NORTON HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201903169349305030
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T15:00:51-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611028725	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Adam Kempf	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2019-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	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	$570,840,343	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	2743	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$308,388	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$969,493	PYContributionsGrantsAmt
CY Contributions Grants	$964,807	CYContributionsGrantsAmt
PY Program Service Revenue	$165,953,019	PYProgramServiceRevenueAmt
CY Program Service Revenue	$321,907,901	CYProgramServiceRevenueAmt
PY Investment Income	$43,310,438	PYInvestmentIncomeAmt
CY Investment Income	$63,201,899	CYInvestmentIncomeAmt
PY Other Revenue	$2,451,000	PYOtherRevenueAmt
CY Other Revenue	$3,350,141	CYOtherRevenueAmt
PY Total Revenue	$212,683,950	PYTotalRevenueAmt
CY Total Revenue	$389,424,748	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,910,387	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,312,212	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$150,900,280	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$179,647,109	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$128,568,411	PYOtherExpensesAmt
CY Other Expenses	$152,411,384	CYOtherExpensesAmt
PY Total Expenses	$281,379,078	PYTotalExpensesAmt
CY Total Expenses	$335,370,705	CYTotalExpensesAmt
PY Revenues Less Expenses	-$68,695,128	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$54,054,043	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,798,724,698	TotalAssetsBOYAmt
Total Assets EOY	$1,830,303,653	TotalAssetsEOYAmt
Total Liabilities BOY	$2,211,956,402	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,296,959,083	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$413,231,704	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$466,655,430	NetAssetsOrFundBalancesEOYAmt
Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$259,967,135	ExpenseAmt
Grant	$3,312,212	GrantAmt
Revenue	$361,665,400	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHC) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2018 NHC, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 LICENSED BEDS: NORTON HOSPITAL (Norton) - 605 BEDS; NORTON CHILDREN'S HOSPITAL (NCH)- 300 BEDS; NORTON AUDUBON HOSPITAL (Audubon) - 432 BEDS; NORTON WOMEN'S AND CHILDREN'S HOSPITAL (NWCH)- 373 BEDS; AND NORTON BROWNSBORO HOSPITAL(NBH) - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$259,967,135	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	531	IRPDocumentCnt
IRP Document W2 G	3	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2743	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Russell F Cox
President & CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$2,023,748	$0	$139,421
Gary L Stewart
Chair	10.0	3.5	Yes (X)		$1,600	$0	$0
Edie Nixon
Vice Chair	6.0	2.5	Yes (X)		$0	$0	$0
Maria L Bouvette
Trustee (partial year)	1.0	2.5	Yes (X)		$1,600	$0	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Sue Davis EdD RN
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Marshall Farrer
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$3,200	$0	$0
Maria Gerwing Hampton
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Craig D Grant
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Rick Guillaume
Chair Emeritus	2.0	2.5	Yes (X)		$0	$0	$0
Martha K Heyburn MD
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Rita Hudson Shourds EdD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Richard R Ivey
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Ronald Lehocky MD
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Gregory E Mayes
Trustee	5.0	2.5	Yes (X)		$1,600	$0	$0
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Erwin Roberts
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Donald H Robinson
Trustee	5.0	2.5	Yes (X)		$0	$0	$0
G Hunt Rounsavall Jr
Trustee	4.0	3.5	Yes (X)		$1,600	$0	$0
Rev William J Schultz
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Richard S Wolf MD
Chair Emeritus	1.0	2.5	Yes (X)		$1,600	$0	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$1,953,813	$0	$127,178
Michael W Gough
Exec VP and COO	30.0	20.0		Yes (X)	$1,331,576	$0	$214,821
Adam Kempf
Sr VP, CFO/Treasurer	30.0	20.0		Yes (X)	$587,990	$0	$116,583
Steven Hester MD
Div President Provider Ops & Sys CMO	50.0	0			$1,000,203	$0	$194,986	Yes (X)
Douglas Winkelhake
Division President	50.0	0			$930,066	$0	$183,729	Yes (X)
Tracy Williams
Sr VP & CNO	50.0	0			$685,784	$0	$50,971	Yes (X)
Steve Ready
Sys VP CIO	50.0	0			$685,520	$0	$136,948	Yes (X)
Scott Watkins
Sr VP Operations	50.0	0			$664,617	$0	$140,329	Yes (X)
James Frazier MD
VP Medical Affairs	50.0	0			$588,841	$0	$106,956	Yes (X)
Steven Heilman MD
Sys VP Ancillary Serv & CMIO	50.0	0			$581,714	$0	$100,813	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$515,996	$0	$99,109	Yes (X)
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$489,816	$0	$40,327	Yes (X)
Kathleen Exline
VP Perf Excel & Care Continium	50.0	0			$431,107	$0	$82,304	Yes (X)
Jim Meyers
Sys VP Revenue Cycle	50.0	0			$403,166	$0	$84,311	Yes (X)
Mary Lynn Meyer
Sr VP CDO	30.0	20.0			$211,547	$380,303	$104,537	Yes (X)
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	50.0	0			$470,098	$0	$83,909		Yes (X)
Shelly Gast
Sys VP Mngd Care & Payor Strategy	50.0	0			$391,328	$0	$72,398		Yes (X)
Stephen Wyatt MD
Chief Research Executive	50.0	0			$384,995	$0	$23,219		Yes (X)
Kimberly Tharp-Barrie
Sys VP Nursing Inst/Outreach	50.0	0			$382,858	$0	$64,821		Yes (X)
Alfonso Cornish
Sys VP Learning & Org Dev	50.0	0			$382,797	$0	$319,815		Yes (X)
Charles Bohn
Former SYS VP Chief HR Officer		0			$630,718	$0	$101,696			Yes (X)
Michael Esposito
Former Sys VP Chief Network Development Officer		0			$299,283	$0	$14			Yes (X)
Thomas Johnson
Former Sys VP PR-Chief Communication Officer	0.0	0			$172,668	$0	$34,249			Yes (X)
Kenneth Wilson MD
SYS VP Clinical Effectiveness	0.0	40.0			$0	$485,386	$43,693			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$16,219,449	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$865,689	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,667,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	264	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
Firstsource Solutions USA LLC
1661 Lyndon Farm Ct	Louisville	KY	40223	Professional Services	$9,392,492
Huron Consulting Services LLC
3005 Momentum Place	Chicago	IL	606895330	Professional Services	$4,391,692
Epic Systems Corporation
P O Box 88314	Milwaukee	WI	532880314	Software Maintenace and Support	$4,381,176
Brooksource
PO Box 55767	Indianapolis	IN	46205	Professional Services	$3,310,220
The CSI Companies Inc
PO Box 890841	Charlotte	NC	282890841	Professional Services	$2,517,605

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	130	CntrctRcvdGreaterThan100KCnt
Related Organizations	$964,807	RelatedOrganizationsAmt
Total Contributions	$964,807	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$314,285,535	$314,285,535
Clinical Research Trials	900099	$7,365,354	$7,365,354
Education Programs	900099	$257,012	$257,012

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	$321,907,901	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,469,177	TotalRevenueColumnAmt
Exclusion	$25,469,177	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,325,364	TotalRevenueColumnAmt
Exclusion	$1,325,364	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$100,000	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$100,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$100,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$100,000	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$217,822,953	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$181,415,595	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,407,358	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,407,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,407,358	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Credit Card Rebate	900099	$883,108	$883,108
Employee Emergency Fund	900099	$195,587	$195,587
Miscellaneous Income	900099	$2,171,446	$2,171,446

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$3,250,141	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$389,424,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$361,665,400	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$26,794,541	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,163,775	TotalAmt
Program Services	$3,163,775	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$148,437	TotalAmt
Program Services	$148,437	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,160,113	TotalAmt
Program Services	$7,029,325	ProgramServicesAmt
Management And General	$6,130,788	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$40,514	TotalAmt
Program Services	$40,514	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$133,590,174	TotalAmt
Program Services	$116,525,892	ProgramServicesAmt
Management And General	$17,064,282	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,060,238	TotalAmt
Program Services	$5,510,126	ProgramServicesAmt
Management And General	$550,112	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,046,103	TotalAmt
Program Services	$14,106,495	ProgramServicesAmt
Management And General	$1,939,608	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,749,967	TotalAmt
Program Services	$9,245,490	ProgramServicesAmt
Management And General	$1,504,477	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,106,845	TotalAmt
Program Services	$3,451,492	ProgramServicesAmt
Management And General	$655,353	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$631,000	TotalAmt
Program Services	$252,400	ProgramServicesAmt
Management And General	$378,600	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$130,250	TotalAmt
Program Services	$52,100	ProgramServicesAmt
Management And General	$78,150	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,240,456	TotalAmt
Management And General	$4,240,456	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,497,833	TotalAmt
Program Services	$46,507,747	ProgramServicesAmt
Management And General	$16,990,086	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,263,495	TotalAmt
Program Services	$1,775,718	ProgramServicesAmt
Management And General	$487,777	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,853,725	TotalAmt
Program Services	$7,897,722	ProgramServicesAmt
Management And General	$1,956,003	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,406,689	TotalAmt
Program Services	$1,119,620	ProgramServicesAmt
Management And General	$287,069	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$37,373,973	TotalAmt
Management And General	$37,373,973	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,554,154	TotalAmt
Program Services	$59,377	ProgramServicesAmt
Management And General	$19,494,777	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,843,455	TotalAmt
Program Services	$20,367,400	ProgramServicesAmt
Management And General	$3,476,055	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$44,363,310	$40,002,782	$4,360,528
Recruitment	$678,286	$579,810	$98,476
Interest allocation	-$38,786,075		-$38,786,075
Insurance allocation	-$22,151,295	-$18,917,206	-$3,234,089

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,405,283	TotalAmt
Program Services	$1,048,119	ProgramServicesAmt
Management And General	$357,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,370,705	TotalAmt
Program Services	$259,967,135	ProgramServicesAmt
Management And General	$75,403,570	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$24,004,507	BOYAmt
EOY	-$14,208,413	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$145,766,990	BOYAmt
EOY	$208,661,448	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,518,320	BOYAmt
EOY	$9,592,183	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,139	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$794,161	BOYAmt
EOY	$848,618	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,525,657	BOYAmt
EOY	$43,190,144	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$464,901,252	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$375,594,745	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$93,447,595	BOYAmt
EOY	$89,306,507	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,114,100,833	BOYAmt
EOY	$1,017,378,856	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$396,299,336	BOYAmt
EOY	$423,869,660	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,276,313	BOYAmt
EOY	$51,642,511	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,798,724,698	BOYAmt
EOY	$1,830,303,653	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$200,275,705	BOYAmt
EOY	$160,544,958	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,030,521	BOYAmt
EOY	$1,188,803	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,095,766,975	BOYAmt
EOY	$1,065,947,166	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$914,883,201	BOYAmt
EOY	$1,069,278,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,211,956,402	BOYAmt
EOY	$2,296,959,083	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$413,518,983	BOYAmt
EOY	-$466,910,591	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,279	BOYAmt
EOY	$255,161	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$413,231,704	BOYAmt
EOY	-$466,655,430	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,798,724,698	BOYAmt
EOY	$1,830,303,653	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$54,054,043	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$98,336,665	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,141,104	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)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
NORTON HOSPITALS INC
610703799	3	Yes (true)	$1,753,918,387	$0
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$470,767,963	$0
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$1,665,885	$0
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$6,537,529	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$2,232,889,764	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name

Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc., and the other three supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals.

Schedule A, Part IV, Section C, Line 1 Majority director detail

As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same President/Chief Executive Officer, Chief Legal Officer, Executive Vice President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$17,466	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$130,250	OtherActivitiesAmt
Total Lobbying Expenditures	$147,716	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 Description of the activities reported on lines 1A through 1i	FormAndLineReferenceDesc
Explanation	Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Rotunda Group LLC totaling $130,250. Part II-B, line 1(g): Employees of Norton Healthcare, Inc. are engaged in lobbying health policy issues at the state level to lobby the executive and legislative branches of Kentucky's government. Norton Healthcare, Inc. is not registered to lobby at the federal level. Lobbying compensation paid and activities as reported to the Kentucky Legislative Ethics committee is $17,466.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,010,407	OtherCostOrOtherBasisAmt
Depreciation	$42,077,818	DepreciationAmt
Book Value	$8,932,589	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$389,048,472	OtherCostOrOtherBasisAmt
Depreciation	$332,782,822	DepreciationAmt
Book Value	$56,265,650	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,716,566	OtherCostOrOtherBasisAmt
Depreciation	$734,105	DepreciationAmt
Book Value	$21,982,461	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$89,306,507	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$286,889,737
REAL ESTATE MASTER TRUST UNITS	$95,783,111
Private Equity Master Trust	$41,196,812

Field	Value	IRS element (for citing)
Total Book Value Securities	$423,869,660	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$849,180,715
SELF INSURANCE TRUST	$85,040,564
OTHER LIABILITIES	$45,389,126
INTEREST RATE SWAP LIABILITY
OTHER INSURANCE	$1,608,598
Pension	$77,149,040
Capital Lease
Deferred Income LT	$10,910,113

Field	Value	IRS element (for citing)
Total Liability	$1,069,278,156	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	$312,178,327
Europe (Including Iceland and Greenland)	0	0	Investments	$6,469,029

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$318,647,356	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$318,647,356	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (77 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Ronald McDonald House Charities of Kentuckiana Inc
550 South 1st St	Louisville	KY	40202	311053467	501(c)(3)	$1,000,000	Support the expansion of RMH's provision of temporary accommodations for families of children receiving care within Louisville Medical Center
Jefferson County Public Schools
JEFFERSON COBOARD OF EDUCATION	LOUISVILLE	KY	40218	616001316	Jefferson Co	$360,000	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing by providing specialized football helmets.	3332 NEWBURG RD
Community Medical Associates Inc
Accounting	Louisville	KY	402022025	611276316	501(c)(3)	$221,077	Support of a nurse practitioner for the Bellarmine Student Health Clinic; support local public schools for school-based telemedicine services and support of mental/behavioral healthcare as a holistic approach to cancer care	224 E Broadway
UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY	LEXINGTON	KY	405360596	616001218	state of KY	$220,000	Support University of Kentucky Pharmacy College and Healthcare Leadership Program - graduate scholarship	789 S Limestone ST Ste 114
Shawnee Christian Healthcare Center Inc
234 Amy Ave	Louisville	KY	40212	264345390	501(c)(3)	$150,000	Support SCHC's operational needs during the time of provider transition for the residents in the Shawnee-Chickasaw community.
OneWest Corporation
2028 W Broadway	Louisville	KY	40203	473080680	501(c)(3)	$100,000	Support investment in West Louisville with OneWest Community revitalization project.
HABITAT FOR HUMANITY METRO LOUISVILLE INC
1620 Bank ST	LOUISVILLE	KY	40203	581735528	501(c)(3)	$95,000	General program support for home build project
LEADERSHIP LOUISVILLE CENTER
707 W MAIN ST	LOUISVILLE	KY	402022634	310958491	501(c)(3)	$63,900	Program support of leadership programming
METRO UNITED WAY INC
DEPT52860	LOUISVILLE	KY	402950148	610444680	501(c)(3)	$57,500	Support the engagement of the community to give, advocate and volunteer	PO BOX 950148
Family Community Clinic Inc
1406 E Washington St	Louisville	KY	40206	272994215	501(c)(3)	$50,000	Support the mission of the Family Community Clinic to meet the healthcare needs of uninsured patients in the Louisville community
FUND FOR THE ARTS INC
623 W MAIN ST	LOUISVILLE	KY	40202	610479626	501(c)(3)	$38,700	Supporting the development and education and quality of life through the arts
WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST	LOUISVILLE	KY	40202	237075524	501(c)(3)	$35,000	General support for children with special needs
YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST	LOUISVILLE	KY	40202	610444843	501(c)(3)	$33,900	Supporting youth motivation to pursue educational and career goals
AMERICAN HEART ASSOCIATION
PO BOX 841750	DALLAS	TX	752841750	135613797	501(c)(3)	$32,500	Support Heart Health awareness
LOUISVILLEJEFFERSON CO METRO
9th FLOOR	LOUISVILLE	KY	402023396	320049006	Jefferson Co	$30,000	Supporting hike bike and paddle- promotion of healthy lifestyle	531 COURT PLACE
WORLD TRIATHLON CORP
3407 W DR MARTIN LUTHER KING B	TAMPA	FL	33607	592965638		$30,000	Support for promoting healthy lifestyles
COLON CANCER PREVENTION PROJECT
PO BOX 4039	LOUISVILLE	KY	40204	201510713	501(c)(3)	$28,400	Support for colon cancer awareness initiatives
FRIEND FOR LIFE A CANCER SUPPORT NETWORK
4003 KRESGE WAY	LOUISVILLE	KY	40207	611139410	501(c)(3)	$25,000	Program support for peer-to-peer cancer patient counseling/relationships
AMERICAN CANCER SOCIETY INC
1640 LYNDON FARM CT	LOUISVILLE	KY	40223	131788491	501(c)(3)	$22,500	Support for cancer prevention, outreach, patient services through Relay for Life
JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	402031745	610476694	501(c)(3)	$22,300	support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST	LOUISVILLE	KY	40202	611294640	501(c)(3)	$22,000	Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
CHRISTIAN ACADEMY FOUNDATION INC
700 S English Station Rd	LOUISVILLE	KY	402453912	611323813	501(c)(3)	$21,800	general education support
BELLARMINE UNIVERSITY
BURSARS OFFICE	LOUISVILLE	KY	40205	610482955	501(c)(3)	$21,700	General program support for student education	2001 NEWBURG RD
KENTUCKY PHYSICIANS HEALTH FOUNDATION INC
9000 WESSEX PLACE	LOUISVILLE	KY	40222	611242062	501(c)(3)	$21,000	support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
THE CENTER FOR WOMEN AND FAMILIESINC
PO BOX 2048	LOUISVILLE	KY	402012048	610444846	501(c)(3)	$20,500	Support for trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
LOUISVILLE URBAN LEAGUE
1535 WEST BROADWAY	LOUISVILLE	KY	40203	610444771	501(c)(3)	$19,000	Support the assistance of African Americans and other minority groups to attain social and economic equality and stability
BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN	LOUISVILLE	KY	40218	616057856	501(c)(3)	$18,800	support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors
LOUISVILLE COLLEGIATE SCHOOL
2427 GLENMARY AVE	LOUISVILLE	KY	40204	610449630	501(c)(3)	$17,500	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing by providing specialized football helmets.
DOWNTOWN DEVELOPMENT CORPORATION
556 S FOURTH ST	LOUISVILLE	KY	40202	310992627	501(c)(3)	$15,000	Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
ARTHRITIS FOUNDATION KY CHAPTER
2908 BROWNSBORO RD	LOUISVILLE	KY	40206	610492349	501(c)(3)	$15,000	Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community.
HOSPARUS INC
3532 EPHRAIM MCDOWELL DR	LOUISVILLE	KY	40205	610921718	501(c)(3)	$12,900	Pediatric bereavement program
BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD	LOUISVILLE	KY	40222	611128496	501(c)(3)	$12,200	Support for outreach and education for patients with brain injuries
INDIA COMMUNITY FOUNDATION OF LOUISVILLE INC
12505 VALLEY PINE DR	LOUISVILLE	KY	40299	610989811	501(c)(3)	$11,500	General program support to promote the Indian culture awareness
THE HEALING PLACE
1020 W MARKET ST	LOUISVILLE	KY	40202	611164775	501(c)(3)	$11,200	Support for individuals facing drug, alcohol, other other addicitions
COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA	LOUISVILLE	KY	40202	611100993	501(c)(3)	$11,000	General program support	325 W MAIN ST
LEUKEMIA AND LYMPHOMA SOCIETY
301 E MAIN ST	LOUISVILLE	KY	40202	135655916	501(c)(3)	$10,000	General support for outreach and education
START THE HEART FOUNDATION
7611 WOLFPEN RIDGE CT	PROSPECT	KY	40059	463998988	501(c)(3)	$10,000	Support mission is to improve survival of cardiac arrest victims through education and training.
Louisville Pride Foundation DBA Louisville Pride Festival
1205 EAST WASHINGTON ST	LOUISVILLE	KY	40206	471945331	501(c)(3)	$10,000	Support inclusion and unity for all
FAMILY SCHOLAR HOUSE INC
403 REG SMITH CIRCLE	LOUISVILLE	KY	40208	611285124	501(c)(3)	$10,000	Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST	LOUISVILLE	KY	40202	611365860	501(c)(3)	$10,000	promoting healthy lifestyles
LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD	FRANKFORT	KY	406019260	311096215	501(c)(3)	$9,600	General program support for LKY programs
VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST 100	LOUISVILLE	KY	402022504	610480950	501(c)(3)	$9,600	Support to provide affordable housing and other assistance to low income families
EPILEPSY FOUNDATION OF KENTUCKIANA INC
982 EASTERN PARKWAY	LOUISVILLE	KY	402171566	611314540	501(c)(3)	$9,500	Epilepsy support groups and outreach
NATIONAL MULTIPLE SCLEROSIS SOCIETY
KENTUCKY-SOUTHEAST INDIANA CHAPTER	LOUISVILLE	KY	40208	135661935	501(c)(3)	$9,200	Support education and resources related to multiple sclerosis	1201 STORY AVE
LIFEHOUSE INC
2710 RIEDLING DR	LOUISVILLE	KY	40206	208514733	501(c)(3)	$9,200	supporting emotional, spiritual, physical and intellectual needs of mother and baby
NEIGHBORHOOD HOUSE INC
201 N 25TH ST	LOUISVILLE	KY	40212	610445842	501(c)(3)	$9,200	Support children and families
LEADERSHIP SOUTHERN INDIANA
8204 HWY 311	SELLERSBURG	IN	47172	351644080	501(c)(3)	$9,100	Support for leadership development program
AMERICAN LUNG ASSOCIATION
10168 LINN STATION RD	LOUISVILLE	KY	402233894	131632524	501(c)(3)	$9,000	Support to improve lung health and preventing lung disease through education, advocacy and research
ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	611135907	501(c)(3)	$8,000	Support homeless population
KOMEN KENTUCKY
1201 STORY AVE	LOUISVILLE	KY	40206	752855046	501(c)(3)	$8,000	Program support for breast cancer patients through Komen Race for the Cure
21ST CENTURY PARKS INC
471 W MAIN ST	LOUISVILLE	KY	40202	201780317	501(c)(3)	$7,900	Support parks initiative and healthy outdoor living
INTEGRATING WOMAN LEADERS
47 W 96TH ST	INDIANAPOLIS	IN	46260	272546534	501(c)(3)	$7,500	Support, empower, and connect women in the workplace
BRIDGEHAVEN INC
950 S FIRST ST	LOUISVILLE	KY	40203	610548949	501(c)(3)	$7,500	Mental health support
SHIVELY AREA MINISTRIES INC
4415 DIXIE HWY	LOUISVILLE	KY	40216	611134579	501(c)(3)	$7,500	Support for health/wellness programs, medical assistance for underserved population in Shively Area
KIDS CANCER ALLIANCE INC
607 W MAIN ST	LOUISVILLE	KY	40202	611256743	501(c)(3)	$7,500	Support pediatric cancer patients
MARYHURST INC
1015 DORSEY LN	LOUISVILLE	KY	402232699	311542209	501(c)(3)	$7,000	Support for Education, counseling and housing for young women who are victims of abuse
CYSTIC FIBROSIS FOUNDATION
1941 BISHOP LN	LOUISVILLE	KY	40218	131930701	501(c)(3)	$6,900	Support for Cystic Fibrosis patient support
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT AVE	FRANKFORT	KY	40601	610405718	501(c)(6)	$6,800	General support
TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIR	LOUISVILLE	KY	40245	030528530	501(c)(3)	$6,500	Support of telugu people in the community
BRIDGEMAN CHARITABLE GROUP INC
3309 COLLINS LANE	LOUISVILLE	KY	40245	464406300	501(c)(3)	$6,500	General program support for the Louisville community
JUVENILE DIABETES (W-9 JDRF International)
11902 BRINLEY AVE	LOUISIVILLE	KY	40243	231907729	501(c)(3)	$6,000	Support diabetes type 1 research
REVOLUTION DEVELOPMENT CYCLING INC
1806 GRESHAM RD	LOUISVILLE	KY	40205	812907077	501(c)(3)	$6,000	Support to promote healthy lifestyle
MARCH OF DIMES FOUNDATION
P O BOX 673667	MARIETTA	GA	30006	131846366	501(c)(3)	$5,500	Support outreach and education for families with premature babies
MORTON CENTER INC
1028 BARRETT AVE	LOUISVILLE	KY	402041667	311068020	501(c)(3)	$5,500	support and treatment for addiction
NEWS AND TRIBUNE
221 SPRING ST	JEFFERSONVILLE	IN	47130	550870768		$5,200	Breast cancer support through Power of Pink event
UNIVERSITY OF LOUISVILLE
EVPHA OFFICE	LOUISVILLE	KY	40202	611014882	501(c)(3)	$5,000	general education support	323 E CHESTNUT ST
WELLSPRING SPECIAL EVENT
POBOX 1927	LOUISVILLE	KY	402011927	311020023	501(c)(3)	$5,000	Supporting mental health recovery
PRP ALUMNI ASSOCIATION INC
PO BOX 58051	LOUISVILLE	KY	40268	320087730	501(c)(3)	$5,000	Sponsorship of Excellence in Education Award for PRPAA
LOUISVILLE MEDICAL LEGAL
COMMUNITY HEALTH PARTNERSHIP	LOUISVILLE	KY	40202	352079715	501(c)(3)	$5,000	Gereral program support	600 W MAIN
PREGNANCY HELPLINE INC OF LOUISVILLE
515 WEST OAK ST	LOUISVILLE	KY	40203	611055060	501(c)(3)	$5,000	General program support for pregnancy center
KENTUCKY PEDIATRIC SOCIETY
MARY YORK EXECDIRECTOR	FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians	420 CAPITAL AVE
KENTUCKY HARVEST INC
7705 NATIONAL TURNPIKE	LOUISVILLE	KY	40214	611135269	501(c)(3)	$5,000	Supporting nutritional needs of the community
CENTER FOR INTERFAITH RELATION INC
415 W MULHAMMED ALI BLVD	LOUISVILLE	KY	40202	611149619	501(c)(3)	$5,000	Supporting diversity of faith traditions, strengthen the role of faith in society through common actions
AMERICANA COMMUNITY CENTER
4801 SOUTHSIDE DR	LOUISVILLE	KY	40214	611251305	501(c)(3)	$5,000	Support for education and outreach for Louisville's refugee, immigrant and underserved populations
MUHAMMAD ALI MUSEUM AND EDUCATION CENTER INC
144 N 6th ST	LOUISVILLE	KY	40202	611323046	501(c)(3)	$5,000	Support WOW mentoring program
OVARIAN AWARENESS OF KENTUCKY
2300 HURSTBOURNE VILLAGE DRIVE	LOUISVILLE	KY	40299	611393292	501(c)(3)	$5,000	Support education and awarness of ovarian cancer and provide support women with ovarian cancer
THE ALS ASSOCIATION KY CHAPTER
8640 HAINES DR	FLORENCE	KY	41017	943124729	501(c)(3)	$5,000	Support for ALS patient care services program

Field	Value	IRS element (for citing)
Total501c3 Org	75	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
undergraduate scholarships for students pursuing education for a career in the healthcare field	35	$70,000
Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances	76	$78,437

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE MANAGER OF STEWARDSHIP. THE GRANT IS REVIEWED AND APPROVED BY NORTON HEALTHCARE MANAGEMENT. ALL GRANT REQUESTS GREATER THAN $100,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS OR THE CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Russell F Cox
President & CEO/Trustee	$1,092,389	$0	$539,014	$0	$392,345	$0	$109,695	$0	$29,726	$0	$2,163,169	$0	$38,500	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$468,944	$0	$173,855	$0	$1,311,015	$0	$114,337	$0	$12,841	$0	$2,080,992	$0	$958,590	$0
Michael W Gough
Exec VP and COO	$789,537	$0	$310,970	$0	$231,069	$0	$192,261	$0	$22,559	$0	$1,546,397	$0	$91,560	$0
Adam Kempf
Sr VP, CFO/Treasurer	$382,599	$0	$119,735	$0	$85,657	$0	$91,525	$0	$25,058	$0	$704,573	$0	$37,372	$0
Charles Bohn
Former SYS VP Chief HR Officer	$0	$0	$150,426	$0	$480,292	$0	$82,508	$0	$19,188	$0	$732,413	$0	$476,862	$0
Michael Esposito
Former Sys VP Chief Network Development Officer	$0	$0	$87,222	$0	$212,060	$0	$0	$0	$14	$0	$299,297	$0	$157,807	$0
Thomas Johnson
Former Sys VP PR-Chief Communication Officer	$0	$0	$0	$0	$172,668	$0	$26,235	$0	$8,014	$0	$206,917	$0	$149,654	$0
Kenneth Wilson MD
SYS VP Clinical Effectiveness	$0	$303,241	$0	$80,332	$0	$101,812	$0	$25,574	$0	$18,119	$0	$529,079	$0	$9,854
Steven Hester MD
Div President Provider Ops & Sys CMO	$632,807	$0	$239,148	$0	$128,247	$0	$167,438	$0	$27,549	$0	$1,195,189	$0	$86,240	$0
Douglas Winkelhake
Division President	$580,354	$0	$214,851	$0	$134,861	$0	$155,807	$0	$27,922	$0	$1,113,795	$0	$76,504	$0
Tracy Williams
Sr VP & CNO	$362,476	$0	$139,413	$0	$183,895	$0	$33,245	$0	$17,726	$0	$736,755	$0	$51,865	$0
Steve Ready
Sys VP CIO	$464,015	$0	$125,875	$0	$95,629	$0	$111,274	$0	$25,674	$0	$822,468	$0	$50,516	$0
Scott Watkins
Sr VP Operations	$409,364	$0	$155,360	$0	$99,893	$0	$113,800	$0	$26,529	$0	$804,946	$0	$48,488	$0
James Frazier MD
VP Medical Affairs	$386,725	$0	$108,378	$0	$93,737	$0	$81,016	$0	$25,940	$0	$695,797	$0	$46,536	$0
Steven Heilman MD
Sys VP Ancillary Serv & CMIO	$384,868	$0	$109,264	$0	$87,583	$0	$74,608	$0	$26,205	$0	$682,527	$0	$45,364	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$320,858	$0	$116,081	$0	$79,057	$0	$80,611	$0	$18,498	$0	$615,105	$0	$35,629	$0
Dana Allen
Sys VP Chief Mktg & Communication Officer	$298,898	$0	$93,810	$0	$97,109	$0	$25,572	$0	$14,755	$0	$530,143	$0	$9,000	$0
Kathleen Exline
VP Perf Excel & Care Continium	$302,873	$0	$73,223	$0	$55,011	$0	$60,059	$0	$22,244	$0	$513,411	$0	$31,440	$0
Jim Meyers
Sys VP Revenue Cycle	$280,599	$0	$75,828	$0	$46,739	$0	$59,333	$0	$24,978	$0	$487,478	$0	$33,028	$0
Mary Lynn Meyer
Sr VP CDO	$211,547	$140,737	$0	$167,414	$0	$72,152	$0	$87,500	$0	$17,037	$211,547	$484,840	$0	$47,830
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	$363,768	$0	$75,906	$0	$30,424	$0	$66,643	$0	$17,266	$0	$554,006	$0	$0	$0
Shelly Gast
Sys VP Mngd Care & Payor Strategy	$277,967	$0	$71,417	$0	$41,944	$0	$55,603	$0	$16,795	$0	$463,726	$0	$0	$0
Stephen Wyatt MD
Chief Research Executive	$329,663	$0	$31,277	$0	$24,054	$0	$19,160	$0	$4,059	$0	$408,214	$0	$0	$0
Kimberly Tharp-Barrie
Sys VP Nursing Inst/Outreach	$252,196	$0	$69,300	$0	$61,362	$0	$55,086	$0	$9,735	$0	$447,679	$0	$0	$0
Alfonso Cornish
Sys VP Learning & Org Dev	$212,594	$0	$64,071	$0	$106,133	$0	$309,728	$0	$10,088	$0	$702,613	$0	$7,572	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, Inc. EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2018: Russell F. Cox - $30,000 Michael G. Gough - $30,000 Robert B. Azar - $17,500 Adam Kempf - $15,000 Tracy Williams - $17,500 Steve Hester - $17,500 Scott Watkins - $15,000 Charles Bohn - $17,500 Steve Ready - $10,000 James Frazier - $10,000 Steve Heilman - $10,000 Kenneth Wilson - $10,000 Douglas Winklehake - $17,500 Dana Allen - $15,000 Thomas Johnson - $3,462 Mary Jo Bean - $15,000 Kimberly Tharp-Barrie - $10,000 Shelly Gast - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Jim Meyers - $10,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2018 by former Key Employees, Thomas Johnson in the amount of $114,205; Charles Bohn in the amount of $423,930 . 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-FLEX BENEFIT PLAN, THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $83,271 Michael W. Gough - $166,273 Robert Azar - $95,263 Adam Kempf - $72,433 Mary Lynn Meyer - $65,110 Dana Allen - $8,559 Mary Jo Bean - $58,687 Charles Bohn - $68,758 Jennifer Evans - $52,893 Shelly Gast - $38,389 Alfonso Cornish - $3,485 Kathleen Exline - $42,720 James Frazier - $64,003 Steven Heilman - $57,589 Steven Hester - $140,631 Jim Meyers - $40,209 Steve Ready - $84,824 Scott Watkins - $84,337 Tracy Williams - $14,982 Kenneth Wilson - $8,138 Douglas Winkelhake - $125,279 Stephen Wyatt - $5,410 Kimberly Tharp-Barrie - $34,903 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2018 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $195,580 Michael W. Gough - $108,176 Robert Azar - $1,267,600 Adam Kempf - $48,754 Mary Lynn Meyer - $48,263 Dana Allen - $53,240 Mary Jo Bean - $41,167 Charles Bohn - $61,491 Jennifer Evans - $16,339 Shelly Gast - $28,004 Alfonso Cornish - $42,352 Michael Esposito - $200,060 Kathleen Exline - $31,725 James Frazier - $58,324 Steven Heilman - $55,088 Steven Hester - $87,022 Thomas Johnson - $58,040 Jim Meyers - $33,327 Steve Ready - $60,874 Scott Watkins - $62,192 Tracy Williams - $138,385 Kenneth Wilson - $58,178 Douglas Winkelhake - $94,689 Kimberly Tharp-Barrie - $35,828
Schedule J, Part I, Line 7 Non-fixed payments	In 2018, Norton Healthcare, Inc. (NHC) had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
A	320049006	54659LAL8	2011-08-10	$75,000,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
B	320049006		2011-08-24	$23,775,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
C	320049006		2012-10-31	$21,100,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
D	320049006	54659LAW4	2013-09-26	$200,000,887	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$75,000,300	$0	$0	$0	$953,000	$2,000	$0	$74,045,259	$41	$0	2011	false	false	Yes (true)	Yes (true)
B	$16,050,000	$0	$23,775,000	$0	$0	$0	$150,000	$0	$0	$0	$23,625,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$14,700,000	$0	$21,100,000	$0	$0	$0	$171,313	$0	$0	$0	$20,928,687	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$200,060,571	$0	$0	$0	$0	$0	$31,048	$200,029,523	$0		2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0221	0.0071	0.0292	false	false	Yes (true)
B									0.0
C									0.0
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0142	0.0071	0.0213	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NONE
A	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
C	false	Yes (true)	false	false	false	false	Yes (true)
NONE
D	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government	ROW B, TO REFUND A PORTION OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government	ROW A, TO REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING THE NORTON CANCER INSTITUTE DOWNTOWN RADIATION CENTER, CONSTRUCTING AND EQUIPPING A PEDIATRIC AMBULATORY CARE CENTER (NORTON CHILDREN'S MEDICAL CENTER - BROWNSBORO) AND RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AND ITS AFFILIATES AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government	ROW C, TO REFUND THE REMAINDER OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	DIFFERENCE BETWEEN SERIES 2011 ISSUE PRICE (ISSUE DATE 8/10/11) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2013 ISSUE PRICE (ISSUE DATE 8/10/13) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2016A ISSUE PRICE (ISSUE DATE 8/11/16) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE	ROW D, TO REIMBURSE THE CORPORATION FOR THE COSTS OF (I) RENOVATIONS AND EQUIPMENT TO CONVERT NORTON SUBURBAN HOSPITAL TO A WOMEN'S AND CHILDREN'S HOSPITAL, (II) RENOVATIONS AND EQUIPMENT FOR NORTON CHILDREN'S HOSPITAL, (III) RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITION OF HOSPITAL EQUIPMENT, INCLUDING BUT NOT LIMITED TO SOFTWARE, MEDICAL AND SURGICAL EQUIPMENT, IMAGING EQUIPMENT AND MONITORING EQUIPMENT AT THE FACILITIES OF THE OBLIGATED GROUP MEMBERS AND (IV) RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AT ITS AFFILIATES.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN D, E and F - 2013 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part IV, Line 5c IS THE BOND ISSUE A VARIABLE RATE ISSUE?	COLUMN E - 2013A BOND ISSUE IS FIXED RATE DEBT AND 2013C BOND ISSUE IS VARIABLE RATE DEBT. PROCEEDS FROM BOTH BOND ISSUES WERE REPORTED ON ONE IRS FORM 8038 AND COMBINED INTO ONE PROJECT ACCOUNT WITH THE TRUSTEE.
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW E; TO REIMBURSE THE CORPORATION FOR COSTS OF (i) EXPANSION AND MAJOR RENOVATION OF NORTON AUDUBON HOSPITAL (ii) ACQUISITION OF TWO PARCELS OF LAND, (iii) BUILDING, RENOVATION, REPAIR AND OTHER PATIENT CARE RELATED PROJECTS AND/OR EQUIPMENT RELATED TO THE CORPORATION (INCLUDING SOFTWARE). NORTON HOSPITALS AND/OR AFFILIATES OF THE CORPORATION, (iv) CERTAIN COSTS OF ISSUANCE AND (v) CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM REVENUE BONDS, SERIES 2006 (NORTON HEALTHCARE, INC.)
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW F: CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011D (NORTON HEALTHCARE, INC.) AND CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.)
Schedule K, Part III Private Business Use	Applicable questions are left blank due to bonds 8/24/11 and 10/31/12 being refunding issues which refund pre-January 1, 2003 bond issues.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS	COLUMN D, E AND F - 2016 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2016 BOND ISSUE WERE PAID FOR WITH INTEREST INCOME ACCRUED DURING THE FIRST BOND YEAR FROM THE BOND PROCEEDS. NO BOND PROCEEDS WERE USED TO PAY FOR THE COST OF ISSUANCE.
Schedule K, Part IV, Line 2c COLUMN D	ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT THE CALCULATION FOR COMPUTTING NO REBATE DUE WAS PERFORMED ON 9/26/2018
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/11/2016
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/24/2016
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 10/29/2017
Schedule K, Part IV, Line 2c COLUMN D	Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 09/26/2018

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LouisvilleJefferson County Metro Government
A	320049006	54659LBV5	2016-08-11	$612,775,838	SEE SUPPLEMENTAL INFORMATION	false	false	false
LouisvilleJefferson County Metro Government
B	320049006		2016-08-11	$100,075,000	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,710,000	$0	$616,259,740	$0	$1,948,813	$0	$0	$0	$4,540,316	$249,979,946	$308,563,977	$51,226,688	Yes (true)	false	false	Yes (true)
B	$36,015,000		$100,075,000								$100,075,000		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0096	0.0071	0.0167	false	false	Yes (true)
B						Yes (true)	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	Norton Healthcare, Inc. highly compensated employee	RelationshipWithOrgTxt
Loan Purpose	Norton Healthcare, Inc Scholar Program (Disclosure continued below)	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$28,309	OriginalPrincipalAmt
Balance Due	$22,139	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$22,139	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Family member of Adam Kempf, Officer	RelationshipDescriptionTxt
Transaction	$40,514	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II, Column (a) Schedule L, Part II, Column (A) - purpose of loan	FormAndLineReferenceDesc
Explanation	NORTON HEALTHCARE SCHOLARS PROGRAM IS A STUDENT LOAN PROGRAM THAT PROVIDES EDUCATIONAL FUNDING TO STUDENTS INTERESTED IN PURSUING DESIGNATED HEALTHCARE CAREERS. IT IS AN AFFILIATION BETWEEN NORTON HEALTHCARE AND OVER 100 COLLEGES AND UNIVERSITIES NATIONALLY. THIS PROGRAM WAS STARTED BY NORTON HEALTHCARE AS A RESULT OF THE HEALTHCARE WORKER SHORTAGE AND WAS BEGUN AS A WORKFORCE DEVELOPMENT INITIATIVE TO ENSURE THE COMMUNITY HAS ENOUGH HEALTHCARE WORKERS. UPON GRADUATION, NORTON HEALTHCARE SCHOLARS BEGIN CAREERS WITH NORTON HEALTHCARE AND ARE ELIGIBLE TO HAVE THEIR LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS 639 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 417 GRADUATES AND 353 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2018, 245 APPLICANTS WERE GRANTED ENROLLMENT INTO THE NORTON HEALTHCARE SCHOLARS PROGRAM. SCHOLARS WHO FAIL TO GRADUATE OR FULFILL THEIR COMMITMENT WITH NORTON HEALTHCARE ARE REQUIRED TO REPAY THE LOAN AT THE TIME OF WITHDRAWAL FROM THE PROGRAM.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	(Continued from Part III) In 2018, NHC, through its affiliate, Community Medical Associates, Inc., had approximately 2.2 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 72,355 inpatients, 560,845 outpatients, and 249,388 emergency room visits. In addition NHC hospitals' operating rooms cared for 20,947 inpatient surgical patients and 35,751 outpatient surgical patients. Additionally, 7,564 babies were delivered at NHC birthing centers. As part of our commitment to improving the health of our community, NHC provides funding for a wide array of life-saving and life-enhancing services that benefit the communities we serve. In 2018, under its charity care program, NHC provided free care to 13,284 patients, at a cost of $13.4 million. Also, NHC grants patients a discount from billed charges to any individuals that have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 11,472 patients were provided care at discounted rates. Other contributions to the community were the unpaid cost of Medicaid services of $95.4 million and educational support of $43.3 million primarily to the University of Louisville's School of Medicine. Also community health improvement services totaled $10.1 million, and contributions to community groups were $3.2 million. As NHC representatives, our employees donated 53,607 hours of community benefit service, a benefit valued at more than $1.0 million. In addition, many employees self-reported personal volunteer activities. NHC provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2018 calendar year, 180 residents completed clinical rotations in 42 specialties at NHC facilities. Residency programs are part of the $43.3 million in educational support and clinical funding provided to the school. Contributions to the Community * NHC employees and physicians gave nearly $952,775 to the 2018-2019 Combined Giving Campaign to help support community organizations also committed to improving the health and well-being of community residents. Supported organizations include: the WHAS Crusade for Children, Metro United Way, Fund for the Arts, The Children's Hospital Foundation (CHF) and Norton Healthcare Foundation (NHF). * More than 140 NHC employees "Raised the Roof" on a Habitat for Humanity house on Broadleaf Drive in Louisville, Ky. This is the twelfth Habitat home NHC employees have built. * In 2018, more than 2,500 NHC employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 438 employees and their 975 children/dependents by providing for their families at Christmas. * More than 38,000 pounds of usable surplus medical supplies valued at more than $623,000 and $40,000 in equipment were donated for use locally and around the world. Community Education and Workforce Development As one of Kentucky's largest healthcare systems, NHC has established a culture of continual, lifelong learning through the departments of Workforce Development, Norton Institute for Nursing and Norton University. Workforce Development, encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of the organization. NHC encourages and supports employees and dependents career goals by providing financial assistance and scholarships as well as other advancement opportunities. Established in the early 2000's, the Office of Workforce Development has assisted more than 6,000 students (74 percent frontline) with tuition assistance. In 2018, Workforce Development financially supported 639 students with nearly $5.1 million in educational assistance programs. * Workforce Development Career Center served over 1,400 students. Each program participant worked directly with a Certified Career Management Coach, offering services in resume writing; career and educational exploration; financial assistance opportunities for educational pursuit; interviewing skills and mentoring. * Norton Scholars Accelerated Program, a student loan program, for employees and non-employees, provides educational funding to students interested in pursuing designated healthcare careers. It is an affiliation between NHC and over 100 colleges and universities nationally. This program has 2,736 graduates and 2,228 of these graduates have continued their careers with NHC. * In 2014, NHC was a National Fund for Workforce Solutions CareerSTAT Frontline Worker Champion. Since 2011, NHC, through Workforce Development, has been a partner with the city of Louisville through a summer job and internship program known as the Mayor Summers Work Program, to give young adults an opportunity to be employed in our healthcare environment during the summer months. In 2018, NHC evolved the Summer Works program into a strategic pipeline development program in conjunction with our public school system. Jefferson County Public Schools created an Academy model in which students have the opportunity to select focused education and industry recognized credentials in high school. NHC transformed the summer program and previous high school scholarships into a comprehensive three tiered academy apprentice program for healthcare academy students. The model is a three tiered apprentice model: Explorer, Summer Extern, and Apprentice. Beginning with a student's junior year, the student will explore career pathways in one of 4 key areas: Patient Care, Medical Office, Allied Health, and Pharmacy Technician. NHC primarily focused on Patient Care and Medical Office in 2018. Each phase offers a rigorous curriculum, business acumen, and professional development, as well as hands on learning opportunities in the career field of their choice. Thirty students participated in the 2018 pilot program. Retention was 100 percent over the first year. To date, NHC has transitioned over 20 of the 30 into full staff positions with the organization post completion of the program offering tuition assistance to continue their academic and career pursuits while working in the field of their choice. * The Student Nurse Apprenticeship program is a 12-to-18-month apprenticeship in which nursing students will work and engage in hands-on learning with an experienced mentor, in addition to becoming acclimated to NHC. Top area student nurses with good grades, good references and a desire to be the best will gain the skills and the confidence to deliver quality patient care. Norton University provides learning opportunities to enhance the professional, educational, and personal development of all employees. Norton University's Value Proposition states "Norton University nurtures learning and relationships to inspire change that leads to exceptional experiences for both patients and employees." In 2018, Norton University held 270,525 learning events, an average of 18 trainings per employee. In 2018, 136,697 web-based training courses and 51,829 instructor-led courses were completed by leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work, College at Work, and Career Coaching programs expose entry-level staff to healthcare careers and help them obtain a higher level position, GED, or college degree. * Leadership development programs support the development of leaders (Nursing, Physician Practices, Physician, and System) across the continuum. * Organizational development activities that assist in creating a more effective and efficient workplace with highly engaged employees while working in the field of their choice. Norton Faith and Health Ministries Norton Faith and Health Ministries (FHM) works with churches and faith communities to weave health and faith together, promoting the intentional integration of faith, healing, and wellness through the development of health ministries. FHM provides mentoring, educational resources, and networking opportunities to assist health ministry coordinators and faith community nurses minister to their churches. In 2018, the department mentored and served nearly 200 multi-denominational faith communities with active health ministry programs, and assisted others with health and wellness efforts. * FHM nurtured relationships with faith communities through participation in events held by the Episcopal Diocese of Kentucky, the Kentucky Conference of United Methodist Church, Central District Baptist Association, United Church of Christ Ministerium, Tri-Kentucky Presbytery, and others. * In order to advance congregational health ministries, faith community nursing and other health-related programs, FHM made 36,000 contacts by distributing 19 electronic newsletters.
Form 990, Part III, Line 4a Program Service Accomplishment	At 90 regional faith community events, people were provided health literacy education using educational tools loaned from FHM. At 214 events, 1,600 people were screened for blood pressure, blood glucose, body mass index and/or cholesterol, and often received counseling and referrals by faith community nurses. Six formal educational and networking events were held reaching 358 individuals Norton Pastoral Care The Pastoral Care Department provides spiritual, religious, and emotional care and support for patients, families and staff throughout the system, 24 hours a day, 7 days a week. In 2018, chaplains made more than 35,000 patient contacts plus additional contacts with their families. The assistance included, but was not limited to: grief support and facilitation of decision making at deaths, end of life and goals of care conversations, education and enacting advance directives, religious rituals and literature, ethical dilemmas, comfort and conversation with patient who are lonely, afraid, conflicted, or struggling. Chaplains care for people regardless of their religious or spiritual background or beliefs to help them use and strengthen their spiritual, emotional, and relational resources in better cope and to thrive. A unique aspect of care provided by the Pastoral Care Department is the Bereavement Intervention Program. Through this program, the Bereavement Chaplain connects with all of the more than 100 families whose child died at NCH. That contact often begins at the time of death, and can include a funeral home visit, visit in the home, phone calls, letters, and a dinner and grief educational program that helps family and friends know better how to care for the parents. In addition to the visits to caring for patient and families, the chaplains provide care every day to the staff of the system through individual counseling, sharing prayers and other rituals, debriefing stressful events on units, comforting a department when a co-worker dies, and blessing newly-renovated units. Through teaching, committee involvement, ethics consults, and many other ways, chaplains are fully integrated into the life of the system. Norton Heart Care Norton Heart & Vascular Institute provides the region's most comprehensive screening, education and prevention program and is committed to educating our community about heart health and risk factor management. In 2018: * Norton Heart & Vascular Institute Resource Center offered several free class series to the community including: * Circle of Hearts class series, a quarterly heart disease and prevention class that focuses on heart health education and other wellness issues of interest to women. Total attendees for the 2018 class series was 110. * Tai Chi for Heart Health, a free class series offered several times a year designed for those with heart issues to help improve quality of life, psychological well-being, blood pressure, balance, flexibility, stress, and depression. Total attendees for 2018 was 24. * Afib Education Workshops were offered three times in 2018 where patients facing an atrial fibrillation (A-fib) diagnosis could learn more about the latest in treatment and medication options, steps to lower risk of stroke, and how to live better with A-fib. Total attendees for 2018 was 120. * Heart Failure Education Workshops were offered 6 times in 2018 to patients and their families to learn about ways to live a full life and reduce side effects while managing heart failure. Total attendees for 2018 was 81. * The Norton Heart & Vascular Institute is a 10 year active supporter of the American Heart Association's (AHA) Go Red for Women movement. As part of our support, Norton Prevention & Wellness participated in several community events hosted by the AHA and provided 491 free health screenings and education to those in attendance. In addition, a free breakout session was offered prior to the annual Go Red for Women luncheon, Heart Healthy Snacking the Blue Zone Way, to more than 45 attendees to provide education and resources to modify snack choices to promote a heart healthy lifestyle. * Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigator attended 16 heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. More than 1,347 participants attended the events. * Norton Heart & Vascular Institute offers the only WomenHeart Support group in Kentucky and is the only hospital system in Kentucky to be a WomenHeart National Hospital Alliance Member. Women Heart is the national coalition for women living with cardiovascular disease and is the only patient-centered program offering support and education for women living with cardiovascular disease. In 2018, Norton Heart & Vascular Institute supported the addition of one woman heart survivor to join our team of WomenHeart Champions for a total of 8. Each of these champions attend a training at the Mayo Clinic during the Women Heart Symposium to gain the skills necessary to provide support and education to our patients and to the women in our community living with cardiovascular disease. * The monthly WomenHeart Support Group is offered at the Marshall Women's Health and Education Center. It is led by the eight trained WomenHeart Champions and a designated cardiovascular nurse navigator from the Norton Heart & Vascular Institute Resource Center, who provide emotional support as well as education on healthy nutrition, exercise, and stress management. We offered 11 support group classes and 208 female heart patients attended in 2018. We also offered a one day WomenHeart Retreat at the Louisville Seminary and 17 female heart patients attended. * The Women Heart Champions provide support and education to women preparing to undergo cardiac surgeries or procedures and also to women who were in the recovery phase of their cardiac surgery or procedure. They visit women at all three of our Norton Cardiac Rehabilitation centers and provided support to 47 female heart patients in 2018. * The Women Heart Champions attended 11 community events, health fairs, and provide educational presentations to businesses, churches, women groups, and healthcare professionals, which had 1,332 participants. Norton Orthopedic Care 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 NHC hospitals and doctors' offices. * Norton Orthopedic & Hand Center near the campus of NBH is a state-of-the-art facility with specialists of Norton Orthopedic Institute, Norton Sports Health and NHC to provide a multidisciplinary approach to innovative orthopedic care. The facility supports research, training, and education. It also offers patients 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. Women's Services * In 2018, Norton Women's Care birthing facilities at Norton and NWCH provided the care and medical services for 7,564 deliveries. * Free childbirth education classes are provided at Norton and NWCH. Norton Children's Prevention & Wellness * Child passenger safety technicians from NCH check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2018, 115 car seats were given to families in need through the community events and hospital admissions. Additionally 46 special needs car seats were loaned to children with body cast and premature infants who would not fit in a conventional car seat. * NCH's Bike Rodeo Program taught 13,170 students from grades three through five throughout Kentucky through 122 bike safety "rodeos." * Following interactive classroom lessons on pedestrian safety, 350 elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by NCH. The program is designed to reduce the number of pedestrian injuries. * NCH's "Just for Kids" Transport Team transports babies and children from across the region to NCH. In 2018, 2,111 transportation trips were completed. Transportation was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * More than 3,500 Kindergarten students, teachers, chaperones, and nursing students participated in the 35th annual Children & Hospitals Week event led by NCH. The program was held at Louisville Slugger Field and supported by a Kohl's Cares grant. Children & Hospitals Week, held each year in March, is designed to teach safe
Form 990, Part III, Line 4a Program Service Accomplishments	decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. Kentucky Poison Control Center * NCH is home to the Kentucky Poison Control Center. In 2018, 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 20,000 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, (800) 222-1222, available 24 hours a day, 7 days a week. Norton Neuroscience Institute Founded in 2009, Norton Neuroscience Institute (NNI) is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. NNI 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 level practitioners provide expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, ALS, brain tumors, headaches, concussions, spine care, and many other neurological conditions. * Kentucky is considered to be part of the stroke belt, a region of the US that sees a high number of incidents of stroke cases. As a result, NNI has committed to being a leader in stroke care. NBH is a designated Comprehensive Stroke Center while Norton, Audubon, and NWCH are all certified Primary Stroke Centers. * Neurosurgeons with NNI were the first in Kentucky to use minimally invasive surgery techniques to include robotic surgery, laser ablation and SEEG in the treatment of brain tumors and epilepsy for both pediatric and adult patients. * NNI offers treatment for all neurological disorders including aneurysm, brain tumor, epilepsy, multiple sclerosis, Parkinson's disease, and stroke care. The neurologists and neurosurgeons subspecialize and are fellowship trained. They all work together for the patient, providing multidisciplinary programs in areas of brain tumor, ALS, movement disorders, epilepsy and stroke). * Norton Spine Care offers advanced treatment options of spine conditions ranging from chiari malformation, degenerative disc diseases, scoliosis, spinal stenosis as well as tumors and infections of the spine. * Norton Spine Care which is comprised of Norton Leatherman Spine Center, NNI Spine Care and Norton Spine Specialists, is a multidisciplinary program that embraces a combined orthopedic and neurosurgical approach to spine care. 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. * Patients served by NCH, the only free standing children's hospital in Kentucky, are fortunate to be cared for by three fellowship trained pediatric neurosurgeons. The neurosurgeons work in a multidisciplinary fashion with neurologist and additional neuro specialist including an embedded pediatric neuropsychologist. Community Medical Associates * Physicians and a chaplain make house calls for elderly patients who have difficulty leaving home for medical care. * Physicians are involved in medical screening, community outreach, and community education activities to promote wellness and early interventions. Prevention and Wellness * In 2018, the Norton Healthcare Prevention & Wellness staff provided preventive screenings involving the NHC Mobile Prevention Center in collaboration with various community partners. Almost 2,500 women received mammograms and/or wellness exams, including cervical cancer screening, aboard the Mobile Prevention Center. Of them, approximately 10 percent had not been screened in the past five years and 11% had never had a mammogram. Fourteen individuals were diagnosed and treated for pre-invasive and invasive breast cancer. Of the almost 200 Mobile Prevention Center events, over half of these locations were in underserved communities and over 70 percent of patients came from medically underserved areas. * Eligible patients received education on colon cancer screening, and if agreeable, were offered referral for colonoscopy or given an at home testing kit that they could mail to the lab, and receive their results. 96 people received at home kits, and 96 people were referred for colonoscopy. Prevention and Wellness implemented 446-WELL, a number that links eligible patients to colonoscopy or in home tests, eliminating barriers to care. * Staff also provided almost 10,000 cardiovascular screenings (blood pressure, BMI, glucose, and cholesterol) for approximately 3,700 participants in multiple locations throughout Jefferson and surrounding counties, including Southern Indiana, in collaboration with many community partners. Each participant received education on healthy lifestyle choices such as diet and exercise. Group education on various health and wellness information was provided to almost 5,000 participants in 2018. * Prevention and wellness conducted 20 Freedom from Smoking classes in 2018, including two that were offered in Spanish. Research * NHC guides one of the largest portfolios of clinical research of any community healthcare system in the United States. At any given point in time, more than 750 clinical studies are active or pending at NHC. These studies engage more than 300 NHC staff and significantly impact our patients and their families. * NHC invests in research to benefit our community/patients and to support clinical science by participating in the development of new clinical interventions (drugs/device/procedures) that will become generalizable to and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * The Norton Healthcare Research Office partnered with Norton University to offer research education to all researchers in Metro Louisville and beyond. In 2018, education programs were offered, and attendees included staff from; NHC, KentuckyOne Health, University of Louisville Hospital, Floyd Memorial Hospital, Cincinnati Children's Hospital Medical Center, St. Vincent Health, University of Kentucky, University of Louisville and various community-based practices. Children's Hospital Foundation CHF raises funds to support programs, equipment and facilities, research, advocacy, and education for NCH, NWCH, and Norton Children's Medical Center. CHF is motivated to ensure that children in the Louisville area have the medical care they need when they need it, while keeping kids as close to home as possible. Support from CHF allows the pediatric specialists at NCH to continue to respond to the unique medical needs of children from birth to age 18. This 300-bed hospital is the only full-service, free-standing pediatric hospital in Kentucky, level 1 pediatric trauma center in Kentucky, and the primary teaching facility for the University of Louisville School of Medicine Department of Pediatrics. In order to continue to address the community's need for specialized pediatric care and meet the ever-growing needs at NCH, 2018 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric cancer, neurology, and neurosurgery, Type I diabetes, trauma, and emergency care to name a few. Workforce, research, and facilities serve to guide the fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy, pediatric pastoral care, bereavement programs, endowed research chairs, specialty therapies, child life, expressive and music therapies, continue to be areas of funding and priority for the CHF to ensure a truly "Just for Kids" experience for patients and families. CHF continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The strength and value of the community's support and support of all programs, the foundation awarded approximately $12.0 million in grants for capital, programs and patient financial assistance to the hospitals in 2018 including: * Funding for the Jennifer Lawrence Cardiac Intensive Care Unit at NCH. * Funding for the renovation and upgrades of the neonatal intensive care unit, including the purchase of NicView for NCH and NWCH.
Form 990, Part III, Line 4a Program Service Accomplishments	* Funding for a spinal robot used in pediatric scoliosis surgical cases * Funding for the purchase of a new transport team ambulance * The CHF Office of Prevention and Wellness at NCH, which helps provide safety and outreach information support the hospital's health and wellness prevention initiatives. * Funding for the Wendy Novak Diabetes Center at NCH for workforce, expansion of technology and accreditation. * Staff educational opportunities and advanced certifications that can lead to improved patient treatment. Norton Healthcare Foundation NHF is the philanthropic arm of the not-for-profit NHC adult-service hospitals: Audubon, NBH, Norton, and NWCH. NHF raises funds each year to improve programs, equipment and facilities, research and education, enabling the hospitals to stay up-to-date with medical advances and technology, and maintaining the community's access to health care. Community support through the NHF allows caregivers to continue making a difference for patients served by NHC. In 2018 the support helped the foundation provide funding to: * Grant more than $3.6 million to benefit dozens of areas of care throughout the facilities. * Renovations of Norton Hospital and Audubon Hospital. * Construction of a Healing Garden at NCI - Brownsboro. * Funding for the NIC view at Norton Women's and Children's Hospital * Purchase of Digital Specimen Radiology Equipment * Support of NCI initiatives that provide early detection screenings, education and clinical research. * Support pastoral care services for patients, their families, and staff members at all NHC adult-service facilities. * Program support for Integrative Medicine initiatives for the NNI. * Provide educational opportunities for the community and caregivers, such as the Gail Klein Garlove Lectureship series with 166 attendees and Nixon Lectureship series with 345 attendees, which focus on topics related to cancer care, prevention, and research. * Support nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. Philanthropy plays an increasingly important role at NHC as caregivers strive to continuously improve the health of the community.
Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2018 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 531. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 130 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2018. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 917 VENDORS ON FORM 1096 FOR 2018.
Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED TWO FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION AND ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE FOUNDATION.
Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT.
Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES	NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 2,743 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 16,790 EMPLOYEES ON FORM W-3 FOR 2018.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. - Business relationship, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	At the October 3, 2019 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 17, 2019 NHC Board of Trustees meeting , the Forms 990 and supplemental schedules were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and supplemental schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Please see explanation provided for Form 990, Part VI, Line 15b.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), 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 consultants presented and discussed this comparability data in 2017 for the 2018 compensation review and met in 2018 for the 2019 compensation review with the committee of board leadership (now Executive Committee) of the Board of Trustees (Board) The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation.
Form 990, Part VI, Line 19 Required documents available to the public	FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments	Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.) encourages and facilitates board member attendance at educational programs and conferences on subjects relevant to NHC. NHC's travel policy for Board of Trustees provides that for each trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS regulations, NHC provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2018.
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 59825319, Program Service Expense: 43560772, Management and General Expenses: 16264547, Fundraising Expenses: ; Other expenses - Total Expense: 816123, Program Service Expense: 221473, Management and General Expenses: 594650, Fundraising Expenses: ; Contract Labor - Total Expense: 487767, Program Service Expense: 487767, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 2368624, Program Service Expense: 2237735, Management and General Expenses: 130889, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -260859; SWAP MARK TO MARKET ADJUSTMENT - 1655353; CHANGE IN MINIMUM PENSION LIABILITY - 932965; CHANGE IN NET PERIODIC PENSION COST - -11468563;
Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance	In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2018. The other components of net periodic pension cost was $11.4 million for year ended December 31, 2018.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	831832543	EIN
Primary Activities	Pharmacy	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$41,245,882	ShareOfTotalIncomeAmt
Share Of EOY Assets	$38,332,162	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norton Hospitals Inc
R	$1,753,918,387	FMV
Norton Hospitals Inc
S	$2,012,088,108	FMV
Community Medical Associates Inc
R	$470,676,963	FMV
Community Medical Associates Inc
S	$369,794,617	FMV
Norton Properties Inc
R	$79,935,733	FMV
Norton Properties Inc
S	$51,278,765	FMV
The Children's Hospital Foundation Inc
R	$6,537,529	FMV
The Children's Hospital Foundation Inc
S	$2,065,980	FMV
Norton Healthcare Foundation Inc
R	$1,665,885	FMV
Norton Healthcare Foundation Inc
S	$1,172,066	FMV
Norton Enterprises Inc
R	$24,583,283	FMV
Norton Enterprises Inc
S	$47,976,813	FMV