2020-11-06T15:02:16-06:00 2019-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2019-01-01 610703799 Norton Hospitals Inc NORT 5026298263 Accounting 224 E Broadway 5th Floor Louisville KY 40202 Adam Kempf CFO 2020-11-06 true Kim Scifres P01316095 5023263996 2019 2021-01-29 14:40:06Z RUSSELL F COX 4967 US Highway 42 Suite 100 Louisville KY 40222 2065305685 false X www.nortonhealthcare.com X 1969 KY 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. 23 22 11793 1740 6946411 252831 12610334 10439382 2006718274 2051207997 0 4170365 2686374 2023498973 2064333753 0 0 629536586 666284004 0 0 1139850798 1147632663 1769387384 1813916667 254111589 250417086 2551346959 2777133873 156881955 132535974 2394465004 2644597899 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. false false 1766195605 2045367374 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. 1766195605 true true false true false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true X 232 0 true 11793 true true true false false false false false false false false false false false X 23 22 false false false false true true true true true false false true true true true true true true true true false X X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5th Fl Louisville KY 40202 Russell F Cox President & CEO/Trustee 10.0 40.0 X X 0 2348374 190805 Barry Pennybaker Trustee 1.0 2.5 X 0 3200 0 Brendan Canavan Trustee 1.0 2.5 X 0 1600 0 Craig D Grant Trustee 1.0 4.5 X 0 1600 0 Donald H Robinson Trustee 1.0 6.5 X 0 0 0 Edie Nixon Vice Chair 1.0 7.5 X 0 3200 0 Erwin Roberts Trustee 1.0 2.5 X 0 1600 0 G Hunt Rounsavall Sr Trustee 1.0 5.5 X 0 1600 0 Gail Lyttle Trustee 1.0 2.5 X 0 1600 0 Gary L Stewart Chair 1.0 12.5 X 0 1600 0 Gregory E Mayes Trustee 1.0 6.5 X 0 1600 0 James L Sublett MD Trustee 1.0 2.5 X 0 3200 0 Lee K Garlove Trustee 1.0 3.5 X 0 1600 0 Maria Gerwing Hampton Trustee (partial year) 1.0 4.5 X 0 3200 0 Maria L Bouvette Trustee 1.0 2.5 X 0 1600 0 Marshall Farrer Trustee 1.0 2.5 X 0 0 0 Martha K Heyburn MD Trustee 1.0 2.5 X 0 3200 0 Rev William J Schultz Trustee 1.0 4.5 X 0 1600 0 Richard R Ivey Trustee 1.0 2.5 X 0 1600 0 Richard S Wolf MD Chair Emeritus 1.0 2.5 X 0 1600 0 Rick Guillaume Chair Emeritus 1.0 3.5 X 0 3200 0 Rita Hudson Shourds EdD Trustee 1.0 2.5 X 0 0 0 Ronald Lehocky MD Trustee 1.0 4.5 X 0 3200 0 Sue Davis EdD RN Trustee 1.0 2.5 X 0 1600 0 Adam Kempf Sr VP, CFO/Treasurer 10.0 40.0 X 0 771597 145046 Michael W Gough Exec VP and COO 10.0 40.0 X 0 2563340 136304 Robert B Azar Sr VP Chief Legal Officer/Secretary 10.0 40.0 X 0 807725 127164 Andrew Strausbaugh Hospital CAO 50.0 0 X 434735 0 84311 Charlotte Ipsan Hospital CAO 50.0 0 X 485050 0 97978 Jon Cooper Hospital CAO 50.0 0 X 451965 0 84983 Joseph Flynn DO CAO NMG - Physician -in-Chief NCI 50.0 0 X 864582 0 138884 Matthew Ayers Hospital CAO 50.0 0 X 481980 0 88811 Aaron Spalding MD Physician 50.0 0 X 1242677 0 62955 Mark Cornett MD Physician 50.0 0 X 989922 0 54321 Michael Hahl MD Physician 50.0 0 X 1302472 0 54175 Shawn Glisson MD Physician 50.0 0 X 1073877 0 50687 Yong Cha MD Physician 50.0 0 X 1257039 0 60856 Mary Gruebbel Former, VP Patient Care Svc/CNO 0.0 0 X 185183 0 4477 Stephen Williams Former CEO 0.0 0.0 X 0 593451 23710 Thomas Kmetz Former Division President Women and Children Services 0.0 0.0 X 599625 0 119385 9369107 7127687 1524854 449 true true false Messer Construction Co 11001 Plantside Dr LOUISVILLE KY 40299 Construction 71507109 University of Louisville 323 E Chestnut St Suite 312 Louisville KY 40202 Residency Program 11949704 Harshaw Trane Service 12700 Plantside Dr Louisville KY 40299 Equipment and Repair 7532036 Northstar Anesthesia of KY II PLLC 6225 N State Hwy 161 Suite 200 Irving TX 75038 Anesthesia Services 6822445 Abel Construction Co Inc 2401 Stanley Gault Parkway Louisville KY 40223 Construction 6700445 154 10439382 10439382 Net Patient Revenue 621110 2049774662 2042999181 6775481 Healthcare Education 611710 1433335 1433335 0 0 0 0 2051207997 1084135 971932 112203 0 112203 112203 0 0 Purchasing Co-Op Inc. 561499 1015287 844357 170930 Parking Income 812930 1468383 1468383 Retail Rx Sales 900099 18368 18368 72133 72133 0 0 2574171 2064333753 2045367374 6946411 1580586 2255292 2255292 308390 308390 532788092 532788092 28941495 28941495 65302444 65302444 36688291 36688291 156503968 156503968 0 0 8340968 8340968 22233642 22233642 909924 909924 39970611 39970611 71206147 71206147 12710613 12710613 Medical Supplies 525673255 525673255 Allocated Support 268095853 220374791 47721062 Provider Tax 20129732 20129732 Repairs & Maintenance 16411920 16411920 5446030 5446030 0 0 1813916667 1766195605 47721062 0 8900 9000 210952565 226547434 0 0 0 0 54383711 56299747 2422181 2403879 1858929799 1022561504 750527375 836368295 0 3072542 2545313 7445984 8986720 1522533701 1643973485 2551346959 2777133873 101720807 100299005 0 0 55161148 32236969 156881955 132535974 X 2383303240 2634171147 11161764 10426752 2394465004 2644597899 2551346959 2777133873 X 250417086 -284191 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 73410 73410 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 18881092 2971598 3518035 959711 24411014 20691046 127680 -1053047 884587 18881092 18843030 30621 2617227 799832 20691046 18722595 31092 987970 898627 18843030 20430388 -86737 -772654 848402 18722595 0.0 0.8944 0.1056 false true true 25560360 25560360 922302862 418022095 504280767 718774295 596204895 122569400 192292282 8334514 183957768 836368295 RECEIVABLE FROM AFFILIATE 1643533485 MISCELLANEOUS RECEIVABLES 440000 1643973485 DUE TO THIRD PARTY PAYORS 23899812 PHYSICIAN GUARANTEE LIABILITY ASSET RETIREMENT OBLIGATION 8337157 32236969 Schedule D, Part V, Line 4 Intended uses of endowment funds 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. true true X true X 300 false true true true false true true 14581160 822619 13758541 0.0076 436661770 370732951 65928819 0.0363 649909 0 649909 0.0004 0 0 451892839 371555570 80337269 0.0443 12489868 2324321 10165547 0.0056 62107640 7408160 54699480 0.0302 0 0 0 0.0 2644082 0 2644082 0.0015 6840370 0 6840370 0.0038 0 0 84081960 9732481 74349479 0.0410 0 0 535974799 381288051 154686748 0.0853 0 0.0 0 0.0 1127812 1500 1126312 0.0006 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 1127812 1500 1126312 0.0006 true 0 1875643 403992585 412025378 -8032793 X true true 5 1 Norton Hospital 200 E Chestnut St Louisville KY 40202 https://nortonhealthcare.com/location/hospitals/norton-hospital/ 100234 X X X X A 2 Norton Children's Hospital 231 E Chestnut St Louisville KY 40202 http://www.nortonchildrens.com/ 100234 X X X X X A 3 Norton Women's and Children's Hospital 4001 Dutchmans Lane Louisville KY 40207 https://nortonhealthcare.com/location/hospitals/norton-womens-and-childrens-hospital/ 100255 X X X X A 4 Norton Audubon Hospital One Audubon Plaza Drive Louisville KY 40217 https://nortonhealthcare.com/location/hospitals/norton-audubon-hospital/ 100252 X X X X A 5 Norton Brownsboro Hospital 4950 Norton Healthcare Blvd Louisville KY 40241 https://nortonhealthcare.com/location/hospitals/norton-brownsboro-hospital/ 100475 X X X A A false false true X X X X X X X X X 19 true true true true X https://nortonhealthcare.com/about-us/community-health-needs-assessment/ X true 19 true https://nortonhealthcare.com/about-us/community-health-needs-assessment/ false true X 300.0 X X X X X true true X X X true X www.nortonhealthcare.com/fap X www.nortonhealthcare.com/fap X www.nortonhealthcare.com/fap X X X X X X X true X false X X X X true X false false 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. 0 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. X true true true true false false false false true false Russell F Cox President & CEO/Trustee 0 1241302 0 626112 0 480960 0 160027 0 30779 0 2539179 0 0 Stephen Williams Former CEO 0 0 0 0 0 593451 0 0 0 23710 0 617161 0 0 Robert B Azar Sr VP Chief Legal Officer/Secretary 0 483956 0 212683 0 111085 0 113661 0 13502 0 934889 0 64572 Michael W Gough Exec VP and COO 0 841376 0 387193 0 1334771 0 107654 0 28651 0 2699645 0 1110136 Adam Kempf Sr VP, CFO/Treasurer 0 514491 0 175229 0 81877 0 117543 0 27503 0 916643 0 44472 Mary Gruebbel Former, VP Patient Care Svc/CNO 0 0 0 0 185183 0 4236 0 241 0 189661 0 22116 0 Thomas Kmetz Former Division President Women and Children Services 0 0 0 0 599625 0 99427 0 19959 0 719010 0 595173 0 Matthew Ayers Hospital CAO 322524 0 108163 0 51292 0 65044 0 23766 0 570791 0 38108 0 Jon Cooper Hospital CAO 284836 0 98237 0 68892 0 60939 0 24044 0 536948 0 35736 0 Joseph Flynn DO CAO NMG - Physician -in-Chief NCI 590595 0 186795 0 87192 0 109844 0 29040 0 1003466 0 66040 0 Charlotte Ipsan Hospital CAO 300304 0 104900 0 79845 0 73829 0 24149 0 583028 0 36664 0 Andrew Strausbaugh Hospital CAO 296099 0 92991 0 45645 0 57996 0 26315 0 519046 0 0 0 Yong Cha MD Physician 641204 0 593672 0 22163 0 13440 0 47416 0 1317895 0 0 0 Mark Cornett MD Physician 640988 0 318762 0 30172 0 16650 0 37671 0 1044243 0 0 0 Shawn Glisson MD Physician 912961 0 156858 0 4059 0 12919 0 37767 0 1124564 0 0 0 Michael Hahl MD Physician 602257 0 426021 0 274194 0 16111 0 38064 0 1356647 0 0 0 Aaron Spalding MD Physician 641882 0 476668 0 124127 0 16330 0 46625 0 1305632 0 0 0 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. JASON NACAZEL FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE 85608 COMPENSATION false BARBARA KMETZ FAMILY MEMBER OF THOMAS KMETZ, KEY EMPLOYEE 89903 COMPENSATION false SARAH A ROBINSON FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE 59964 COMPENSATION false Lorraine Bouvette Family member of Marie Bouvette, Trustee 72915 COMPENSATION false 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; 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 NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 402022025 611054301 PROVIDE NURSING AND PATHOLOGY SERVICES KY NA C Corporation false false false true false false false false false false false true false false false true false false true true