NORTON HOSPITALS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: NORTON HOSPITALS INC (EIN 61-0703799)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-06
IRS object ID: 202013119349302356
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 H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-06T15:02:16-06:00	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	610703799	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	5026298263	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Adam Kempf	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	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	$2,065,305,685	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.nortonhealthcare.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1969	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Hospitals, Inc.'s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	11793	TotalEmployeeCnt
Total Volunteers	1740	TotalVolunteersCnt
Total Gross UBI	$6,946,411	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$252,831	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,610,334	PYContributionsGrantsAmt
CY Contributions Grants	$10,439,382	CYContributionsGrantsAmt
PY Program Service Revenue	$2,006,718,274	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,051,207,997	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$4,170,365	PYOtherRevenueAmt
CY Other Revenue	$2,686,374	CYOtherRevenueAmt
PY Total Revenue	$2,023,498,973	PYTotalRevenueAmt
CY Total Revenue	$2,064,333,753	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$629,536,586	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$666,284,004	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,139,850,798	PYOtherExpensesAmt
CY Other Expenses	$1,147,632,663	CYOtherExpensesAmt
PY Total Expenses	$1,769,387,384	PYTotalExpensesAmt
CY Total Expenses	$1,813,916,667	CYTotalExpensesAmt
PY Revenues Less Expenses	$254,111,589	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$250,417,086	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,551,346,959	TotalAssetsBOYAmt
Total Assets EOY	$2,777,133,873	TotalAssetsEOYAmt
Total Liabilities BOY	$156,881,955	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$132,535,974	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,394,465,004	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,644,597,899	NetAssetsOrFundBalancesEOYAmt
Mission	Norton Hospitals, Inc.'s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and faith heritage.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,766,195,605	ExpenseAmt
Revenue	$2,045,367,374	RevenueAmt
Desc	Norton Hospitals, Inc. (NHI) was formed to: I) provide on a nonprofit basis, hospital or health care facilities and services for the care and treatment of ill and injured persons and those who otherwise require medical care and related services of the kind customarily furnished most effectively by hospitals or health care facilities; II) conduct educational activities related to rendering care to the sick and injured; III) promote and conduct scientific research related to the care of the sick and injured. NHI has a total of 1,837 licensed beds, Norton Hospital - 605 beds; Norton Children's Hospital - 300 beds; Norton Audubon Hospital - 432 beds: Norton Women's and Children's Hospital - 373 beds; and Norton Brownsboro Hospital - 127 beds. These hospitals operate twenty-four (24) hours a day, seven (7) days a week. In 2019, NHI's hospitals and diagnostic centers served 76,825 inpatients, 596,249 outpatients, 261,206 emergency department visits, and 28,534 observation cases. In addition, NHI's operating rooms cared for 21,224 inpatient surgical patients and 37,219 outpatient surgical patients. Additionally, 7,912 deliveries were performed at NHI birthing centers. Under its charity care program, NHI provided free care to 10,522 patients, at a cost of $13.8 million. Also, NHI 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.	Desc
Total Program Service Expenses	$1,766,195,605	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	232	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	11793	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	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	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (40 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	10.0	40.0	Yes (X)	Yes (X)	$0	$2,348,374	$190,805
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$0	$3,200	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
Craig D Grant
Trustee	1.0	4.5	Yes (X)		$0	$1,600	$0
Donald H Robinson
Trustee	1.0	6.5	Yes (X)		$0	$0	$0
Edie Nixon
Vice Chair	1.0	7.5	Yes (X)		$0	$3,200	$0
Erwin Roberts
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
G Hunt Rounsavall Sr
Trustee	1.0	5.5	Yes (X)		$0	$1,600	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
Gary L Stewart
Chair	1.0	12.5	Yes (X)		$0	$1,600	$0
Gregory E Mayes
Trustee	1.0	6.5	Yes (X)		$0	$1,600	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$0	$3,200	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$0	$1,600	$0
Maria Gerwing Hampton
Trustee (partial year)	1.0	4.5	Yes (X)		$0	$3,200	$0
Maria L Bouvette
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
Marshall Farrer
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Martha K Heyburn MD
Trustee	1.0	2.5	Yes (X)		$0	$3,200	$0
Rev William J Schultz
Trustee	1.0	4.5	Yes (X)		$0	$1,600	$0
Richard R Ivey
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
Richard S Wolf MD
Chair Emeritus	1.0	2.5	Yes (X)		$0	$1,600	$0
Rick Guillaume
Chair Emeritus	1.0	3.5	Yes (X)		$0	$3,200	$0
Rita Hudson Shourds EdD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Ronald Lehocky MD
Trustee	1.0	4.5	Yes (X)		$0	$3,200	$0
Sue Davis EdD RN
Trustee	1.0	2.5	Yes (X)		$0	$1,600	$0
Adam Kempf
Sr VP, CFO/Treasurer	10.0	40.0		Yes (X)	$0	$771,597	$145,046
Michael W Gough
Exec VP and COO	10.0	40.0		Yes (X)	$0	$2,563,340	$136,304
Robert B Azar
Sr VP Chief Legal Officer/Secretary	10.0	40.0		Yes (X)	$0	$807,725	$127,164
Andrew Strausbaugh
Hospital CAO	50.0	0			$434,735	$0	$84,311	Yes (X)
Charlotte Ipsan
Hospital CAO	50.0	0			$485,050	$0	$97,978	Yes (X)
Jon Cooper
Hospital CAO	50.0	0			$451,965	$0	$84,983	Yes (X)
Joseph Flynn DO
CAO NMG - Physician -in-Chief NCI	50.0	0			$864,582	$0	$138,884	Yes (X)
Matthew Ayers
Hospital CAO	50.0	0			$481,980	$0	$88,811	Yes (X)
Aaron Spalding MD
Physician	50.0	0			$1,242,677	$0	$62,955		Yes (X)
Mark Cornett MD
Physician	50.0	0			$989,922	$0	$54,321		Yes (X)
Michael Hahl MD
Physician	50.0	0			$1,302,472	$0	$54,175		Yes (X)
Shawn Glisson MD
Physician	50.0	0			$1,073,877	$0	$50,687		Yes (X)
Yong Cha MD
Physician	50.0	0			$1,257,039	$0	$60,856		Yes (X)
Mary Gruebbel
Former, VP Patient Care Svc/CNO	0.0	0			$185,183	$0	$4,477			Yes (X)
Stephen Williams
Former CEO	0.0	0.0			$0	$593,451	$23,710			Yes (X)
Thomas Kmetz
Former Division President Women and Children Services	0.0	0.0			$599,625	$0	$119,385			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,369,107	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,127,687	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,524,854	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	449	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
Messer Construction Co
11001 Plantside Dr	LOUISVILLE	KY	40299	Construction	$71,507,109
University of Louisville
323 E Chestnut St	Louisville	KY	40202	Residency Program	$11,949,704	Suite 312
Harshaw Trane Service
12700 Plantside Dr	Louisville	KY	40299	Equipment and Repair	$7,532,036
Northstar Anesthesia of KY II PLLC
6225 N State Hwy 161	Irving	TX	75038	Anesthesia Services	$6,822,445	Suite 200
Abel Construction Co Inc
2401 Stanley Gault Parkway	Louisville	KY	40223	Construction	$6,700,445

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	154	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,439,382	RelatedOrganizationsAmt
Total Contributions	$10,439,382	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Revenue	621110	$2,049,774,662	$2,042,999,181	$6,775,481
Healthcare Education	611710	$1,433,335	$1,433,335

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,051,207,997	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,084,135	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$971,932	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$112,203	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$112,203	TotalRevenueColumnAmt
Exclusion	$112,203	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Purchasing Co-Op Inc.	561499	$1,015,287	$844,357	$170,930
Parking Income	812930	$1,468,383			$1,468,383
Retail Rx Sales	900099	$18,368	$18,368

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,133	TotalRevenueColumnAmt
Related Or Exempt Func Income	$72,133	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,574,171	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,064,333,753	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,045,367,374	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,946,411	UnrelatedBusinessRevenueAmt
Exclusion	$1,580,586	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,255,292	TotalAmt
Program Services	$2,255,292	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$308,390	TotalAmt
Program Services	$308,390	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$532,788,092	TotalAmt
Program Services	$532,788,092	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,941,495	TotalAmt
Program Services	$28,941,495	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$65,302,444	TotalAmt
Program Services	$65,302,444	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$36,688,291	TotalAmt
Program Services	$36,688,291	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$156,503,968	TotalAmt
Program Services	$156,503,968	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,340,968	TotalAmt
Program Services	$8,340,968	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,233,642	TotalAmt
Program Services	$22,233,642	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$909,924	TotalAmt
Program Services	$909,924	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$39,970,611	TotalAmt
Program Services	$39,970,611	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$71,206,147	TotalAmt
Program Services	$71,206,147	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,710,613	TotalAmt
Program Services	$12,710,613	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$525,673,255	$525,673,255
Allocated Support	$268,095,853	$220,374,791	$47,721,062
Provider Tax	$20,129,732	$20,129,732
Repairs & Maintenance	$16,411,920	$16,411,920

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,446,030	TotalAmt
Program Services	$5,446,030	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,813,916,667	TotalAmt
Program Services	$1,766,195,605	ProgramServicesAmt
Management And General	$47,721,062	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,900	BOYAmt
EOY	$9,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$210,952,565	BOYAmt
EOY	$226,547,434	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$54,383,711	BOYAmt
EOY	$56,299,747	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,422,181	BOYAmt
EOY	$2,403,879	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,858,929,799	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,022,561,504	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$750,527,375	BOYAmt
EOY	$836,368,295	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,072,542	BOYAmt
EOY	$2,545,313	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,445,984	BOYAmt
EOY	$8,986,720	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,522,533,701	BOYAmt
EOY	$1,643,973,485	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,551,346,959	BOYAmt
EOY	$2,777,133,873	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$101,720,807	BOYAmt
EOY	$100,299,005	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	$55,161,148	BOYAmt
EOY	$32,236,969	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,881,955	BOYAmt
EOY	$132,535,974	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	$2,383,303,240	BOYAmt
EOY	$2,634,171,147	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,161,764	BOYAmt
EOY	$10,426,752	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,394,465,004	BOYAmt
EOY	$2,644,597,899	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,551,346,959	BOYAmt
EOY	$2,777,133,873	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$250,417,086	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$284,191	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$73,410	OtherActivitiesAmt
Total Lobbying Expenditures	$73,410	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Norton Hospitals, Inc. pays dues to the Kentucky Hospital Association. A portion of those dues in the amount of $73,410 was spent on lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,881,092	BeginningYearBalanceAmt
Contributions	$2,971,598	ContributionsAmt
Investment Earnings Or Losses	$3,518,035	InvestmentEarningsOrLossesAmt
Other Expenditures	$959,711	OtherExpendituresAmt
End Year Balance	$24,411,014	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,691,046	BeginningYearBalanceAmt
Contributions	$127,680	ContributionsAmt
Investment Earnings Or Losses	-$1,053,047	InvestmentEarningsOrLossesAmt
Other Expenditures	$884,587	OtherExpendituresAmt
End Year Balance	$18,881,092	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,843,030	BeginningYearBalanceAmt
Contributions	$30,621	ContributionsAmt
Investment Earnings Or Losses	$2,617,227	InvestmentEarningsOrLossesAmt
Other Expenditures	$799,832	OtherExpendituresAmt
End Year Balance	$20,691,046	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,722,595	BeginningYearBalanceAmt
Contributions	$31,092	ContributionsAmt
Investment Earnings Or Losses	$987,970	InvestmentEarningsOrLossesAmt
Other Expenditures	$898,627	OtherExpendituresAmt
End Year Balance	$18,843,030	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,430,388	BeginningYearBalanceAmt
Contributions	-$86,737	ContributionsAmt
Investment Earnings Or Losses	-$772,654	InvestmentEarningsOrLossesAmt
Other Expenditures	$848,402	OtherExpendituresAmt
End Year Balance	$18,722,595	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.8944	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.1056	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,560,360	OtherCostOrOtherBasisAmt
Book Value	$25,560,360	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$922,302,862	OtherCostOrOtherBasisAmt
Depreciation	$418,022,095	DepreciationAmt
Book Value	$504,280,767	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$718,774,295	OtherCostOrOtherBasisAmt
Depreciation	$596,204,895	DepreciationAmt
Book Value	$122,569,400	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$192,292,282	OtherCostOrOtherBasisAmt
Depreciation	$8,334,514	DepreciationAmt
Book Value	$183,957,768	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$836,368,295	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE FROM AFFILIATE	$1,643,533,485
MISCELLANEOUS RECEIVABLES	$440,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,643,973,485	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$23,899,812
PHYSICIAN GUARANTEE LIABILITY
ASSET RETIREMENT OBLIGATION	$8,337,157

Field	Value	IRS element (for citing)
Total Liability	$32,236,969	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	The Children's Hospital Foundation, Inc. and Norton Healthcare Foundation, Inc. utilize income generated from endowment funds to support various programs, services and capital projects for the benefit of Norton Hospitals, Inc.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,581,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$822,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,758,541	NetCommunityBenefitExpnsAmt
Total Expense	0.0076	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$436,661,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$370,732,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,928,819	NetCommunityBenefitExpnsAmt
Total Expense	0.0363	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$649,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$649,909	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$451,892,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$371,555,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,337,269	NetCommunityBenefitExpnsAmt
Total Expense	0.0443	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,489,868	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,324,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,165,547	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,107,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,408,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,699,480	NetCommunityBenefitExpnsAmt
Total Expense	0.0302	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,644,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,644,082	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,840,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,840,370	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$84,081,960	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,732,481	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,349,479	NetCommunityBenefitExpnsAmt
Total Expense	0.0410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$535,974,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$381,288,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,686,748	NetCommunityBenefitExpnsAmt
Total Expense	0.0853	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,127,812	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,126,312	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,127,812	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,126,312	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,875,643	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$403,992,585	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$412,025,378	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,032,793	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
Norton Hospital
1	200 E Chestnut St	Louisville	KY	40202	https://nortonhealthcare.com/location/hospitals/norton-hospital/	100234	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Norton Children's Hospital
2	231 E Chestnut St	Louisville	KY	40202	http://www.nortonchildrens.com/	100234	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
Norton Women's and Children's Hospital
3	4001 Dutchmans Lane	Louisville	KY	40207	https://nortonhealthcare.com/location/hospitals/norton-womens-and-childrens-hospital/	100255	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Norton Audubon Hospital
4	One Audubon Plaza Drive	Louisville	KY	40217	https://nortonhealthcare.com/location/hospitals/norton-audubon-hospital/	100252	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
Norton Brownsboro Hospital
5	4950 Norton Healthcare Blvd	Louisville	KY	40241	https://nortonhealthcare.com/location/hospitals/norton-brownsboro-hospital/	100475	Yes (X)	Yes (X)		Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://nortonhealthcare.com/about-us/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://nortonhealthcare.com/about-us/community-health-needs-assessment/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.nortonhealthcare.com/fap	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.nortonhealthcare.com/fap	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.nortonhealthcare.com/fap	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - ALL HOSPITALS. NORTON HOSPITALS, INC. OWNS AND OPERATES FIVE HOSPITALS LOCATED IN LOUISVILLE, JEFFERSON COUNTY, KENTUCKY. THE HOSPITALS ARE: - NORTON HOSPITAL - NORTON CHILDREN'S HOSPITAL - NORTON WOMEN'S AND CHILDREN'S HOSPITAL - NORTON AUDUBON HOSPITAL - NORTON BROWNSBORO HOSPITAL
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - OTHER ORGANIZATIONS. THE LOUISVILLE AREA HOSPITALS COLLABORATED WITH LOUISVILLE METRO GOVERNMENT TO CONDUCT THE COMMUNITY WIDE HEALTH SURVEY AND FOCUS GROUPS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - All Hospitals. DRUG USE IN 2019 THE KENTUCKY POISON CONTROL CENTER OF NORTON CHILDREN'S HOSPITAL LAUNCHED A 24/7 SUPPORT HOTLINE FOR HEALTH CARE PROVIDERS, PATIENTS AND FIRST RESPONDERS ON OPIOID-RELATED ISSUES. THE KENTUCKY OPIOID ASSISTANCE & RESOURCE HOTLINE - (800) 854-6813 - IS STAFFED BY TOXICOLOGY-CERTIFIED NURSES AND PHARMACISTS. FOR THE COMMUNITY, THE HOTLINE OFFERS ADVICE ON SAFE MEDICATION DISPOSAL, WHERE TO GET NALOXONE AND HOW TO USE IT. STAFF ALSO CAN DIRECTLY CONNECT USERS AND THEIR FAMILIES TO OPERATION UNITE FOR SUBSTANCE USE DISORDER TREATMENT AND ASSIST DISPLACED PATIENTS OF PAIN CLINICS THAT SUDDENLY CLOSE. THE NORTON MATERNAL OPIATE AND SUBSTANCE TREATMENT (MOST) PROGRAM WAS CREATED TO HELP PREGNANT WOMEN BREAK THE CYCLE OF ADDICTION. THE MOST PROGRAM OFFERS KNOWLEDGEABLE, SUPPORTIVE STAFF MEMBERS WHO ARE SKILLED IN CARING FOR PREGNANT WOMEN WITH SUBSTANCE USE DISORDERS AND FOR THEIR BABIES. IN 2019, 130 WOMEN ENROLLED IN THE PROGRAM AND 77% DELIVERED THEIR BABIES FULL TERM. Norton Hospitals, Inc. (NHI) IS WORKING TO EXPAND THIS ADDICTION RECOVERY PROGRAM THROUGH USE OF NURSE PRACTITIONERS/NAVIGATORS. HEALTH EDUCATORS FROM NORTON CHILDREN'S PREVENTION & WELLNESS TEAM PARTNER WITH LOCAL SCHOOLS TO OFFER WELLNESS WORKSHOPS IN HEALTH AND PHYSICAL EDUCATION CLASSROOMS, AFTER-SCHOOL EVENTS AND SUMMER PROGRAMS. THIS PEER-TO-PEER EDUCATION SUPPORTS YOUNG PEOPLE IN DEVELOPING POSITIVE GROUP NORMS AND IN MAKING HEALTHY DECISIONS. WORKSHOPS ARE OFFERED AS A FOUR-PART SERIES AND EMPOWER STUDENTS TO BECOME VOICES IN THEIR SCHOOL TO ENCOURAGE HEALTHY BEHAVIORS AND DECISION-MAKING. IN 2018 NHI CREATED AN OPIOID STEWARDSHIP PROGRAM TO DEVELOP PROTOCOLS FOR OPIOID USE AND DISPOSAL IN BOTH THE HOSPITAL AND AMBULATORY SETTING, AND TO PROMOTE ALTERNATIVE PAIN MANAGEMENT METHODS TO REDUCE THE NUMBER OF OPIOIDS IN THE COMMUNITY. THE PROGRAM FOCUSES ON CHANGING PRESCRIPTION PRACTICES BASED ON RECOMMENDATIONS MADE BY THE JOINT COMMISSION, A HEALTH CARE ACCREDITATION ORGANIZATION. IN 2019, THE PERCENTAGE OF OPIOD PRESCRIPTIONS OF TOTAL PRESCRIPTIONS WRITTEN BY Hospital PROVIDERS DECREASED 11% FROM THE PRIOR YEAR. IN ADDITION, THE AVERAGE QUANTITY OF PILLS PER PRESCRIPTION DECREASED 8%. OBESITY NHI OFFERS FREE FRUIT AND BOOT CAMP CLASSES TO THE COMMUNITY, DESIGNED TO TEACH SCHOOL-AGE CHILDREN HOW TO EAT WELL AND STAY ACTIVE TOGETHER. ADULTS AND KIDS PRACTICE MAKING SIMPLE, HEALTHY FOOD AND PARTICIPATE IN AN EXERCISE ACTIVITY THAT CAN BE DONE AT HOME. CLASSES CAN BE OFFERED VIRTUALLY ON THE ONLINE PLATFORM ZOOM, WHEREBY FAMILIES ARE EMAILED A LIST OF INGREDIENTS PRIOR TO THE CLASS, SO THEY CAN FOLLOW ALONG DURING THE COOKING DEMONSTRATION. THE NORTON HEALTH & WELLNESS CENTER OFFERS FREE WEIGHT MANAGEMENT SEMINARS TO THE COMMUNITY IN EITHER AN IN-PERSON OR ONLINE SETTING. SERVICES INCLUDE EDUCATIONAL SEMINARS, SUPPORT GROUPS, A DEMONSTRATION KITCHEN AND MORE. NHI CONTINUES TO OFFER FREE HEALTH SCREENINGS AND EDUCATION TO THE COMMUNITY THROUGH USE OF OUR MOBILE PREVENTION UNIT, AS WELL AS THROUGH VARIOUS COMMUNITY EVENTS AND HEALTH FAIRS. IN 2019, THERE WERE OVER 4,000 FREE SCREENINGS PERFORMED IN THE COMMUNITY, UP 12% FROM 2018. NHI HAS PLANS TO EXPAND THE MOBILE PREVENTION CENTER IN 2020 TO INCLUDE ANOTHER VEHICLE AND INCREASE ACCESS TO PREVENTIVE SCREENINGS IN UNDERSERVED AREAS OF THE COMMUNITY. SMOKING/TOBACCO USE NORTON HEALTHCARE PREVENTION & WELLNESS OFFERS A COMPREHENSIVE TOBACCO CESSATION PROGRAM TO HELP THOSE IN THE COMMUNITY STRUGGLING WITH TOBACCO ADDICTION. CLASSES ARE OFFERED AT A VARIETY OF TIMES AND LOCATIONS TO MAKE PARTICIPATION EASY AND CONVENIENT. CLASSES FOLLOW THE AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING PROGRAM, PROVEN TO BE EFFECTIVE FOR MILLIONS OF SMOKERS. PARTICIPATION IN THE PROGRAM INCREASED 32% FROM 2018 TO 2019. THE COMPREHENSIVE LUNG CENTER AT NORTON CANCER INSTITUTE IS A SCREENING CENTER OF EXCELLENCE, AS DESIGNATED BY THE LUNG CANCER ALLIANCE. LED BY A TEAM OF LUNG SPECIALISTS, THE CENTER COMBINES FOUR COMPREHENSIVE COMPONENTS - PREVENTION, SCREENING, DIAGNOSIS AND TREATMENT - TO ENSURE EACH PATIENT HAS ACCESS TO STATE-OF-THE-ART LUNG CANCER SCREENING, SAME-DAY FOLLOW-UP APPOINTMENTS AND FAST-TRACK TREATMENT AND SUPPORT SERVICES. NHI HAS ESTABLISHED A NO SMOKING POLICY ON ALL CAMPUSES TO ELIMINATE EXPOSURE TO TOBACCO SMOKE FOR OUR PATIENTS AND FAMILIES. NHI HAS MULTIPLE PULMONOLOGISTS ON STAFF AND OFFERS A BROAD RANGE OF ACUTE CARE SERVICES AS WELL AS RESPIRATORY THERAPY AT ALL NHI AND AMBULATORY FACILITIES. MENTAL HEALTH NHI IMPLEMENTED THE COLUMBIA-SUICIDE SEVERITY RATING SCALE IN APRIL 2019. THIS IS A QUESTIONNAIRE WHICH IS USED TO ASSESS SUICIDE RISKS FOR PATIENTS AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY ROOM AND AMBULATORY SETTING. THE TOOL IS USED TO ASSESS PATIENT RISK AND ENSURE REFERRAL TO APPROPRIATE RESOURCES FOR TREATMENT. HEALTH EDUCATORS FROM NORTON CHILDREN'S PREVENTION & WELLNESS TEAM PARTNER WITH LOCAL MIDDLE/HIGH SCHOOLS TO OFFER PEER-TO-PEER EDUCATION AND AWARENESS ABOUT MENTAL HEALTH CONCERNS. WORKSHOPS ARE OFFERED IN SCHOOL HEALTH AND PHYSICAL EDUCATION CLASSROOMS, AT AFTER-SCHOOL EVENTS AND SUMMER PROGRAMS. WORKSHOPS PROVIDE PEER EDUCATION TO SUPPORT YOUNG PEOPLE IN DEVELOPING POSITIVE GROUP NORMS AND MAKING HEALTHY DECISIONS. THIS SERIES TEACHES STUDENTS HOW TO REDUCE STRESS AND EMPOWERS STUDENTS TO BECOME VOICES IN THEIR SCHOOLS AND TO ENCOURAGE HEALTHY BEHAVIORS AND DECISION-MAKING. NORTON CHILDREN'S HOSPITAL OFFERS INPATIENT PSYCHIATRIC CARE FOR CHILDREN AGES 2 TO 17 THROUGH THE ACKERLY CHILD PSYCHIATRIC UNIT. THEIR MISSION IS TO HELP CHILDREN AND FAMILIES REACH THEIR FULLEST POTENTIAL IN A NURTURING AND SAFE ENVIRONMENT. THEY ARE EQUIPPED TO SERVE PATIENTS WITH DEVELOPMENTAL DISABILITIES AND AUTISM, AND EXTEND CARE REGARDLESS OF A FAMILY'S BACKGROUND OR ABILITY TO PAY. IN THE AMBULATORY SETTING, NORTON CHILDREN'S MEDICAL GROUP PSYCHIATRY & PSYCHOLOGY OFFERS CHILD AND ADOLESCENT PSYCHIATRY SERVICES. IN 2019, NHI ESTABLISHED THE NORTON BEHAVIORAL HEALTH PRACTICE, WITH THE GOAL OF PROVIDING CLINICALLY INTEGRATED FAMILY AND PATIENT-CENTERED MENTAL HEALTH CARE. THE PRACTICE OFFERS TELEMEDICINE VISITS IN PRIMARY CARE LOCATIONS TO IMPROVE ACCESS AND HELP OVERCOME THE STIGMA OFTEN ASSOCIATED WITH MENTAL HEALTH FACILITIES. THE PRACTICE CARED FOR ALMOST 2,000 PATIENTS IN 2019. NORTON WOMEN'S MENTAL HEALTH SERVICES PROVIDES OUTPATIENT WOMEN'S MENTAL HEALTH SERVICES ON THE NORTON - ST. MATTHEWS CAMPUS. THEY ARE COMMITTED TO PROVIDING QUALITY MENTAL HEALTH CARE TO WOMEN ACROSS THEIR LIFESPAN. CARE COORDINATION NHI, IN PARTNERSHIP WITH THE UNITED WAY, IS PARTICIPATING IN THE UNITED COMMUNITY INITIATIVE. UNITED COMMUNITY SEEKS TO LINK HEALTH CARE SERVICES AND SOCIAL SERVICES VIA A DATABASE PLATFORM CALLED UNITE US. NHI CAN REFER PATIENTS WITH SOCIOECONOMIC NEEDS TO APPROPRIATE RESOURCES USING THIS DATABASE PLATFORM. THE DATABASE IS INTEGRATED INTO THE PATIENT'S ELECTRONIC MEDICAL RECORD SO THAT PROVIDERS CAN SEE PATIENT REFERRALS TO SOCIAL SERVICES AS WELL AS THE OUTCOME OF THOSE REFERRALS. NHI HAS ESTABLISHED A SOCIAL SERVICES ASSESSMENT TOOL TO STREAMLINE THE SCREENING AND DOCUMENTATION OF SOCIAL NEEDS FOR PATIENTS. THE ASSESSMENT IS INTEGRATED IN THE ELECTRONIC MEDICAL RECORD AND UTILIZED BY SOCIAL WORKERS TO IDENTIFY AND DOCUMENT SOCIAL NEEDS AND TO REFER PATIENTS TO APPROPRIATE SOCIAL SERVICES RESOURCES USING THE UNITE US DATABASE PLATFORM. IN 2019 NHI LAUNCHED THE NORTON BABY APP TO STREAMLINE CARE FOR OBSTETRICS PATIENTS FROM PREGNANCY PLANNING, TO EXPECTING A NEW BABY, TO THE NEW PARENT STAGE. THE APP IS A ONE-STOP-SHOP FOR EXPECTANT MOTHERS AND PROVIDES HEALTH METRICS MONITORING, APPOINTMENT TRACKING, CHECKLISTS, HEALTH TIPS, AND MORE. IN 2019, 904 PATIENTS UTILIZED THE APP.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - All Hospitals. Other eligibility criteria in addition to the criteria answered above would include as described in the Financial Assistance Policy: * The patient does not qualify for subsidized coverage of government assistance such as Disproportionate Share Hospital, Children's Health Insurance Program, Medicaid, Medicaid Managed Care Organization, or Hoosier Healthcare. * To be eligible for assistance for non-emergent Medically Necessary Care, a patient (or that patient's guarantor) must be a resident of Kentucky, Indiana, Tennessee, Ohio, or Illinois. This residency requirement does not apply to emergency care.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - ALL HOSPITALS. SEE RESPONSE TO PART VI, LINE 3; PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Line 7, Input 7 STATE FILING OF COMMUNITY BENEFIT REPORT	Not required at this time by Commonwealth of Kentucky.
Schedule H, Part I, Line 6b Community Benefit Report	The annual community benefit initiative report is for all five hospitals in Norton Hospitals, Inc. (NHI) and is contained in the report prepared by NHI' parent corporation, Norton Healthcare, Inc.
Schedule H, Part VI, Line 5 Promotion of community health	Norton Hospitals Inc. (NHI) is a not-for-profit corporation based in Louisville, Kentucky. NHI has a total of 1,837 licensed beds: Norton Audubon Hospital, 432 beds; Norton Brownsboro Hospital, 127 beds; Norton Children's Hospital, 300 beds; Norton Hospital, 605 beds; and Norton Women's & Children's Hospital, 373 beds. These five hospitals operate 24 hours a day, seven days a week. In 2019, NHI's hospitals, diagnostic centers and Norton Cancer Institute served 76,825 inpatients and 596,249 outpatients, 261,206 emergency department visits, and 28,534 observation cases. In addition, NHI's operating rooms cared for 21,224 inpatient surgical patients and 37,219 outpatient surgical patients. Additionally, 7,912 deliveries were performed at NHI birthing facilities. As part of our commitment to improving the health of our community, NHI provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2019, under its charity care program, NHI provided free care to 10,522 patients, at a cost of $13.8 million. Also, NHI grants a discount from billed charges to any individuals who 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 School of Medicine (U of L). Also, community health improvement services totaled $10.2 million and contributions to community groups were $1.7 million. NHI provides programmatic support to the U of L through funding and facilities. During the 2019 calendar year, 178 residents completed clinical rotations in 41 specialties at NHI facilities. Residency programs are part of the $54.7 million in educational support and clinical funding provided to the school. 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. 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.
Schedule H, Part VI, Line 5 Promotion of community health	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 stereoelectroencephalography 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.
Schedule H, Part I, Line 7f Bad debt	As result of new accounting guidance, bad debt is no longer an expense, but is included as a reduction in net patient service revenue.
Schedule H, Part III, Line 3 Bad Debt Expense under the organization's financial assistance policy	FOR FINANCIAL STATEMENT PURPOSES, NORTON Healthcare HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). Implicit price concessions includes BAD DEBTS. Therefore, Bad debts ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 and bad debt expense is not separately reported as an expense. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT attributable to patients eligible under Norton Hospital's financial assistance policy ON A GROSS BASIS.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	Norton Hospitals, Inc. has a policy where we discount charges for all self pay patients with no insurance coverage regardless of income qualifications. Because of this policy, we responded "No" to line 3b in that we do not utilize federal poverty guidelines for providing discounted care.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Norton Healthcare, Inc.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The costing methodology used to calculate the community benefit expenses was to calculate the cost by hospital location (five separate locations under one Medicare provider number). The cost was determined based on a specific location cost to charge ratio. The cost used in the calculator was reduced by provider taxes, Graduate Medical Education expenses, and other costs. The adjusted cost to charge ratio was then multiplied times the gross charges for qualified financial assistance charges, Medicaid, and the state Disproportionate Program (other means tested government program) to obtain the specific community benefit expense.
Schedule H, Part II Community Building Activities	Norton Hospitals Inc. (NHI) supported over 400 community organizations with leadership support which included over 54,000 hours and over $1.0 million in salaries. NHI representatives served on a variety of nonprofits and government agencies that helped improve access to health services, enhanced the health of the community, advanced medical and health care knowledge, and relieved or reduced the burden of government or community effort. NHI' purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage. Our Community Benefit Initiative aligns with our mission to promote the health of the community through service on local boards, advisory councils and volunteering. NHI employees represent NHI on many community board positions that help to enhance the community including the American Red Cross, Greater Louisville Inc. Board, The Kentucky Board of Nursing, Habitat for Humanity, Metro United Way, The American Heart Association, The Ronald McDonald House, and many more. NHI has a rich cultural history of providing community support and NHI employees are passionate about serving others and promoting the health of our community.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AS A RESULT OF NEW ACCOUNTING GUIDANCE, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The method used to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under our financial assistance policy is based on our outside eligibility vendor's experience with qualifying accounts as financial assistance. Medassist Firstsource, our outside vendor, screens all self-pay accounts and based on an initial screening, will classify the account as probable financial assistance. If the accounts appear to meet Norton Hospital, Inc.'s (NHI) financial assistance program guidelines, these accounts are then required to submit the necessary documentation to ultimately be classified as a financial assistance account. Based on all accounts that are classified as probable financial assistance by Medassist Firstsource and their experience with getting accounts qualified as financial assistance, it is estimated that 60% of those accounts classified as probable financial assistance and which do not submit the required documentation would qualify as a NHI financial assistance account. The estimated cost of accounts that are estimated to qualify for our financial assistance programs is calculated based on gross charges for accounts for the year that are probable but do not submit the necessary documentation multiplied times our cost to charge ratio times the 60% estimated conversion factor.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	As a result of new accounting guidance, bad debt is no longer an expense, but is included as a reduction in net patient service revenue. The following paragraph per the audited financial statements (page 18, second paragraph) discusses the handling of patient deductible and coinsurance not paid by patients; "Generally, patients who are covered by third-party payors are responsible for patient responsibility balances, including deductibles and coinsurance, which vary in amount. The Corporation estimates the transaction price for patients with deductibles and coinsurance based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any explicit price concessions, discounts, and /or implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of change. Adjustments arising from a change in the transaction price were not significant in 2019 and 2018."
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. NORTON HOSPITALS, INC. (NHI) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NHI BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE NHI FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	After the patient's initial screening for financial assistance, if it is believed that the patient qualifies for financial assistance; Norton Hospitals Inc. will not start collection efforts pending the patient submitting the necessary information to document meeting the financial assistance qualifications. If the patient submits the necessary documentation within a reasonable time period, then there will not be any collection efforts made to collect any amount from the patient. The patient will receive a statement/bill reflecting the amount due through the financial assistance application process pending the patient's financial assistance application, but there will be no collection efforts. Only after an attempt is made to contact the patient to obtain the necessary documentation for completing the financial assistance application and the patient not responding will collection efforts begin. There is ongoing effort throughout the collection process to screen for Medicaid eligibility, Disproportionate Share Hospital, and the need for providing financial assistance applications to patients. When a patient is approved for financial assistance, their account balance is written off.
Schedule H, Part V, Section B, Line 16a FAP website	A - Norton Hospital: Line 16a URL: www.nortonhealthcare.com/fap;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - Norton Hospital: Line 16b URL: www.nortonhealthcare.com/fap;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - Norton Hospital: Line 16c URL: www.nortonhealthcare.com/fap;
Schedule H, Part VI, Line 2 Needs assessment	NORTON HOSPITALS, INC (NHI) REGULARLY AND CONSISTENTLY EVALUATES WORFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGHT PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICES, LOCAL AND STATE UNIVERSITIES, AND KENTUCKIANA WORKS, THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE NHI IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, NHI ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTER FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS, BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATION, FREE SCREENINGS AND ACCESS TO HEALTH CARE. Norton Healthcare, Inc. (NHC), the parent company of NHI, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ALL five HOSPITALS. THE CHNA DEFINED THE PATIENT SERVICE AREA BY PATIENT ORIGIN FOR INPATIENT STAYS, DEMOGRAPHIC, SOCIOECONOMIC, POPULATION, AND OTHER HEALTH RELATED INDICATORS UTILIZED TO PROVIDE INFORMATION ON THE HEALTH STATUS OF THE COMMUNITY. COMMUNITY INPUT WAS PROVIDED THROUGH PROVIDER AND COMMUNITY INTERVIEWS, TARGETED FOCUS GROUPS AND A COMMUNITY HEALTH SURVEY IN PARTNERSHIP WITH THE LOUSIVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS. HEALTH NEEDS WERE PRIORITIZED AND ADDRESSED BASED ON HEALTH STATUS FINDINGS AND THE COMMUNITY INPUT. THE CHNA IS A COMPONENT OF THE ORGANIZATIONS STRATEGIC PLANNING PROCESS AS RESOURCES ARE NECESSARY TO IMPLEMENT STRATEGIES OUTLINED FOR PRIORITIES IDENTIFIED. THE NHC BOARD OF TRUSTEES AS WELL AS THE LEADERSHIP OF NHC AND HOSPITAL CHIEF ADMINSTRATIVE OFFICERS HAVE APPROVED THE ASSESSMENT AND IMPLEMENTATION PLAN.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Signage is posted in all Norton Healthcare, Inc. (NHC) hospital facilities, including the admission area and emergency room, providing information on the ability to apply for financial assistance and to seek help in paying your bill. The signage is translated in five languages and all languages are contained on the same poster. The languages are: English, Spanish, Vietnamese, Croatian, and Arabic. At the time of registration, the Patient Access/Registration department discusses with the patient the financial assistance/charity options, guidelines, and provides assistance as needed in filling out a financial assistance application and answering questions. The patient may also be referred to the NHC eligibility vendor for assistance at no cost to the patient/guarantor. Additional questions from the patient/guarantor can be facilitated through the NHC Single Billing Office (SBO) area, Customer Service, and NHC vendors. NHC has created a number of different options for the patient/guarantor to supply the information/application for financial assistance to NHC. Those various methods of delivery include: in person, by mail, by fax, on-line application submission via the website, and by specific email address. These various options are publicized and made known to the patient. In 2019 statements mailed to the guarantors by Norton Hospitals, Inc. (NHI) contained information to start the financial assistance application process. NHI employs an outside eligibility vendor, Medassist Firstsource. All self-pay accounts for the facilities are placed for eligibility screening with Medassist Firstsource. They screen for NHC financial assistance, Medicaid, Medicaid Managed Care organizations, presumptive eligibility, and Disproportionate Share Hospital/Kentucky Children's Health Insurance Program (DSH/KCHIP). In addition, they may provide education and referral assistance to the appropriate county/state departments for food stamps, rent assistance, heating assistance, etc. The process of completing the application is often performed by Medassist Firstsource. They protect filing deadlines by submitting the appropriate forms to the state/county. They follow up to secure proof of income documents for Norton financial assistance and follow up with a state caseworker as needed. Medassist Firstsource also makes outside field calls or home visits to the patients to secure the needed information for eligibility assistance if the patient is homebound. Additionally, Medassist Firstsource may provide assistance with patient transportation needs so that the patient can make their scheduled appointments with their caseworker. All of the services provided by Medassist Firstsource eligibility are at no cost to the patient. Cost to the hospitals for these eligibility and enrollment services was in excess of $4,700,000 in 2019. NHI has a staff of over 11 full-time employees including a supervisor that are dedicated to performing the following functions: processing, reviewing, and approving the hundreds of financial assistance applications received each week. Additionally, some of those employees make out-bound calls to solicit financial assistance information needed to process the patient's application. Financial assistance for Norton financial assistance is not limited to the self-pay population. Even patients with insurance coverage are encouraged to apply for assistance so their deductible, co-payments, and co-insurance amounts are covered under the various assistance programs. Financial counselors/social workers at the facilities are educated and trained to assist with counseling patients to determine and explain our financial assistance programs. They continue to receive on-going education throughout the entire year regarding eligibility changes and additions for Norton financial assistance, DSH/KCHIP, Medicaid, Medicaid Managed Care organization, presumptive eligibility, etc. As the foundation office receives inquires directed to their offices, they refer these individuals to Patient Financial Services (PFS) to screen for possible Norton financial assistance or The Children's Hospital Foundation, Inc. (CHF) funding. If a child's account does not qualify for Norton financial assistance, then those not qualifying for children's applications are referred to management of PFS for consideration for special funding through CHF as well as other programs. The charity application is provided on the back of the SBO statement. NHI ensures that all patients are made aware of financial assistance regardless of where the patient's account may be in the collection cycle. Even if the patient/guarantor had not previously availed themselves of the opportunity to apply for financial assistance and decided they will now cooperate, then allowed the patient/guarantor to apply and approved if they meet the qualifications. Financial assistance notifications and applications are made available to the patient/guarantor via telephone, face to face meetings, website, mail, electronically, etc. Primary collection agencies chosen by NHI include with their initial placement letter an insert of a copy of a financial assistance application for the guarantor to complete. Calls resulting from notification correspondence sent by the collection agencies may be routed to Spanish-speaking Customer Service representatives or patient/guarantors may also request an interpreter service to assist in facilitating information regarding financial assistance. NHI has translated the full financial assistance policy, financial assistance applications, and the plain language summary into four languages: Spanish, Vietnamese, Croatian, and Arabic. NHI's Customer Service department routinely instructs and screens patients in the protocol regarding financial assistance through the Norton financial assistance program. Since 2007, NHI has offered at the time of final billing all true hospital self-pay patients a significant discount off of the total charges that were reflected on their monthly statements and the amount due. Contracted collection agencies are required to solicit financial assistance applications when the patient/guarantor indicates "cannot pay". The statement provided by NHI in 2019 included the link to the NHC website to allow the patient/guarantor to learn more about financial assistance. The statement contains the financial assistance application on the back of the statement so the guarantor can apply using the actual NHI statement and then mail, fax, bring the application directly to the facilities, or email the form to PFS. The statement includes a phone number to call to learn more about the application process and discuss financial assistance options.
Schedule H, Part VI, Line 4 Community information	PRIMARY SERVICE AREA NORTON HOSPITALS INC.'S (NHI) PRIMARY SERVICE AREA POPULATION IS OVER 1.5 MILLION AND EXPECTED TO INCREASE 2% BETWEEN 2020 AND 2025. IN 2016, THE PRIMARY SERVICE AREA INCREASED FROM A 7 COUNTY AREA TO AN AREA INCLUSIVE OF 16 COUNTIES, 5 OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY, 4 BORDER THE RIVER IN INDIANA, AND INCLUDES 5 ADDITIONAL KENTUCKY COUNTIES AND 2 ADDITIONAL INDIANA COUNTIES THAT DO NOT BORDER THE OHIO RIVER. 94% OF NHI'S PATIENTS ARE DERIVED FROM THIS SERVICE AREA. APPROXIMATELY 30% OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 29% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2020 WAS ESTIMATED AT 343,240 AND IS EXPECTED TO INCREASE TO 344,292 WITHIN 5 YEARS AND REPRESENTS 22% OF THE POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 611,225 IN 2020 AND IS EXPECTED TO INCREASE 2.7% BY 2025. CURRENTLY 10% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 18.3% OF THE HOUSEHOLD INCOME IS LESS THAN $25,000 A YEAR; THE AVERAGE HOUSEHOLD INCOME IS $84,576 COMPARED TO $93,707 FOR THE UNITED STATES. NHI TREATS 43% OF THE ADULT INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 50% MEDICARE, 25% MEDICAID/PASSPORT AND 2% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS MAY 2020 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 11.9% COMPARED TO 11% FOR KENTUCKY AND 13% FOR THE UNITED STATES. SECONDARY SERVICE AREA NHI's SECONDARY SERVICE AREA DECREASED FROM 26 COUNTIES TO 17 COUNTIES IN 2016 AS MANY COUNTIES ARE NOW INCLUDED IN THE PRIMARY SERVICE AREA. NHI's SECONDARY SERVICE AREA POPULATION WAS 431,086 IN 2020 AND IS EXPECTED TO INCREASE 3% BETWEEN 2020 AND 2025. THE SECONDARY SERVICE AREA SPREADS ACROSS 15 KENTUCKY COUNTIES AND 2 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 30.1% OF THE SECONDARY SERVICE AREA POPULATION AND IS SLIGHTLY HIGHER THAN IN THE UNITED STATES. THE PEDIATRIC POPULATION IN 2020 WAS ESTIMATED AT 97,895 AND EXPECTED TO INCREASE TO 99,069 BY 2025. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO REMAIN RELATIVELY FLAT (1% GROWTH), THERE IS A NEED FOR CHILDREN TO HAVE APPROPRIATE ACCESS TO CARE IN THE RURAL AREAS OF KENTUCKY. THE NUMBER OF HOUSEHOLDS IN THE SECONDARY SERVICE AREA WAS ESTIMATED AT 169,782 IN 2020 AND IS EXPECTED TO INCREASE 3.1% BY 2025. OVER 47,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE HOUSEHOLD INCOME IS UNDER $25,000 FOR 25.7% OF THE POPULATION. THE AVERAGE HOUSEHOLD INCOME IS $65,562, 12% LESS THAN KENTUCKY AND 22% LESS THAN THE PRIMARY SERVICE AREA AVERAGE HOUSEHOLD INCOME.
Schedule H, Part VI, Line 6 Affiliated health care system	Norton Healthcare, Inc. (the controlling company) and its affiliates, including Norton Hospitals, Inc., Norton Properties, Inc., Community Medical Associates, Inc., The Children's Hospital Foundation, Inc., Norton Healthcare Foundation, Inc., and Norton Enterprises, Inc. operate in the Louisville, Kentucky metropolitan area and the operations of the affiliated healthcare system include 1,837 licensed beds, over 250 physician practice locations, and 16 Norton Immediate Care Center locations, and other ancillary health care services.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Russell F Cox
President & CEO/Trustee	$0	$1,241,302	$0	$626,112	$0	$480,960	$0	$160,027	$0	$30,779	$0	$2,539,179	$0	$0
Stephen Williams
Former CEO	$0	$0	$0	$0	$0	$593,451	$0	$0	$0	$23,710	$0	$617,161	$0	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$0	$483,956	$0	$212,683	$0	$111,085	$0	$113,661	$0	$13,502	$0	$934,889	$0	$64,572
Michael W Gough
Exec VP and COO	$0	$841,376	$0	$387,193	$0	$1,334,771	$0	$107,654	$0	$28,651	$0	$2,699,645	$0	$1,110,136
Adam Kempf
Sr VP, CFO/Treasurer	$0	$514,491	$0	$175,229	$0	$81,877	$0	$117,543	$0	$27,503	$0	$916,643	$0	$44,472
Mary Gruebbel
Former, VP Patient Care Svc/CNO	$0	$0	$0	$0	$185,183	$0	$4,236	$0	$241	$0	$189,661	$0	$22,116	$0
Thomas Kmetz
Former Division President Women and Children Services	$0	$0	$0	$0	$599,625	$0	$99,427	$0	$19,959	$0	$719,010	$0	$595,173	$0
Matthew Ayers
Hospital CAO	$322,524	$0	$108,163	$0	$51,292	$0	$65,044	$0	$23,766	$0	$570,791	$0	$38,108	$0
Jon Cooper
Hospital CAO	$284,836	$0	$98,237	$0	$68,892	$0	$60,939	$0	$24,044	$0	$536,948	$0	$35,736	$0
Joseph Flynn DO
CAO NMG - Physician -in-Chief NCI	$590,595	$0	$186,795	$0	$87,192	$0	$109,844	$0	$29,040	$0	$1,003,466	$0	$66,040	$0
Charlotte Ipsan
Hospital CAO	$300,304	$0	$104,900	$0	$79,845	$0	$73,829	$0	$24,149	$0	$583,028	$0	$36,664	$0
Andrew Strausbaugh
Hospital CAO	$296,099	$0	$92,991	$0	$45,645	$0	$57,996	$0	$26,315	$0	$519,046	$0	$0	$0
Yong Cha MD
Physician	$641,204	$0	$593,672	$0	$22,163	$0	$13,440	$0	$47,416	$0	$1,317,895	$0	$0	$0
Mark Cornett MD
Physician	$640,988	$0	$318,762	$0	$30,172	$0	$16,650	$0	$37,671	$0	$1,044,243	$0	$0	$0
Shawn Glisson MD
Physician	$912,961	$0	$156,858	$0	$4,059	$0	$12,919	$0	$37,767	$0	$1,124,564	$0	$0	$0
Michael Hahl MD
Physician	$602,257	$0	$426,021	$0	$274,194	$0	$16,111	$0	$38,064	$0	$1,356,647	$0	$0	$0
Aaron Spalding MD
Physician	$641,882	$0	$476,668	$0	$124,127	$0	$16,330	$0	$46,625	$0	$1,305,632	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, INC. (NHC) EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NHC PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NHC DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2019: Matthew Ayers - $10,000 Thomas Kmetz - $17,500 Charlotte Ipsan - $10,000 Jon Cooper - $10,000 Joseph Flynn - $10,000 Andrew Strausbaugh - $10,000
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	NORTON HEALTHCARE INC (NHC) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR NORTON HOSPITALS, INC. AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF NHC; AN INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT AGREEMENTS; THIRD PARTY COMPENSATION SURVEYS AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. SEE NARRATIVE IN SCHEDULE O, REFERENCING PART VI, LINE 15 WHICH FURTHER DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2019 by key employee: Thomas Kmetz in the amount of $525,705 other compensation included in Schedule J column B(iii) and former Key Employee: Mary Gruebbel in the amount of $108,258 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" OULINED 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 Matthew Ayers - $49,277 Jon Cooper - $44,979 Charlotte Ipsan - $51,717 Thomas Kmetz - $82,549 Joseph Flynn - $95,844 Andrew Strausbaugh - $42,545 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 Matthew Ayers - $36,520 Jon Cooper - $35,556 Charlotte Ipsan - $36,390 Thomas Kmetz - $69,436 Joseph Flynn - $67,452 Andrew Strausbaugh - $31,438 Mary Gruebbel - $76,925 Michael Hahl - $253,400
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JASON NACAZEL
FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE	$85,608	COMPENSATION	false
BARBARA KMETZ
FAMILY MEMBER OF THOMAS KMETZ, KEY EMPLOYEE	$89,903	COMPENSATION	false
SARAH A ROBINSON
FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE	$59,964	COMPENSATION	false
Lorraine Bouvette
Family member of Marie Bouvette, Trustee	$72,915	COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES	NORTON HEALTHCARE, INC. (NHC) EIN 61-102875 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC ON BEHALF OF NHI. NHI HAS APPROXIMATELY 11,793 EMPLOYEES.
Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NHC ON BEHALF OF NHI. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2019 BY NHC FOR NHI, WAS APPROXIMATELY 232. NHI HAS 154 INDEPENDENT CONTRACTORS EXCEEDING $100,000 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 OF FIRE THE CHIEF EXECUTIVE OFFICER; AND F) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS.
Form 990, Part VI, Line 6 Classes of members or stockholders	Norton Healthcare, Inc. EIN 61-1028725 is the sole member of Norton Hospitals, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The Board of Trustees of Norton Healthcare, Inc. appoints the trustees of the organization.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	According to the Articles of Incorporation of the organization, Norton Healthcare, Inc. (NHC) the sole member, possesses all of the rights granted to a member pursuant to law, including the right to elect trustees or directors and approve amendments to the Articles of Incorporation of the organization. NHC also possesses the right to require the organization to (I) provide contributions of funds of the organization to pay all to a portion of the principle of , interest on, and all other payments to become due and owing with respect to any and all indebtedness incurred by NHC, and (II) provide security for such indebtedness.
Form 990, Part VI, Line 11b Review of form 990 by governing body	AT THE October 1, 2020 NORTON HEALTHCARE, INC. (NHC) FINANCE COMMITTEE MEETING AND AT THE OCTOBER 8, 2020 NHC BOARD OF TRUSTEES MEETING, THE 990S WERE DISCUSSED AND COMMITTEE MEMBERS AND TRUSTEES HAD AN OPPORTUNITY TO ASK QUESTIONS. COINCIDING WITH THE FINANCE COMMITTEE MEETING, ELECTRONIC COPIES OF THE 990S WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND BOARD OF TRUSTEES THROUGH THE DIRECTORS PORTAL SITE, PRIOR TO THE FILING WITH THE IRS. NHC IS THE PARENT OF COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC., 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 INTERST 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 ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/ , GOVERNING DOCUMENTS, AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a, Column (E) Board Member Stipend Payments	Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and 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	Outside Lab Service - Total Revenue: 72133, Related or Exempt Function Revenue: 72133, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -284191;

Schedule R IRS990ScheduleR

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 HEALTHCARE INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611028725	PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES	KY	501(c)(3)	Type II	NA	false
COMMUNITY MEDICAL ASSOCIATES INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611276316	OPERATES A NETWORK OF PHYSICIAN PRACTICES	KY	501(c)(3)	10	NORTON HEALTHCARE INC	false
NORTON PROPERTIES INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611028724	MAINTAIN OFFICE AND PARKING FACILITIES	KY	501(c)(3)	Type I	NORTON HEALTHCARE INC	false
THE CHILDREN'S HOSPITAL FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	616027530	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NORTON HEALTHCARE INC	false
NORTON HEALTHCARE FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	310914919	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NORTON HEALTHCAREINC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	611054301	EIN
Primary Activities	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
Controlled Organization	false	ControlledOrganizationInd

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