756	$0	$0	$0	$4,580,984	$300,912,044	$308,563,977	$0	2019	Yes (true)	false	false	Yes (true)
B	$49,035,000		$100,075,000								$100,075,000			Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)	0.0084	0.0079	0.0163	false	false	Yes (true)
B						Yes (true)	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	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	Yes (true)
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	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	$12,703	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	$12,703	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jessica Lloyd	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of Adam Kempf, Officer	RelationshipDescriptionTxt
Transaction	$54,307	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

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	NORTON HEALTHCARE SCHOLARS PROGRAM IS A STUDENT LOAN PROGRAM THAT PROVIDES EDUCATIONAL FUNDING TO STUDENTS INTERESTED IN PURSUING DESIGNATED HEALTHCARE CAREERS. IT IS AN AFFILIATION BETWEEN NORTON HEALTHCARE AND OVER 59 COLLEGES AND UNIVERSITIES NATIONALLY. THIS PROGRAM WAS STARTED BY NORTON HEALTHCARE AS A RESULT OF THE HEALTHCARE WORKER SHORTAGE AND WAS BEGUN 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 LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS 247 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 992 GRADUATES. Since 2014, 823 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2019, 176 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 2019, NHC, through its affiliate, Community Medical Associates, Inc., had approximately 2.3 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 76,825 inpatients, 596,249 outpatients, and 261,206 emergency room visits. In addition NHC hospitals' operating rooms cared for 21,224 inpatient surgical patients and 37,219 outpatient surgical patients. Additionally, 7,912 babies were delivered at NHC birthing centers. As part of our commitment to improving the health of our community, NHC provides funding for a wide array of life-saving and life-enhancing services that benefit the communities we serve. In 2019, under its charity care program, NHC provided free care to 10,522 patients, at a cost of $14.6 million. Also, NHC grants patients a discount from billed charges to any individuals that have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 14,820 patients were provided care at discounted rates. Other contributions to the community were the unpaid cost of Medicaid services of $66.0 million and educational support of $54.7 million primarily to the University of Louisville's School of Medicine. Also community health improvement services totaled $10.2 million, and contributions to community groups were $1.7 million. As Norton Healthcare representatives, our employees donated 54,079 hours of community service, a benefit valued at more than $1 million. In addition, many employees self-reported personal volunteer activities. Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2019 calendar year, 178 residents completed clinical rotations in 41 specialties at Norton Healthcare facilities. Residency programs are part of the $54.7 million in educational support and clinical funding provided to the school. Contributions to the community * Norton Healthcare employees and physicians gave nearly $976,073 to the 2019-2020 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. * More than 125 Norton Healthcare employees "raised the roof" on a Habitat for Humanity house on Broadleaf Drive in Louisville, Kentucky. This is the 12th Habitat home Norton Healthcare employees have built. * In 2019, more than 3,000 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 498 employees and their 1,138 children/dependents by providing for their families at Christmas. * More than 44,000 pounds of usable surplus medical supplies valued at more than $717,000 and over $93,000 in equipment were donated for use locally and around the world. 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 Resource's Workforce Development team and our Learning and Development Department. Workforce Development encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of 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 (69% front-line workers) with tuition assistance. In 2019, Workforce Development financially supported 679 students with nearly $5.2 million in educational assistance programs. * Workforce Development's career coaching has served over 1,400 students. Each program participant worked directly with a certified career management coach. Coaches offer services in resume writing, career and educational exploration, financial assistance opportunities for educational pursuit, interviewing skills and mentoring. * Norton Scholars accelerated program, a student loan program for employees and nonemployees, provides educational funding to students interested in pursuing designated health care careers. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. Since 2014, this program has had 992 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 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, three-tiered apprentice 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. Norton Healthcare primarily focused on Patient Care and Medical Office in 2019. Each phase offers a rigorous curriculum, business acumen and professional development, as well as hands-on learning opportunities in the students' chosen career fields. To date, Norton Healthcare has transitioned more than 52 students into staff positions with our organization after completion of the program, and offers tuition assistance for these new employees to continue their academic and career pursuits while working in the field of their choice. * In 2019, Norton Healthcare announced a strategic partnership program with UPS. Norton Healthcare-UPS Health Care Career Tracks provides a 2+2 method, splitting a four years bachelor's degree into two parts. Typically, the first two years are spent working with UPS in a general or pre-clinical designation and the last two years is when the student begins their clinical program and becomes a Norton 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 is a 12 to 18-month apprenticeship in which nursing students work and engage in hands-on learning with an experienced mentor while becoming integrated with Norton Healthcare. Top area student nurses with good grades, good references and a desire to be the best will gain the skills and the confidence to deliver quality patient care. Leadership for this program is through Norton Healthcare Institute for Nursing. * In 2019, Norton Healthcare launched new apprenticeship programs. The Surgical Tech Apprentice 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 also occurred in 2019, and this program launched in spring 2020. Learning and Development consists of continuing education, continuing medical education, E-Learning, EPIC, Institute for Nursing, media services, and Norton University, which provides learning opportunities to enhance the professional, educational and personal development of all employees. Norton University's Value Proposition states "Norton University nurtures learning and relationships to inspire change that leads to exceptional experiences for both patients and employees." In 2019, Norton University held 295,578 learning events, an average of 18 trainings per employee. In 2019, 46,227 attendees completed instructor-led courses and 175, 441 web-based training courses were completed. * Programs such as Elevating First-Line Employees, School at Work, College at Work and career coaching expose entry-level staff to health care careers and help them obtain a higher-level position, GED or college degree. * Leadership development programs support the development of leaders across the continuum (physicians, nurses, physician practice staff and system staff). * Organizational development activities assist in creating a more effective and efficient workplace with highly engaged employees.
Form 990, Part III, Line 4a Program Service Accomplishment	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 churches. In 2019, the department mentored and served nearly 200 multidenominational faith communities with active health ministry programs, and assisted others with health and wellness efforts. * Norton Faith & Health Ministries nurtured relationships with faith communities through participation in events held by the Episcopal Diocese of Kentucky, Kentucky Annual Conference of The United Methodist Church, Central District Baptist Association, Kentucky Tri-Presbytery Meeting and others. * In order to advance congregational health ministries, faith community nursing and other health-related programs, Norton Faith & Health Ministries made 33,000 contacts by distributing 21 electronic newsletters. At 63 regional faith community events, people were provided health literacy education using educational tools loaned from Norton Faith & Health Ministries. At 108 events, 1,500 people were screened for blood pressure, blood glucose, body mass index and/or cholesterol, and often received counseling and referrals by faith community nurses. Six formal educational and networking events were held, reaching 315 individuals. 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. In 2019, chaplains made more than 35,000 patient contacts, plus additional contacts with their families. 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; and providing comfort and conversation with patients who are 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. A unique aspect of care provided by the Pastoral Care Department is the Bereavement Intervention Program. Through this program, the bereavement chaplain connects with all of the more than 100 families whose children died at Norton Children's Hospital. That contact often begins at the time of death, and can include a funeral home visit, visit in the home, phone calls, letters, and a dinner and grief educational program that helps families and friends learn how to better care for the grieving parents. In addition to the visits caring for patient and families, the chaplains provide care every day to the staff of the system through individual counseling, sharing prayers and other rituals, debriefing stressful events on units, comforting department staff when a co-worker dies, and blessing newly renovated units. Through 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 provides care to more than 250,000 unique patients a year, including completing more than 11,500 surgical procedures and 18,850 noninvasive cardiovascular diagnostic tests each year. As the area's leading provider of cardiovascular care, the institute is committed to meeting the needs of the community, including providing education and support to reduce cardiovascular lifestyle risk factors that can improve the heart health of those we serve. * In 2019, Norton Heart & Vascular Institute offered the area's most comprehensive education and prevention program including the following activities at no cost to participants or the community: - In the Kitchen With Norton Healthcare is a series of heart-healthy cooking classes, including demonstrations and instruction that help attendees learn to prepare heart-healthy meals. Participants receive samples and recipes to take home to continue their journey to a heart-healthy diet. 14 classes were offered and 274 people attended in 2019. - Tai Chi for Heart Health is a free class series offered several times a year. It is designed for those with heart issues to help improve quality of life, psychological well-being, blood pressure, balance, flexibility, stress and depression. 89 separate classes were completed and served 1,365 total attendees in 2019. - A-fib Education Workshops were offered three times in 2019. Patients facing an atrial fibrillation (A-fib) diagnosis learned more about the latest in treatment and medication options, steps to lower their risk of stroke, and how to live better with A-fib. Total attendees for 2019 was 130. - Heart Failure Education Workshops were offered to patients and their families four times in 2019. These workshops help them learn about ways to live a full life and reduce side effects while managing heart failure. Total attendees for 2019 was 94. - Circle of Hearts is a series of classes for patients with heart and vascular disease. Classes focus on various topics, including prevention, heart health education and other wellness issues. Total attendees for the 2019 class series was 31. * Norton Heart & Vascular Institute offers a one-of-a-kind patient support program through Advocates for Healthy Hearts. This unique group of eight advocates gives men and women a chance to connect with others who are heart disease survivors themselves to provide individual support and resources for recovery. Advocates visit those preparing to undergo cardiac surgeries or other procedures, and those who are in the recovery phase of their cardiac event. Patient visits are completed at Norton Healthcare's three centers for cardiac and pulmonary rehabilitation patients. The program provided support to 64 heart patients in 2019. * Connecting Hearts for Support, the only group of its kind in Kentucky, provides a monthly opportunity for men and women living with a heart condition to connect for support and education. The monthly group is offered at Marshall Women's Health & Education Center on the Norton Healthcare - St. Matthews campus. It is led by the eight trained Advocates for Healthy Hearts and a designated cardiovascular nurse navigator from the Norton Heart & Vascular Institute Resource Center. The group provides emotional support as well as education on healthy nutrition, exercise and stress management. In 2019, 10 support group classes were offered and 187 heart patients attended. * Norton Heart & Vascular Institute is an 11-year active supporter of the American Heart Association's Go Red For Women movement. In 2019, a free breakout session called "Heart Healthy Cooking" was offered prior to the annual Go Red For Women luncheon to more than 45 attendees. * In 2019, Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigators attended 11 heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. More than 1,290 participants attended the events. * Heart-healthy lifestyle consultations are offered to the community for one-on-one instruction with the Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigator. In 2019, six people participated in this offering. Norton Orthopedic Institute Norton Orthopedic Institute earned The Joint Commission's Gold Seal of Approval for knee and hip replacement. This recognition confirms Norton Orthopedic Institute provides a consistently high level of quality care, expert training on best practices, a team approach to patient care and a culture of excellence throughout Norton Healthcare's hospitals and physicians' offices. * Norton Orthopedic & Hand Center on the Norton Brownsboro Hospital campus is a state-of-the-art facility where Norton Healthcare specialists, including those from Norton Orthopedic Institute and Norton Sports Health, provide a multidisciplinary approach to innovative orthopedic care. The facility supports research, training and education. * Housed in the same building as Norton Orthopedic & Hand Center are subspecialized trained orthopedists, a Norton Immediate Care Center with a focus on orthopedics, rehabilitation services, advanced sports training, and primary care services with an emphasis on orthopedics.
Form 990, Part III, Line 4a Program Service Accomplishments	Norton Women's Care * In 2019, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's & Children's Hospital provided care and medical services for 7,912 deliveries. * Norton Hospital and Norton Women's & Children's Hospital offer free childbirth education classes, hosting a total of 555 in 2019. 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 2019, 266 car seats were given to families in need through the community events and hospital admissions. Additionally, 53 special needs car seats were loaned to children with body casts and premature infants who would not fit in a conventional car seat. Certified car seat technicians completed 696 car seat inspections. 109 new car seat technicians were trained and certified locally and throughout the state. * The Norton Children's Hospital Bike Safety Rodeo program held 126 rodeo events to teach bicycle safety to 13,837 students from grades three through five throughout Kentucky. * Following interactive classroom lessons on pedestrian safety, 430 elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by Norton Children's Hospital. The program is designed to reduce the number of pedestrian injuries. * Norton Children's Hospital's "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 2019, 2,389 transportation trips were completed. * More than 3,300 kindergarten students, teachers, chaperones and nursing students participated in the 36th annual Children & Hospitals Week event. The program was held at Louisville Slugger Field and supported by a Kohl's Cares grant. Children & Hospitals Week, held each year in the spring, is designed to teach safe decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. Kentucky Poison Control Center of Norton Children's Hospital Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2019, the center received nearly 50,000 calls and made nearly 37,000 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 30,000 prevention education resources to physicians' offices, health departments and schools, and more than 1,000 packets of materials to individuals who called the toll-free Poison Help Line at (800) 222-1222, available 24 hours a day, 7 days a week. 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 allows patients to be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists and other neurological-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 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, while 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 steroelectroencephalography (SEEG) in the treatment of brain tumors and epilepsy for adult and pediatric patients. * Norton Neuroscience Institute offers treatment for nearly all neurological disorders. Much of the focus is on working together for the patient, providing multidisciplinary programs for brain tumors, ALS, movement disorders, epilepsy, trigeminal neuralgia (face pain) and stroke. * Norton Leatherman Spine offers advanced treatment options for spine conditions such as Chiari malformation, degenerative disc diseases, scoliosis and spinal stenosis, as well as tumors and infections of the spine. * Norton Leatherman Spine brings leading spine specialists together for a comprehensive approach to treating all spine issues. Through a multidisciplinary team approach, neurosurgeons, orthopedic spine surgeons, general surgeons, pain management specialists, neurologists, physical therapists, neuroradiologists and nurses work together to create a plan that meets the specific needs of each patient, leading to better patient outcomes. The center's surgeons have pioneered many important breakthroughs in spinal treatment that are performed in the U.S. and around the world. In fact, patients from as far away as South America, Southeast Asia, and Europe have traveled to Louisville for treatment. * In 2019, Norton Neuroscience Institute pediatric neurosurgeons came together with the University of Louisville School of Medicine's child neurology team to create Norton Children's Neuroscience Institute. While both groups having been working together for decades, the creation of Norton Children's Neuroscience Institute, allows for leading experts to work together to treat the full spectrum of pediatric spine and brain conditions. 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 * In 2019, Norton Healthcare Prevention & Wellness staff provided preventive screenings aboard the Norton Healthcare Mobile Prevention Center in collaboration with various community partners. Due to a major retrofit of the mobile unit, no screenings were available until April 15. Almost 1,800 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 1% had never had a mammogram. Fourteen individuals were diagnosed and treated for preinvasive and invasive breast cancer. Of the almost 150 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 given to 4,471 community members at various events such as health fairs and presentations. If eligible and interested, participants were offered referrals for colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for 34 people, and 35 people received at-home testing kits. To help eliminate barriers to care, Prevention & Wellness implemented (502) 446-WELL, a number that links eligible patients to colonoscopy or in-home tests. * In collaboration with many community partners, staff provided over 9,600 cardiovascular screenings (blood pressure, BMI, glucose and cholesterol) for approximately 4,100 participants in multiple locations throughout Jefferson and surrounding counties, including Southern Indiana. Each participant received education on healthy lifestyle choices such as diet and exercise. Group education on various health and wellness information was provided throughout the year. * Prevention & Wellness conducted 19 Freedom From Smoking classes in 2019. One class was taught in Spanish. Research * Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. At any given 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. * Focus areas for clinical research include pediatrics, oncology, cardiology, orthopedics and spine, neurology, neurosurgery, maternal-fetal medicine and pulmonology.
Form 990, Part III, Line 4a Program Service Accomplishments	* Norton Healthcare Research Office partnered with Norton University to continue to offer research education to all researchers in Louisville Metro and beyond. In 2019, two education programs were offered, and attendees included staff from a large number of area health care institutions. The Children's Hospital Foundation The Children's Hospital Foundation raises funds to support programs, equipment and facilities, research, advocacy and education for Norton Children's Hospital, Norton Women's & Children's Hospital and Norton Children's Medical Center. The Children's Hospital Foundation is motivated to ensure that children in Greater Louisville have the medical care they need when they need it, while keeping kids as close to their home as possible. Support from The Children's Hospital Foundation allows the pediatric specialists of Norton Children's Hospital and others working in the Norton Healthcare's pediatric service line, to continue to respond to the unique medical needs of children from birth to age 18. This 300-bed hospital is the only full-service, free-standing pediatric hospital in Kentucky, Louisville's only Level I Pediatric Trauma Center and the primary teaching facility for University of Louisville School of Medicine's Department of Pediatrics. To continue to address the community's need for specialized pediatric care and meet the ever-growing needs served by Norton Children's Hospital, 2019 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric heart care, neonatal care, intensive care, our transport team, prevention and wellness team and more. Workforce, research and facilities serve to guide the fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy, pediatric pastoral care, bereavement programs, endowed research chairs, specialty therapies (such as child life, expressive and music therapies), continue to be areas of funding and priority for Norton Children's Hospital Foundation to ensure a truly "Just for Kids" experience for patients and families. The Children's Hospital Foundation continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The foundation awarded $9.9 million in grants for capital, programs and patient financial assistance to the hospitals in 2019, including: * Construction of the Jennifer Lawrence Cardiac Intensive Care Unit at Norton Children's Hospital. * Renovation and upgrades of the neonatal intensive care unit and "Just for Kids" Critical Care Center (pediatric intensive care unit). * Creation of a new healing garden at Norton Children's Hospital. * Continued funding for a new surgical theater virtual reality technology for pediatric neurosurgery. * Purchase of a new "Just for Kids" Transport Team ambulance. * Continued funding of Norton Children's Prevention & Wellness, which helps provide safety and outreach information in support of the hospital's health and wellness prevention initiatives. * Establishment of the Ulmer Family Wellness Program at Norton Children's Medical Associates - Broadway, providing expanded programming to assist families, including a full-time social worker. * Funding the addition of a child life specialist/facility dog handler to our Heel, Dog, Heal facility dog program. * Funding for staff educational opportunities and advanced certifications. Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare's 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, and research and education, enabling the hospitals to stay up to date with medical advances and technology, and maintaining the community's access to health care. Community support through the Norton Healthcare Foundation allows caregivers to continue making a difference for patients served by Norton Healthcare. The foundation awarded $4.6 million in grants for capital, programs and patient financial assistance to the hospitals in 2019, including: * The purchase of a new Norton Healthcare Mobile Prevention Center to provide screening mammograms and wellness exams to women ages 40 and over in underserved areas of our community. * Establishment of a genomics platform and precision medicine clinic to better tailor cancer treatments to individuals. * Renovation of the diagnostic Breast Center in Norton Healthcare Pavilion. * Renovation of the Wade Mountz Auditorium in Norton Hospital. * Funding participation in the HepConnect program to address the increase in hepatitis C infections. * Creating a family comfort garden on the third floor of Norton Hospital. * Refurbishment of an ambulance for the Norton Healthcare Adult Transport Team. * Purchase of equipment for the Norton Neuroscience Institute Telestroke System. * Purchase of natural labor equipment and supplies such as disposable birthing pools. * Support for nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. * Continued funding of the adult facility dog program. Philanthropy plays an increasingly important role at Norton Healthcare as caregivers strive to continuously improve the health of the community.
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 2019 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 1049. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 139 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2019. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 795 VENDORS ON FORM 1096 FOR 2019.
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 AND ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE 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 2,753 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 17,903 EMPLOYEES ON FORM W-3 FOR 2019.
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 1, 2020 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 8, 2020 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., and The Children's Hospital Foundation, 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, Integrated Healthcare Strategies (IHS)/Gallagher, to provide comparability data 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. IHS/Gallagher consultants presented and discussed this comparability data in 2018 for the 2019 compensation review and met in 2019 for the 2020 compensation review with the committee of board leadership (now 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	FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments	Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and 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 2019.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Proceeds from Passport - Total Revenue: 6909807, Related or Exempt Function Revenue: 6909807, 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: 64664305, Program Service Expense: 51648943, Management and General Expenses: 13015362, Fundraising Expenses: ; Other expenses - Total Expense: 1775587, Program Service Expense: 665187, Management and General Expenses: 1110400, Fundraising Expenses: ; Contract Labor - Total Expense: 3128984, Program Service Expense: 3012915, Management and General Expenses: 116069, Fundraising Expenses: ; Professional Fees - Total Expense: 558558, Program Service Expense: 558558, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -326441; SWAP MARK TO MARKET ADJUSTMENT - 742234; CHANGE IN MINIMUM PENSION LIABILITY - 7309122; CHANGE IN NET PERIODIC PENSION COST - -10081059;
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, 2019. The other components of net periodic pension cost was $10.1 million for year ended December 31, 2019.

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	$40,541,687	TotalIncomeAmt
End Of Year Assets	$3,848,434	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 (5 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
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	610703799	PROVIDE HOSPITAL SERVICES	KY	501(c)(3)	3	NA	Yes (true)
COMMUNITY MEDICAL ASSOCIATES INC
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
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
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
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	310914919	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	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 NURSING AND PATHOLOGY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$48,790,426	ShareOfTotalIncomeAmt
Share Of EOY Assets	$40,837,162	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norton Hospitals Inc
R	$1,885,538,707	FMV
Norton Hospitals Inc
S	$2,006,988,491	FMV
Community Medical Associates Inc
R	$527,129,982	FMV
Community Medical Associates Inc
S	$388,893,818	FMV
Norton Properties Inc
R	$77,942,394	FMV
Norton Properties Inc
S	$36,714,969	FMV
The Children's Hospital Foundation Inc
R	$5,807,555	FMV
The Children's Hospital Foundation Inc
S	$11,921,813	FMV
Norton Healthcare Foundation Inc
R	$1,527,811	FMV
Norton Healthcare Foundation Inc
S	$2,018,630	FMV
Norton Enterprises Inc
R	$29,042,061	FMV
Norton Enterprises Inc
S	$19,293,090	FMV
Norton Healthcare Foundation Inc
C	$841,702	FMV
The Children's Hospital Foundation Inc
C	$351,625	FMV