NORTON HOSPITALS INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- NORTON HOSPITALS INC (EIN 61-0703799)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201913169349304346
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T15:01:18-06:00 | 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 | 610703799 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norton Hospitals Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5026298263 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Accounting 224 E Broadway 5th Floor | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Adam Kempf | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 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 | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSSELL F COX | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4967 US Highway 42 Suite 100 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,024,393,837 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nortonhealthcare.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Activity Or Mission | Norton Hospitals, Inc.'s purpose is to provide quality health care to all those to all those we serve, in a manner that responds to the needs of our communities and faith heritage. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 11029 | TotalEmployeeCnt |
| Total Volunteers | 1394 | TotalVolunteersCnt |
| Total Gross UBI | $5,927,294 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,474,603 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,610,334 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,860,586,773 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,006,718,274 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,850 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,130,179 | PYOtherRevenueAmt |
| CY Other Revenue | $4,170,365 | CYOtherRevenueAmt |
| PY Total Revenue | $1,887,205,405 | PYTotalRevenueAmt |
| CY Total Revenue | $2,023,498,973 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $634,795,603 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $629,536,586 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $967,909,379 | PYOtherExpensesAmt |
| CY Other Expenses | $1,139,850,798 | CYOtherExpensesAmt |
| PY Total Expenses | $1,602,704,982 | PYTotalExpensesAmt |
| CY Total Expenses | $1,769,387,384 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $284,500,423 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $254,111,589 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,271,045,747 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,551,346,959 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,550,044 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $156,881,955 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,140,495,703 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,394,465,004 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Norton Hospitals, Inc.'s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and faith heritage. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,710,270,230 | ExpenseAmt |
| Revenue | $2,004,837,353 | RevenueAmt |
| Desc | Norton Hospitals, Inc. (Hospitals) was formed to: I) provide on a nonprofit basis, hospital or health care facilities and services for the care and treatment of ill and injured persons and those who otherwise require medical care and related services of the kind customarily furnished most effectively by hospitals or health care facilities; II) conduct educational activities related to rendering care to the sick and injured; III) promote and conduct scientific research related to the care of the sick and injured. Hospitals has a total of 1,837 licensed beds, Norton Hospital - 605 beds; Norton Children's Hospital - 300; Norton Audubon Hospital - 432 beds: Norton Women's and Children's Hospital - 373 beds; and Norton Brownsboro Hospital - 127 beds. These hospitals operate twenty-four (24) hours a day, seven (7) days a week. In 2018, Hospitals' facilities and diagnostic centers served 72,355 inpatients, 560,845 outpatients, and 249,388 emergency department visits. In addition, Hospitals' operating rooms cared for 20,947 inpatient surgical patients and 35,751 outpatient surgical patients. Additionally, 7,564 deliveries were performed at Hospitals' birthing centers. Under its charity care program, Hospitals provided free care to 13,284 patients, at a cost of $13.4 million. Also, Hospitals 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. | Desc |
| Total Program Service Expenses | $1,710,270,230 | 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 | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 288 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 11029 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 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 | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Helena Schulz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5026298263 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Accounting 224 E BROADWAY 5th Fl | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Russell F Cox | ||||||||||
| President & CEO/Trustee | 10.0 | 40.0 | Yes (X) | Yes (X) | $0 | $2,023,748 | $139,421 | |||
| Gary L Stewart | ||||||||||
| Chair | 1.0 | 12.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Edie Nixon | ||||||||||
| Vice Chair | 1.0 | 7.5 | Yes (X) | $0 | $0 | $0 | ||||
| Maria L Bouvette | ||||||||||
| Trustee (partial year) | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Brendan Canavan | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | ||||
| Sue Davis EdD RN | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Marshall Farrer | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $0 | $0 | ||||
| Lee K Garlove | ||||||||||
| Trustee | 1.0 | 3.5 | Yes (X) | $0 | $3,200 | $0 | ||||
| Maria Gerwing Hampton | ||||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $0 | $0 | ||||
| Craig D Grant | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Rick Guillaume | ||||||||||
| Chair Emeritus | 1.0 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| Martha K Heyburn MD | ||||||||||
| Trustee | 1.0 | 4.5 | 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) | $0 | $1,600 | $0 | ||||
| Ronald Lehocky MD | ||||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $0 | $0 | ||||
| Gail Lyttle | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Gregory E Mayes | ||||||||||
| Trustee | 1.0 | 6.5 | Yes (X) | $0 | $1,600 | $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 | 1.0 | 6.5 | Yes (X) | $0 | $0 | $0 | ||||
| G Hunt Rounsavall Jr | ||||||||||
| Trustee | 1.0 | 6.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Rev William J Schultz | ||||||||||
| Trustee | 1.0 | 4.5 | Yes (X) | $0 | $0 | $0 | ||||
| James L Sublett MD | ||||||||||
| Trustee | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Richard S Wolf MD | ||||||||||
| Chair Emeritus | 1.0 | 2.5 | Yes (X) | $0 | $1,600 | $0 | ||||
| Robert B Azar | ||||||||||
| Sr VP Chief Legal Officer/Secretary | 10.0 | 40.0 | Yes (X) | $0 | $1,953,813 | $127,178 | ||||
| Michael W Gough | ||||||||||
| Exec VP and COO | 10.0 | 40.0 | Yes (X) | $0 | $1,331,576 | $214,821 | ||||
| Adam Kempf | ||||||||||
| Sr VP, CFO/Treasurer | 10.0 | 40.0 | Yes (X) | $0 | $587,990 | $116,583 | ||||
| Joseph Flynn DO | ||||||||||
| CAO NMG - Physician -in-Chief NCI | 50.0 | 0 | $837,612 | $0 | $133,057 | Yes (X) | ||||
| Thomas Kmetz | ||||||||||
| Division President Women and Children Services (partial year) | 49.0 | 1.0 | $798,197 | $0 | $151,365 | Yes (X) | ||||
| Matthew Ayers | ||||||||||
| Hospital CAO | 50.0 | 0 | $474,712 | $0 | $88,594 | Yes (X) | ||||
| Charlotte Ipsan | ||||||||||
| Hospital CAO | 50.0 | 0 | $457,744 | $0 | $95,044 | Yes (X) | ||||
| Jon Cooper | ||||||||||
| Hospital CAO | 50.0 | 0 | $452,096 | $0 | $86,114 | Yes (X) | ||||
| Andrew Strausbaugh | ||||||||||
| Hospital CAO | 50.0 | 0 | $402,773 | $0 | $83,767 | Yes (X) | ||||
| Aaron Spalding MD | ||||||||||
| Physician | 50.0 | 0 | $1,253,443 | $0 | $53,004 | Yes (X) | ||||
| Don Stevens MD | ||||||||||
| Physician | 50.0 | 0 | $1,189,870 | $0 | $52,722 | Yes (X) | ||||
| Yong Cha MD | ||||||||||
| Physician | 50.0 | 0 | $1,162,191 | $0 | $52,516 | Yes (X) | ||||
| Shawn Glisson MD | ||||||||||
| Physician | 50.0 | 0 | $1,049,438 | $0 | $40,108 | Yes (X) | ||||
| Michael Driscoll MD | ||||||||||
| Physician | 50.0 | 0 | $937,961 | $0 | $46,657 | Yes (X) | ||||
| Mary Gruebbel | ||||||||||
| Former, VP Patient Care Svc/CNO | 0.0 | 0 | $439,818 | $0 | $39,942 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,455,855 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,916,328 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,520,893 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 389 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Messer Construction Co | ||||||
| 11001 Plantside Dr | LOUISVILLE | KY | 40299 | Construction | $49,663,566 | |
| University of Louisville | ||||||
| 323 E Chestnut St | Louisville | KY | 40202 | Residency Program | $11,660,290 | Suite 312 |
| Harshaw Trane Service | ||||||
| 12700 Plantside Dr | Louisville | KY | 40299 | Equipment and Repair | $9,205,455 | |
| Morrison Management Specialist | ||||||
| 400 Northridge Rd | Sandy Springs | GA | 75038 | Dietary Services | $8,010,050 | Suite 600 |
| Northstar Anesthesia of KY II PLLC | ||||||
| 6225 N State Hwy 161 | Irving | TX | 75038 | Anesthesia Services | $7,739,133 | Suite 200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 158 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $12,610,334 | RelatedOrganizationsAmt |
| Total Contributions | $12,610,334 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 621110 | $2,005,444,300 | $1,999,779,307 | $5,664,993 |
| Healthcare Education | 611710 | $1,273,974 | $1,273,974 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,006,718,274 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,018,856 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $894,864 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $123,992 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,992 | TotalRevenueColumnAmt |
| Exclusion | $123,992 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Purchasing Co-Op Inc. | 561499 | $2,472,357 | $2,210,056 | $262,301 |
| Parking Income | 812930 | $1,448,783 | $1,448,783 | |
| Retail Rx Sales | 900099 | $90,461 | $90,461 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,772 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,772 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,046,373 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,023,498,973 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,004,837,353 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,927,294 | UnrelatedBusinessRevenueAmt |
| Exclusion | $123,992 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,314,392 | TotalAmt |
| Program Services | $2,314,392 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,670 | TotalAmt |
| Program Services | $295,670 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,559,223 | TotalAmt |
| Program Services | $503,559,223 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,070,238 | TotalAmt |
| Program Services | $28,070,238 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,330,252 | TotalAmt |
| Program Services | $60,330,252 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,966,811 | TotalAmt |
| Program Services | $34,966,811 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,623,673 | TotalAmt |
| Program Services | $144,623,673 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,021,015 | TotalAmt |
| Program Services | $8,021,015 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,573,620 | TotalAmt |
| Program Services | $21,573,620 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,199 | TotalAmt |
| Program Services | $786,199 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,786,075 | TotalAmt |
| Program Services | $38,786,075 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,956,911 | TotalAmt |
| Program Services | $64,956,911 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,142,834 | TotalAmt |
| Program Services | $12,142,834 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $489,617,838 | $489,617,838 | |
| Allocated Support | $262,976,664 | $203,859,510 | $59,117,154 |
| Bad Debt | $57,114,018 | $57,114,018 | |
| Provider Tax | $20,129,732 | $20,129,732 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,122,219 | TotalAmt |
| Program Services | $19,122,219 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,769,387,384 | TotalAmt |
| Program Services | $1,710,270,230 | ProgramServicesAmt |
| Management And General | $59,117,154 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,830 | BOYAmt |
| EOY | $8,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,871,524 | BOYAmt |
| EOY | $210,952,565 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,251,315 | BOYAmt |
| EOY | $54,383,711 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,090,332 | BOYAmt |
| EOY | $2,422,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,703,092,554 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $952,565,179 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $673,568,490 | BOYAmt |
| EOY | $750,527,375 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,445,984 | BOYAmt |
| EOY | $7,445,984 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,311,809,272 | BOYAmt |
| EOY | $1,525,606,243 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,271,045,747 | BOYAmt |
| EOY | $2,551,346,959 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,003,603 | BOYAmt |
| EOY | $101,720,807 | 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 | $39,546,441 | BOYAmt |
| EOY | $55,161,148 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,550,044 | BOYAmt |
| EOY | $156,881,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,569,992 | BOYAmt |
| EOY | $2,383,303,240 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,925,711 | BOYAmt |
| EOY | $11,161,764 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,140,495,703 | BOYAmt |
| EOY | $2,394,465,004 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,271,045,747 | BOYAmt |
| EOY | $2,551,346,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $254,111,589 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$142,288 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $73,732 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $73,732 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Norton Hospitals, Inc. pays dues to the Kentucky Hospital Association. A portion of those dues in the amount of $73,732 was spent on lobbying. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Norton Hospitals, Inc. pays dues to the Kentucky Hospital Association. A portion of those dues in the amount of $73,732 was spent on lobbying. |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,691,046 | BeginningYearBalanceAmt |
| Contributions | $127,680 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,053,047 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $884,587 | OtherExpendituresAmt |
| End Year Balance | $18,881,092 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,843,030 | BeginningYearBalanceAmt |
| Contributions | $30,621 | ContributionsAmt |
| Investment Earnings Or Losses | $2,617,227 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $799,832 | OtherExpendituresAmt |
| End Year Balance | $20,691,046 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,722,595 | BeginningYearBalanceAmt |
| Contributions | $31,092 | ContributionsAmt |
| Investment Earnings Or Losses | $987,970 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $898,627 | OtherExpendituresAmt |
| End Year Balance | $18,843,030 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,430,388 | BeginningYearBalanceAmt |
| Contributions | -$86,737 | ContributionsAmt |
| Investment Earnings Or Losses | -$772,654 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $848,402 | OtherExpendituresAmt |
| End Year Balance | $18,722,595 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,805,488 | BeginningYearBalanceAmt |
| Contributions | -$90,195 | ContributionsAmt |
| Investment Earnings Or Losses | $489,431 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $774,336 | OtherExpendituresAmt |
| End Year Balance | $20,430,388 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.9813 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0187 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,560,360 | OtherCostOrOtherBasisAmt |
| Book Value | $25,560,360 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $881,772,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $382,673,168 | DepreciationAmt |
| Book Value | $499,099,684 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $686,570,286 | OtherCostOrOtherBasisAmt |
| Depreciation | $562,032,271 | DepreciationAmt |
| Book Value | $124,538,015 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,189,056 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,859,740 | DepreciationAmt |
| Book Value | $101,329,316 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $750,527,375 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RECEIVABLE FROM AFFILIATE | $1,522,083,701 |
| INVESTMENT IN PREMIER PURCHASING PARTNERS LP | $3,072,542 |
| MISCELLANEOUS RECEIVABLES | $450,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,525,606,243 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $47,377,675 |
| PHYSICIAN GUARANTEE LIABILITY | |
| ASSET RETIREMENT OBLIGATION | $7,783,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $55,161,148 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,024,995,645 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $9,103,736 | OtherRevenueAmt |
| Revenue Not Reported | $9,103,736 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,015,891,909 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,607,064 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,607,064 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,023,498,973 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,778,491,120 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $9,103,736 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $9,103,736 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,769,387,384 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,769,387,384 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | The Children's Hospital Foundation, Inc. and Norton Healthcare Foundation, Inc. utilize income generated from endowment funds to support various programs and services and capital projects for the benefit of Norton Hospitals, Inc. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | Rental Income - Internal - 8126436 Rental Expenses - Salary - 211755 Rental Expenses - Other - 683109 - Fees and Special Services - 82436 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | CONTRIBUTIONS & GRANTS - 10558198 ASSETS RELEASED - PROGRAMS - -2831735 ASSETS RELEASED - FINANCIAL ASSISTANCE - -287774 ASSETS RELEASED - PP & E - -3076927 EQUIPMENT CONTRIBUTION RECEIVED - 3245302 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | Rental Income - Internal - 8126436 Rental Expenses - Salary - 211755 Rental Expenses - Other - 683109 Fees and Special Services - 82436 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,424,931 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $839,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,585,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0074 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $434,101,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $338,735,836 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,365,251 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0557 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $563,555 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,078,592 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $448,089,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $342,653,636 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $107,950,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0630 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,407,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,273,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,134,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0059 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,902,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,618,925 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,283,676 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0253 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,965,304 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,965,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,165,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,165,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0018 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $66,440,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,892,009 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,548,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0348 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $514,529,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $349,545,645 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $167,499,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0978 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,066,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,066,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,066,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,066,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $57,114,018 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,286,073 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $380,883,443 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $374,310,466 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $6,572,977 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Childrens HospitalChildrensHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Norton Hospital | ||||||||||||
| 1 | 200 E Chestnut St | Louisville | KY | 40202 | http://www.nortonhealthcare.com/nortonhospital | 100234 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Children's Hospital | ||||||||||||
| 2 | 231 E Chestnut St | Louisville | KY | 40202 | http://www.nortonchildrens.com/ | 100234 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| Norton Women's and Children's Hospital | ||||||||||||
| 3 | 4001 Dutchmans Lane | Louisville | KY | 40207 | http://www.nortonhealthcare.com/pages/nwch.aspx | 100255 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Audubon Hospital | ||||||||||||
| 4 | One Audubon Plaza Drive | Louisville | KY | 40217 | http://www.nortonhealthcare.com/NortonAudubonHospital | 100252 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| Norton Brownsboro Hospital | ||||||||||||
| 5 | 4950 Norton Healthcare Blvd | Louisville | KY | 40241 | http://www.nortonhealthcare.com/nortonbrownsborohospital | 100475 | Yes (X) | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | nortonhealthcare.com/about-us/community-health-needs-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | nortonhealthcare.com/about-us/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.nortonhealthcare.com/fap | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.nortonheatlhcare.com/fap | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.nortonheatlhcare.com/fap | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 6a Facility A, 1 | Facility A, 1 - ALL HOSPITALS. NORTON HOSPITALS, INC. OWNS AND OPERATES FIVE HOSPITALS LOCATED IN LOUISVILLE, JEFFERSON COUNTY, KENTUCKY. THE HOSPITALS ARE: - NORTON HOSPITAL - NORTON CHILDREN'S HOSPITAL - NORTON WOMEN'S AND CHILDREN'S HOSPITAL - NORTON AUDUBON HOSPITAL - NORTON BROWNSBORO HOSPITAL |
| Schedule H, Part V, Section B, Line 6b Facility A, 1 | Facility A, 1 - OTHER ORGANIZATIONS. THE LOUISVILLE AREA HOSPITALS COLLABORATED WITH LOUISVILLE METRO GOVERNMENT TO CONDUCT THE COMMUNITY WIDE HEALTH SURVEY AND FOCUS GROUPS. |
| Schedule H, Part V, Section B, Line 11 Facility A, 1 | Facility A, 1 - All Hospitals. Norton Healthcare, Inc. conducted a Community Health Needs Assessment (CHNA), using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, and aligned with Norton's mission, services and strategic priorities. Key findings for each identified health need were summarized and health needs were prioritized. Norton Executive Leadership and the Community Benefit Committee of the Board of Trustees identified areas where Norton can most effectively focus its resources to have significant impact and developed Implementation Strategies for 2017-2019, in conjunction with their strategic planning process. CHANGING MARKET DEMOGRAPHICS - Norton Hospitals, Inc. (Hospitals) serves A SMALL BUT GROWING IMMIGRANT POPULATION IN THE COMMUNITY. IN RESPONSE TO THIS, Hospitals HAS INITIATED EMPLOYEE RESOURCE GROUPS WITHIN THE ORGANIZATION TO ENHANCE ASSIMILATION WITH Hospitals AND THE COMMUNITY. FIVE GROUPS CURRENTLY EXIST FOR AFRICAN AMERICANS, WOMEN, VETERANS, LGBTQ INDIVIDUALS AND ALLIES, AND YOUNG PROFESSIONALS. EACH GROUP IS OPEN TO ANY EMPLOYEE WHO WANTS TO JOIN. IN 2018 Hospitals LAUNCHED A WOMEN'S LEADERSHIP ACADEMY AND MENTORING PROGRAM THROUGH THEIR WOMEN'S EMPLOYEE RESOURCE GROUP TO INVEST IN THE PROFESSIONAL DEVELOPMENT TO MAINTAIN HIGH LEVELS OF PERFORMANCE AS A HEALTH CARE PROVIDER. Hospitals HAS ENHANCED RECRUITING EFFORTS WITH A FOCUS ON INCLUSIVENESS AND ENSURING THAT THE WORKFORCE IS CONSISTENT WITH THE PATIENTS WE SERVE IN THE COMMUNITY AND REGION. Hospitals HAS INCORPORATED DIVERSITY AND INCLUSION TRAINING INTO THE ORIENTATION PROCESS FOR NEW HIRES, AS WELL AS UTILIZING PATIENT FAMILY ADVISORY COUNCILS TO IDENTIFY PROCESS AND SERVICE IMPROVEMENTS. Hospitals HAS ADDED FREE CLASSES AVAILABLE TO ALL EMPLOYEES SPECIFIC TO IMPROVING CARE FOR LGBTQ PATIENTS, MILITARY AND VETERAN POPULATIONS, LIMITED-ENGLISH PROFICIENT, AND OTHER CULTURAL COMPETENCY COURSES TO HELP PROVIDE THE BEST POSSIBLE CARE TO THOSE WE SERVE. EQUITABLE & INCLUSIVE CARE: Hospitals WAS NAMED A LEADER IN HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN IN 2017 AND 2018. THE HUMAN RIGHTS CAMPAIGN'S HEALTHCARE EQUALITY INDEX IS AN ANNUAL SURVEY THAT PROMOTES AND ENCOURAGES INCLUSIVE CARE FOR LGBTQ PEOPLE IN HEALTHCARE FACILITIES ACROSS THE UNITED STATES. TO HELP SUPPORT THE EFFORTS OF CREATING A SAFE, ACCESSIBLE CARE ENVIRONMENT FOR OUR PATIENTS, MEDICAL STAFF OR EMPLOYED PROVIDERS ARE ENCOURAGED TO REGISTER FOR ONLINE COURSES PROVIDED THROUGH OUR INTERNAL LEARNING WEBSITE. POVERTY LEVELS - Hospitals FACILITIES ACCEPT ALL PATIENTS, IRRESPECTIVE OF THEIR ABILITY TO PAY. Hospitals HAS A CAPITATION CONTRACT WITH PASSPORT FOR OUR COMMUNITY TO CARE FOR QUALIFIED MEDICAID PATIENTS. Hospitals ALSO HAS A generous CHARITY POLICY WITH REPRESENTATIVES WHO ASSIST THOSE PATIENTS AND FAMILIES AS NEEDED TO ENSURE ALL POTENTIAL RESOURCES ARE AVAILABLE TO THEM WHEN CARE IS PROVIDED. IN 2017, Hospitals LAUNCHED A COMMUNITY PROJECT CALLED UNITY JAM, FOCUSED ON PROVIDING FREE ACCESS TO HEALTHCARE SCREENING SERVICES AND HEALTHCARE EDUCATION FOR RESIDENTS OF POVERTY LADEN AREAS IN THE COMMUNITY. UNITY JAM CONTINUES TO BE AN ANNUAL EVENT IN THE COMMUNITY. REGISTRATIONS INCREASED FROM 267 HOUSEHOLDS IN 2017 TO 1,001 IN 2018. OVER 200 PEOPLE HAVE BEEN SCREENED THROUGH UNITY JAM OVER THE PAST TWO YEARS THIS EVENT HAS TAKEN PLACE. LANGUAGE - Hospitals HAS MANY EMPLOYEES THAT SPEAK SPANISH AND OTHER FOREIGN LANGUAGES. WE CONTRACT WITH A SERVICE TO PROVIDE TRANSLATIONAL SERVICES TO FACILITATE CARE DELIVERY. IN 2017 Hospitals' PREVENTION & WELLNESS TEAM BEGAN SPONSORING THE ANNUAL HISPANIC/LATINO HEALTH FAIR PROVIDING FREE HEALTHCARE AND HEALTH EDUCATION TO MORE THAN 400 PEOPLE. Hospitals HAS CONTINUED TO SPONSOR THIS IN 2018 AND 2019 PROVIDING A FOOD PANTRY, HEALTH EDUCATION, AND CAR SEAT INSTALLATION CHECKS. EDUCATION - Hospitals PROVIDES EXTENSIVE EDUCATIONAL OFFERINGS AND LEADERSHIP DEVELOPMENT PROGRAMS, AS WELL AS EDUCATIONAL ASSISTANCE, FOR ALL EMPLOYEES AT NO ADDITIONAL COST TO THE EMPLOYEE. THESE PROGRAMS ARE PROVIDED THROUGH THE NORTON UNIVERSITY AND Norton Healthcare INSTITUTE FOR NURSING. PROGRAMS ARE EVALUATED ANNUALLY TO DETERMINE GAPS AND FUTURE PROGRAM OPPORTUNITIES IN COLLABORATION WITH NORTON UNIVERSITY LEADERSHIP. IN 2017 Hospitals CREATED KENTUCKY FIRST NURSING APPRENTICESHIP PROGRAM IN RESPONSE TO A CHALLENGE FROM GOVERNOR MATT BEVIN TO ADDRESS TALENT SHORTAGES IN THE STATE THROUGH APPRENTICESHIP. THE PROGRAM PROVIDES PAID, HANDS-ON TRAINING FOR PROSPECTIVE NURSES FOR 12 TO 18 MONTHS WITH AN EXPERIENCED MENTOR IN THE Hospitals' SYSTEM. AT THE END OF THE PROGRAM NURSES ARE NOT REQUIRED TO WORK FOR Hospitals. BEGINNING IN FALL 2017 THROUGH SPRING 2019 232 NURSES HAVE GRADUATED THROUGH THIS PROGRAM. OVER 80,000 PAID STUDENT NURSE HOURS HAVE BEEN INVESTED THROUGH NORTON HEALTHCARE, Inc. (NHC) FOR THIS PROGRAM. TEEN BIRTHS - THE BIRTH RATE FOR TEENAGERS IN THE LOUISVILLE METRO AREA IS 32.4 BIRTHS PER 1,000 FEMALES AGED 15 TO 19 WHICH IS ABOVE THE NATIONAL AVERAGE OF 22.3 PER 1,000 FEMALES AGE 15-19. AS A LEADING PROVIDER FOR BIRTHING SERVICES IN THE COMMUNITY AND THE PREMIER PROVIDER OF PEDIATRIC SERVICES, CONTINUING TO PROMOTE HEALTH AWARENESS AS IT RELATES TO PREGNANCY PREVENTION ALTERNATIVES IS AN AREA OF RESPONSIBILITY FOR OUR ORGANIZATION. Hospitals HAS EXPANDED MATERNAL FETAL MEDICINE LOCATIONS, NOW UTILIZING TELEMEDICINE TOOLS TO BROADEN ACCESS. Hospitals ALSO CONTINUES TO EXPAND CLINICAL AFFILIATIONS WITH RURAL PROVIDERS. Hospitals CONTINUES TO SUPPORT EDUCATION AND AWARENESS OF PREGNANCY PREVENTION ALTERNATIVES FOR THE COMMUNITY, INCLUDING EDUCATIONAL OFFERINGS THROUGH THE MARSHALL WOMEN'S CENTER LOCATED ON OUR ST. MATTHEWS CAMPUS. PRENATAL CARE, LOW BIRTH WEIGHT AND INFANT MORTALITY - IN KENTUCKY, LOW BIRTH WEIGHT BABIES EXCEED THE NATIONAL AVERAGE AND INFANT MORTALITY RATES ARE SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE. Hospitals IS COMMITTED TO ESTABLISHING A MATERNAL FETAL MEDICINE CENTER OF EXCELLENCE FOR THE STATE AND REGION TO ENSURE THE FEMALE POPULATION HAS ACCESS TO CLINICAL RESOURCES FOR THE BEST POSSIBLE CARE AND OUTCOME FOR THEIR BABY. PART OF THIS INITIATIVE INVOLVES EDUCATION ON PRENATAL CARE AND THE VALUE OF THESE EFFORTS TO REDUCE LOW BIRTH WEIGHT BABIES AND OTHER COMPLICATIONS. PRENATAL CLASS OFFERINGS ARE AVAILABLE AT MULTIPLE LOCATIONS IN THE COMMUNITY. ADDITIONALLY, Hospitals PROVIDES CLINICAL RESOURCES TO THE SHAWNEE CHRISTIAN COMMUNITY AND PARK DUVALLE COMMUNITIES TO FURTHER PROMOTE HEALTH AND WELLNESS. ACCESS TO CARE - Hospitals IS PROMOTING EDUCATION AND AWARENESS OF PRIMARY CARE OFFICE LOCATIONS IN THE COMMUNITY AS AN ALTERATIVE TO THE EMERGENCY DEPARTMENT. TO INCREASE ACCESS TO CARE, EMPLOYED PROVIDERS ARE EXPANDING OFFICE HOURS TO ENSURE WALK IN PATIENTS CAN BE SEEN. TO REDUCE WAIT TIMES FOR PRIMARY CARE PHYSICIAN APPOINTMENTS, Hospitals IS UTILIZING THE NORTON ACCESS CENTER TO MORE EFFICIENTLY NAVIGATE PATIENTS TO NEARBY PROVIDERS. NORTON ECARE IS A NEW SERVICE THAT PROVIDES REMOTE DELIVERY OF CARE THROUGH A VIRTUAL VISIT WITH A PROVIDER. Hospitals HAS A TEAM OF NURSE PRACTIONERS THAT ARE DEDICATED TO HELP WITH THE REMOTE DELIVERY OF HEALTH CARE SERVICES. Hospitals ECARE PROVIDERS ARE AVAILABLE SEVEN DAYS A WEEK THROUGH TWO SECURE ONLINE OPTIONS. NHC HAD OVER 4,000 ECARE VISITS IN 2018. IN 2018, WALGREENS AND Hospitals ANNOUNCED NHC WILL OPERATE AND PROVIDE ALL CLINICAL SERVICES AT EIGHT RETAIL HEALTH CLINICS LOCATED WITHIN WALGREENS STORES ACROSS THE GREATER LOUISVILLE AREA, INCLUDING THREE IN SOUTHERN INDIANA AND FIVE IN LOUISVILLE. NORTON PROMPT CARE AT WALGREENS OPERATES DAILY, INCLUDING EVENINGS AND WEEKENDS. THIS GIVES PATIENTS THE OPTION TO ACCESS A VARIETY OF HEALTH CARE SERVICES WITHOUT AN APPOINTMENT. Hospitals HAS SAME OR NEXT DAY APPOINTMENT AVAILABILITY WITHIN OB/GYN. PATIENT CALLS 629-4GYN AND AN APPOINTMENT IS SCHEDULED SAME OR NEXT DAY IN ALL OF OUR OB/GYNPRACTICES. ACCESS TO PEDIATRIC SPECIALISTS - Hospitals, IN PARTNERSHIP with the University OF Louisville (U of L), ANNOUNCED THE CREATION OF NORTON CHILDREN'S CANCER INSTITUTE TO PROVIDE IMPROVED ACCESS AND ADDITIONAL SERVICES TO CARE FOR CHILDREN FIGHTING CANCER AND BLOOD DISORDERS. THE PROGRAM IS EXPECTED TO INCREASE THE NUMBER OF CLINICAL TRIALS OFFERED TO PATIENTS AND GAIN EARLIER ACCESS TO NEW THERAPIES, DEVELOP GROUND-BREAKING RESEARCH AND TECHNOLOGIES, AS WELL AS RECRUIT ADDITIONAL HEMATOLOGY/ONCOLOGY SPECIALISTS AND MEDICAL STUDENTS. |
| Schedule H, Part V, Section B, Line 11 Facility A, 2 | Facility A, 2 - All Hospitals. DIABETES - THE DIABETES PATIENT POPULATION CONTINUES TO GROW IN KENTUCKY AND MORTALITY RATES FOR THE STATE AND LOUISVILLE METRO CONTINUE TO EXCEED NATIONAL AVERAGES. Hospitals HAS A FOCUSED PROGRAM AT OUR CHILDREN'S HOSPITAL TO PROMOTE EDUCATION AND AWARENESS WHILE UTILIZING PROTOCOLS FOR EARLY DETECTION OF PATIENTS WITH DIABETES. ADDITIONALLY NHI'S CLINICAL EFFECTIVENESS TEAM UTILIZES BEST PRACTICE CLINICAL PROTOCOLS TO IDENTIFY DIABETES PATIENTS AND RECOMMEND THEM TO A SPECIALIST FOR ONGOING CARE MANAGEMENT TO IMPROVE PATIENT HEALTH. Hospitals IS WORKING TO INCREASE PARTICIPATION IN DIABETES MANAGEMENT PROGRAMS THROUGH INCREASED TESTING TO IMPROVE LEVELS OF DIAGNOSED PATIENTS. THE WENDY NOVAK DIABETES CENTER AT NORTON CHILDREN'S HOSPITAL (NCH) AND U OF L CURRENTLY CARE FOR MORE THAN 1,540 CHILDREN WITH TYPE 1 DIABETES. THE CENTER OFFERS PERSONALIZED DIABETES EDUCATION PROGRAMS FOR PATIENTS, FAMILIES AND COMMUNITY MEMBERS. THE WENDY NOVAK DIABETES CENTER AT NCH AND U OF L WAS RECENTLY RANKED BY U.S. NEWS & WORLD REPORT AS ONE OF THE TOP 50 BEST HOSPITALS FOR PEDIATRIC DIABETES & ENDOCRINOLOGY SERVICES IN THE UNITED STATES. DEDICATED OUTPATIENT DIABETES CARE IS PROVIDED THROUGH THE NEW NOVAK CENTER FOR CHILDREN'S HEALTH. OBESITY, NUTRITION & EXERCISE - OBESITY IS A SIGNIFICANT HEALTH ISSUE FOR THE LOUISVILLE AREA AS WELL AS THE STATE. KENTUCKY'S ADULT OBESITY RATE IS CURRENTLY AT 34.3%, UP FROM 30.4% IN 2012. ALMOST 33% OF JEFFERSON COUNTY ADULTS ARE OBESE. Hospitals FEELS A RESPONSIBILITY TO THE CHILDREN OF OUR COMMUNITY TO PROMOTE HEALTHY FOOD CHOICES AND RECREATIONAL ACTIVITIES AS THE STATE'S EXPERT IN PEDIATRIC SERVICES. AS PART OF OUR ONGOING PEDIATRIC SERVICES, WE CURRENTLY HAVE A dietary CLINIC AND PROVIDE NUTRITIONAL GUIDANCE FOR OUR PATIENTS AND FAMILIES. Hospitals HAS A BARIATRIC CENTER THAT PROVIDES EXERCISE AND NUTRITION PROGRAMS. BARIATRIC SURGICAL CANDIDATES PARTICIPATE IN AN EDUCATION PROGRAM PRIOR TO THE PROCEDURE TO ENSURE SUCCESS IN MAINTAINING A HEALTHY WEIGHT FOLLOWING THE PROCEDURE. Hospitals HAS ESTABLISHED A FOCUSED PREVENTION AND WELLNESS SERVICE LINE TO ENCOURAGE HEALTHY BEHAVIOR AND TAKE ADVANTAGE OF SCREENINGS AND OTHER PREVENTION ACTIVITIES TO FACILITATE EARLY DETECTION OF CHRONIC CONDITIONS AND RELATED RISK FACTORS. Hospitals WILL CONTINUE TO EXPAND OUR GEOGRAPHIC REACH FOR THESE PROGRAMS AS FEASIBLE. Hospitals HAS PARTNERED WITH THE YMCA OF GREATER LOUISVILLE TO CONTINUE TO ADDRESS CHILDHOOD OBESITY AND IMPROVE EMPLOYEE HEALTH. THROUGH A SPONSORSHIP WITH GONOODLE, Hospitals IS PROMOTING PHYSICAL ACTIVITY IN LOCAL SCHOOLS AND COMMUNITY SETTINGS TO HELP INCREASE THE PHYSICAL HEALTH OF CHILDREN IN THE COMMUNITY. FOOD INSECURITY: AS PART OF ALL WELLNESS VISITS, SELECT Hospitals PEDIATRIC PRACTICES SCREEN PATIENTS TO IDENTIFY FAMILIES facing HUNGER. PATIENTS WITH FOOD INSECURITIES ARE GIVEN ACCESS TO A FOOD PANTRY THAT STOCKS HEALTHY OPTIONS SUCH AS CEREALS LOW IN SUGAR, BROWN RICE, NUTS, SPICES, CANNED FRUIT IN NATURAL JUICES AND CANNED VEGETABLES WITH NO ADDED SALT. CANCER INCIDENCE & MORTALITY - THE KENTUCKY INCIDENCE AND MORTALITY RATES FOR ALL CANCERS ARE WELL ABOVE THE NATIONAL AVERAGE. Hospitals HAS A STRONG DEPTH AND BREADTH OF SUBSPECIALISTS IN THE AREA OF ONCOLOGIC CARE WITH NORTON CANCER INSTITUTE (NCI). WE OPERATE KENTUCKY'S ONLY ACCREDITED NETWORK CANCER CENTER AND UTILIZE EVIDENCE BASED CLINICAL PROTOCOLS AND PATHWAYS TO ENHANCE THE QUALITY OF LIFE AND SURVIVORSHIP OF OUR CANCER PATIENTS. IN 2018 Hospitals OPENED NCI: PROMPT CARE CLINIC SPECIFICALLY FOR CANCER PATIENTS WITH URGENT CARE NEEDS WITH THE GOAL OF KEEPING THEM health and well and thereby OUT OF THE HOSPITAL. IN ADDITION, Norton Cancer CENTER BROWNSBORO IS A NEW COMPREHENSIVE CANCER CARE CENTER DESIGNED TO MINIMIZE WAIT TIMES AND PROVIDE FOR ALL OF THE MULTI DISCIPLINARY NEEDS OF OUR CANCER PATIENTS IN ONE CONVENIENT LOCATION. LUNG CANCER - THE INCIDENCE RATES FOR LUNG CANCER IN KENTUCKY ARE AMONG THE HIGHEST IN THE NATION. THE SURVIVAL RATE UNFORTUNATELY LAGS NATIONAL AVERAGES SIGNIFICANTLY. Hospitals HAS IMPLEMENTED A LUNG CT SCREENING PROGRAM TO FACILITATE EARLY DETECTION. INCEPTED IN 2016 THE PROGRAM IS NOW PERFORMING OVER 2,000 SCREENINGS ANNUALLY. Hospitals ALSO OFFERS TOBACCO AND SMOKING CESSATION CLASSES. IN ADDITION, A MULTI-DISCIPLINARY PROGRAM HAS BEEN ESTABLISHED IN PARTNERSHIP WITH PULMONARY LEADERSHIP TO ADDRESS COMPREHENSIVE PATIENT NEEDS. NORTON CHILDREN'S PREVENTION & WELLNESS - Hospitals PROVIDES INJURY PREVENTION SERVICES INCLUDING CAR SEAT CHECKS, bike HELMET DISTRIBUTION, SAFE SLEEP EDUCATION AND SAFE KIDS COALITIONS. TO HELP REDUCE INJURIES PRESENTING TO THE EMERGENCY ROOM, Hospitals WORKS WITH EXTERNAL PARTNERS, INCLUDING JEFFERSON COUNTY PUBLIC SCHOOLS, TO PROVIDE EDUCATION AND ACCESS TO INJURY PREVENTION SERVICES. MENTAL HEALTH - Hospitals ADDRESSES MENTAL HEALTHCARE NEEDS USING A VARIETY OF MENTAL HEALTH SERVICES. AS OF NOVEMBER 2018 A PEDIATRIC PSYCHOLOGIST HAS BEEN INTEGRATED IN FIVE NORTON PEDIATRIC PRACTICES. ALL Hospitals PEDIATRIC PRACTICES ADMINISTER DEPRESSION SCREENINGS STARTING AT AGE 11. FOR OUR PATIENTS FIGHTING CANCER, NCI IS ONE OF FEW ONCOLOGY PROGRAMS NATIONWIDE OFFERING A ROBUST PROGRAM FOR MENTAL AND EMOTIONAL HEALTH NEEDS. BEHAVIORAL ONCOLOGISTS OFFER FULL DIAGNOSTIC ASSESSMENTS, TREATMENT AND ONGOING FOLLOW-UP CARE. THE NCI ALSO PROVIDES spiritual care, ART THERAPY, A NEW THERAPY DOG PROGRAM LAUNCHED IN 2018 AND MUSIC THERAPY TO EASE THE DISCOMFORT AND ANXIETY OFTEN ASSOCIATED WITH HOSPITALIZATION. Hospitals ALSO PROVIDES OUTPATIENT WOMEN'S MENTAL HEALTH SERVICES ON THE NORTON HEALTHCARE - ST. MATTHEWS CAMPUS. BREAST CANCER - Hospitals HAS MULTIPLE ACCESS POINTS FOR MAMMOGRAPHY SCREENINGS AND OTHER PREVENTION AND WELLNESS ACTIVITIES. Hospitals HAS IMPLEMENTED A BREAST HEALTH PROGRAM TO IMPROVE SERVICE OPTIONS FOR PATIENTS, TO STREAMLINE SCREENING ACTIVITIES AND PROVIDE A SINGLE ACCESS POINT TO EVALUATE CARE AND TREATMENT OPTIONS. PROSTATE CANCER - NCI PROVIDES PROSTATE SCREENINGS THROUGH VARIOUS VENUES, INCLUDING OUR MOBILE HEALTH UNIT IN needy AREAS, AS WELL AS OTHER ROUTINE HEALTH FAIRS WHERE SCREENINGS ARE OFFERED. Hospitals PROVIDES COMPREHENSIVE SERVICES, BEING THE FIRST IN THE COMMUNITY TO PROVIDE RADICAL PROSTATECTOMIES WITH THE DAVINCI ROBOT, PRESERVING TISSUE AND IMPROVING RECOVERY TIME. HEART DISEASE MORTALITY - Hospitals' CARDIOVASCULAR PROGRAM HAS SPECIFIC INITIATIVES TO EXPAND ADVANCED IMAGING TO IMPROVE DIAGNOSIS RATES. FURTHER, OUR CLINICAL PROGRAMS ARE FOCUSED AROUND QUALITY INITIATIVES AND CONTINUOUS ENHANCEMENT OF BEST PRACTICES AND PROTOCOLS. Hospitals CONTINUES TO STRIVE FOR CLINICAL PROGRAM EXCELLENCE THROUGH ATTAINMENT OF ADVANCED ACCREDITATION LEVELS WITH NATIONAL AUTHORITIES AND WILL CONTINUE ENHANCEMENT OF OUR WORKFORCE AND PROGRAMS TO MEET COMMUNITY NEEDS. Hospitals HAS IMPLEMENTED A HEART FAILURE CLINIC UTILIZING ARNP'S FOR MANAGEMENT OF HIGH RISK PATIENTS. Hospitals IS WORKING WITH FAITH PARTNERS TO CONDUCT HYPERTENSION WORKSHOPS TO ADDRESS EARLY IDENTIFICATION OF HYPERTENSION. Hospitals WILL CONTINUE TO INCREASE AWARENESS AND ENABLE EARLY DETECTION OF AT RISK PATIENTS THROUGH DEVELOPMENT OF SPECIFIC CLASSES PROMOTING AWARENESS OF HEART DISEASE SYMPTOMS. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) - AS A LEADING STATE FOR THE use OF TOBACCO AND WITH MULTIPLE INDUSTRIAL PROVIDERS IN THE COMMUNITY, KENTUCKY'S INCIDENCE RATES FOR COPD ARE EXCESSIVE. Hospitals HAS MULTIPLE PULMONOLOGISTS ON STAFF AND OFFERS A BROAD RANGE OF ACUTE CARE SERVICES AS WELL AS RESPIRATORY THERAPY AT ALL HOSPITALS AND AMBULATORY FACILITIES. Hospitals' PREVENTION AND WELLNESS TEAM CONTINUES TO EXPAND SCREENING EFFORTS TO IDENTIFY THESE CHRONIC PATIENTS. IN ADDITION, OUR CARE MANAGEMENT TEAM HAS ESTABLISHED AND WILL CONTINUE TO IMPROVE UPON BEST PRACTICE PROTOCOLS FOR EFFECTIVE MANAGEMENT OF COPD PATIENTS. SYSTEM WIDE ICU/TCU ADMISSION CRITERIA ARE UTILIZED AND A COMPREHENSIVE CARE MODEL ENCOMPASSING HOSPITALISTS, PULMONARY SPECIALISTS AND CRITICAL CARE NP'S IS IN DEVELOPMENT TO IMPROVE CARE AND OUTCOMES FOR PATIENTS. |
| Schedule H, Part V, Section B, Line 13 Facility A, 1 | Facility A, 1 - All Hospitals. Other eligibility criteria in addition to the criteria answered above would include as described in the Financial Assistance Policy: * The patient does not qualify for subsidized coverage of government assistance such as Disproportionate Share Hospital, Children's Health Insurance Program, Medicaid, Medicaid Managed Care Organization, or Hoosier Healthcare. * To be eligible for assistance for non-emergent Medically Necessary Care, a patient (or that patient's guarantor) mush be a resident of Kentucky, Indiana, Tennessee, Ohio, or Illinois. This residency requirement does not apply to emergency care. |
| Schedule H, Part V, Section B, Line 16 Facility A, 1 | Facility A, 1 - ALL HOSPITALS. SEE RESPONSE TO PART VI, LINE 3; PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| Schedule H, Line 7, Input 7 STATE FILING OF COMMUNITY BENEFIT REPORT | NOT REQUIRED AT THIS TIME. |
| Schedule H, Part I, Line 6b Community Benefit Report | The annual community benefit initiative report is for all five hospitals in Norton Hospitals, Inc. (Hospitals) and is contained in the report prepared by Hosptals' parent corporation, Norton Healthcare, Inc. |
| Schedule H, Part VI, Line 5 Promotion of community health | 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. 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. * Of the 23 member Hospital board, 22 are independent community members who reside in the hospital's primary service area. |
| Schedule H, Part VI, Line 5 Promotion of community health | 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. 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. |
| Schedule H, Part VI, Line 5 Promotion of community health | 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 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. 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. |
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | Norton Hospitals, Inc. has a policy where we discount charges for all self pay patients with no insurance coverage regardless of income qualifications. Because of this policy, we responded "No" to line 3b in that we do not utilize federal poverty guidelines for providing discounted care. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Norton Healthcare, Inc. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 57114018 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The costing methodology used to calculate the community benefit expenses was to calculate the cost by hospital location (five separate locations under one Medicare provider number). The cost was determined based on a specific location cost to charge ratio. The cost to charge ratio was adjusted for bad debt expense and other costs. The cost used in the calculator was reduced by bad debt expense, provider taxes, Graduate Medical Education expenses, and other costs. The adjusted cost to charge ratio was then multiplied times the gross charges for qualified financial assistance charges, Medicaid, and the state Disproportionate Program (other means tested government program) to obtain the specific community benefit expense. |
| Schedule H, Part II Community Building Activities | NORTON HOSPITALS INC. (Hospitals) supported over 400 community organizations with leadership support which included over 53,000 hours and over $1.0 million in salaries. Hospitals' representatives served on a variety of nonprofits and government agencies that helped improve access to health services, enhanced the health of the community, advanced medical and health care knowledge, and relieved or reduced the burden of government or community effort. Hospitals' purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage. Our Community Benefit Initiative aligns with our mission to promote the health of the community through service on local boards, advisory councils and volunteering. Hospitals' employees represent Hospitals on many community board positions that help to enhance the community including the American Red Cross, Greater Louisville Inc. Board, The Kentucky Board of Nursing, Habitat for Humanity, Metro United Way, The American Heart Association, The Ronald McDonald House, and many more. Hospitals has a rich cultural history of providing community support and Hospitals employees are passionate about serving others and promoting the health of our community. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE BAD DEBT EXPENSE IS BASED ON THE NET ESTIMATED AMOUNT EXPECTED TO BE DUE FROM THE PATIENT/PAYOR. BAD DEBT EXPENSE FALLS INTO THREE CATEGORIES, TRUE SELF PAY, PATIENT RESPONSIBILITY AFTER INSURANCE, AND OTHER. -TRUE SELF PAY - FOR TRUE SELF PAY PATIENTS, THE SELF PAY DISCOUNT IS APPLIED TO THE ACCOUNT ASSUMING THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE WRITE-OFF IS THE DISCOUNTED AMOUNT LESS ANY PAYMENTS MADE BY THE PATIENT. -PATIENT RESPONSIBILITY AFTER INSURANCE - THE BAD DEBT EXPENSE WRITE-OFF FOR PATIENT'S RESPONSIBILITY AFTER INSURANCE IS BASED ON THE PATIENT'S LIABILITY PER THE EXPLANATION OF BENEFITS AND CONTRACT WITH THE INSURANCE COMPANY. THE BAD DEBT EXPENSE WRITE-OFF IS THE EXPECTED AMOUNT DUE LESS ANY PAYMENTS MADE BY THE PATIENT. -Other-The other category is for insurance amounts due from payors. Most expected payments not received from an insurance company after investigation into payment differences are written off to contractual allowance/denial category. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The method used to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under our financial assistance policy is based on our outside eligibility vendor's experience with qualifying accounts as financial assistance. Medassist Firstsource, our outside vendor, screens all self-pay accounts and based on an initial screening, will classify the account as "probable financial assistance. If the accounts appear to meet Norton Hospital, Inc.'s (Hospitals) financial assistance program guidelines, these accounts are then required to submit the necessary documentation to ultimately be classified as a financial assistance account. Based on all accounts that are classified as "probable financial assistance" by Medassist Firstsource and their experience with getting accounts qualified as financial assistance, it is estimated that 55% of those accounts classified as probable financial assistance and which do not submit the required documentation would qualify as a Hospitals financial assistance account. The estimated cost of accounts that are estimated to qualify for our financial assistance programs is calculated based on gross charges for accounts for the year that are probable but do not submit the necessary documentation multiplied times our cost to charge ratio times the 55% estimated conversion factor. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITEOFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. NORTON HOSPITALS, INC. (NHI) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND therefore OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NHI BELIEVES THAT ANY MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES, AS MEDICARE ALLOWED COST IS LESS THAN ACTUAL COST. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | After the patient's initial screening for financial assistance, if it is believed that the patient qualifies for financial assistance; Norton Hospital's Inc. will not start collection efforts pending the patient submitting the necessary information to document meeting the financial assistance qualifications. If the patient submits the necessary documentation within a reasonable time period, then there will not be any collection efforts made to collect any amount from the patient. The patient will receive a statement/bill reflecting the amount due through the financial assistance application process pending the patient's financial assistance application, but there will be no collection efforts. Only after attempts are made to contact the patient to obtain the necessary documentation for completing the financial assistance application and the patient not responding, will collection efforts begin. There is ongoing effort throughout the collection process to screen for Medicaid eligibility, Disproportionate Share, and the need for providing financial assistance applications to patients. When a patient is approved for financial assistance, their account balance is written off. |
| Schedule H, Part V, Section B, Line 16a FAP website | A - Norton Hospital: Line 16a URL: www.nortonhealthcare.com/fap; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - Norton Hospital: Line 16b URL: www.nortonheatlhcare.com/fap; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | A - Norton Hospital: Line 16c URL: www.nortonheatlhcare.com/fap; |
| Schedule H, Part VI, Line 2 Needs assessment | NORTON HOSPITALS, INC. (Hospitals) REGULARLY AND CONSISTENTLY EVALUATES WORKFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGH PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICE, LOCAL AND STATE UNIVERSITIES, AND KENTUCKIANA WORKS, THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE Hospitals IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, Hospitals ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTER FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS - BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATION, FREE SCREENINGS AND ACCESS TO HEALTH CARE. Norton Healthcare, Inc. (NHC), the parent company of Hospitals, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ALL five HOSPITALS. THE CHNA DEFINED THE PATIENT SERVICE AREA BY PATIENT ORIGIN FOR INPATIENT STAYS. DEMOGRAPHIC, SOCIOECONOMIC, POPULATION, AND OTHER HEALTH RELATED INDICATORS WERE UTILIZED TO PROVIDE INFORMATION ON THE HEALTH STATUS OF THE COMMUNITY. COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY FORUMS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS. HEALTH NEEDS WERE PRIORITIZED AND ADDRESSED BASED ON HEALTH STATUS FINDINGS AND THE COMMUNITY INPUT. THE CHNA IS A COMPONENT OF THE ORGANIZATION'S STRATEGIC PLANNING PROCESS AS RESOURCES ARE NECESSARY TO IMPLEMENT STRATEGIES OUTLINED FOR PRIORITIES IDENTIFIED. NHC BOARD OF TRUSTEES AS WELL AS THE LEADERSHIP OF NHC AND HOSPITAL CHIEF ADMINISTRATIVE OFFICERS HAVE APPROVED THE ASSESSMENT AND IMPLEMENTATION PLAN. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Signage is posted in all Norton Healthcare, Inc. (NHC) Hospital facilities, including the Admission area and emergency room, providing information on the ability to apply for financial assistance and to seek help in paying your bill. The signage is translated in five languages and all languages are contained on the same poster. The languages are: English, Spanish, Vietnamese, Croatian, and Arabic. At the time of registration, the patient access/registration department discusses with the patient the financial assistance/charity options, guidelines, and provides assistance as needed in filling out a financial assistance application and answering questions. The patient may also be referred to the NHC Eligibility Vendor for assistance at no cost to the patient/guarantor. Additional questions from the patient/guarantor can be facilitated through the NHC single billing office (SBO) area, Customer Service, and NHC Vendors. NHC has created a number of different options for the patient/guarantor to supply the information/application for financial assistance to NHC. Those various methods of delivery include: in person, by mail, by fax, on-line application submission via the website, and by specific email address. These various options are publicized and made known to the patient. In 2018 statements mailed to the guarantors by Norton Hospitals, Inc. (Hospitals) contained information to start the financial assistance application process. Hospitals employs an outside eligibility vendor, Medassist Firstsource. All Self-pay accounts for the facilities are placed for eligibility screening with Medassist Firstsource. They screen for NHC Financial Assistance, Medicaid, Medicaid Managed Care Organizations, Presumptive Eligibility, and DSH/KHCP. In addition, they may provide education and referral assistance to the appropriate county/state departments for food stamps, rent assistance, heating assistance, etc. The process of completing the application is often performed by Medassist FirstSource. They protect filing deadlines by submitting the appropriate forms to the State/County. They follow up to secure proof of income documents for Norton Financial Assistance and follow-up with a state caseworker as needed. Medassist Firstsource also makes outside field calls or home visits to the patients to secure the needed information for eligibility assistance if the patient is homebound. Additionally, Medassist Firstsource may provide assistance with patient transportation needs so that the patient can make their scheduled appointments with their caseworker. All of the services provided by Medassist Firstsource Eligibility are at no cost to the patient. Cost to Hospitals for these eligibility and enrollment services was in excess of $4,500,000 in 2018. Hospitals has a staff of over 11 full-time employees including a supervisor, that are dedicated to performing the following functions: processing, reviewing, and approving the hundreds of financial assistance applications received each week. Additionally, some of those employees make out-bound calls to solicit financial assistance information needed to process the patient's application. Financial assistance for Norton Financial Assistance is not limited to the self-pay population. Even patients with insurance coverage are encouraged to apply for assistance so their deductible, co-payments, and co-insurance amounts are covered under the various assistance programs. Financial Counselors/Social Workers at the facilities are educated and trained to assist with counseling patients to determine and explain our financial assistance programs. They continue to receive on-going education throughout the entire year regarding eligibility changes and additions for Norton Financial Assistance, Disproportionate Share Hospital/Kentucky Children's Health Insurance Program, Medicaid, Medicaid Managed Care Organizations, Presumptive Eligibility, etc. As the Foundation Office receives inquiries directed to their offices, they refer these individuals to Patient Financial Services to screen for possible Norton Financial Assistance or Children's Hospital Foundation Funding. If a child's account does not qualify for Norton Financial Assistance, then those not qualifying for children's applications are referred to management of Patient Financial Services for consideration for special funding through The Children's Hospital Foundation, Inc. as well as other programs. The charity application was provided on the back of the Single Business Office statement. Hospitals ensures that all patients were made aware of financial assistance regardless of where the patient's account may have been in the collection cycle. Even if the patient/guarantor had not previously availed themselves of the opportunity to apply for financial assistance and decided they will now cooperate, then allowed the patient/guarantor to apply and approved if they met the qualifications. Financial assistance notifications and applications were made available to the patient/guarantor via telephone, face to face meetings, website, mail, electronically, etc. Primary collection agencies chosen by Hospitals include with their initial placement letter an insert of copy of a financial assistance application for the guarantor to complete. Calls resulting from notification correspondence sent by the collection agencies may be routed to Spanish-speaking customer service representatives or patient/guarantors may also request an interpreter service to assist in facilitating information regarding financial assistance. Hospitals has translated the full financial assistance policy, Financial Assistance Applications and The Plain Language Summary into four languages: Spanish, Vietnamese, Arabic, and Croatian. Hospitals Customer Service Department routinely instructs and screens patients in the protocol regarding financial assistance through The Norton Financial Assistance Program. Since 2007, Hospitals has offered at the time of final billing all true hospital self-pay patients a significant discount off of total charges that were reflected on their monthly statements and the amount due. Contracted collection agencies are required to solicit financial assistance applications when the guarantor/patient indicates "cannot pay". The statements provided by Hospitals in 2018 included the link to the NHC website to allow the patient/guarantor to learn more about financial assistance. The statement contained the financial assistance application on the back of the statement so the guarantor could apply using the actual Hospitals statement and could then mail, fax, bring the application directly to the facilities, or email the form to Patient Financial Services. The statement included a phone number to call to learn more about the application process and discuss financial assistance options. |
| Schedule H, Part VI, Line 4 Community information | PRIMARY SERVICE AREA NORTON HOSPITALS INC.'S (Hospitals) PRIMARY SERVICE AREA POPULATION IS OVER 1.5 MILLION AND EXPECTED TO INCREASE 3% BETWEEN 2019 AND 2024. IN 2016, THE PRIMARY SERVICE AREA INCREASED FROM A 7 COUNTY AREA TO AN AREA INCLUSIVE OF 16 COUNTIES, 5 OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY, 4 BORDER THE RIVER IN INDIANA, AND INCLUDES 5 ADDITIONAL KENTUCKY COUNTIES AND 2 ADDITIONAL INDIANA COUNTIES THAT DO NOT BORDER THE OHIO RIVER. 94% OF Hospitals' PATIENTS ARE DERIVED FROM THIS SERVICE AREA. APPROXIMATELY 30% OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 29% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2019 WAS ESTIMATED AT 343,703 AND IS EXPECTED TO INCREASE TO 345,251 WITHIN 5 YEARS AND REPRESENTS 23% OF THE POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 608,808 IN 2019 AND IS EXPECTED TO INCREASE 2.9% BY 2024. CURRENTLY 11% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 19.5% OF THE HOUSEHOLD INCOME IS LESS THAN $25,000 A YEAR; THE AVERAGE HOUSEHOLD INCOME IS $79,656 COMPARED TO $89,646 FOR THE UNITED STATES. Hospitals TREATS 40% OF THE ADULT INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 52% MEDICARE, 23% MEDICAID/PASSPORT AND 1% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS MAY 2019 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 3.8% COMPARED TO 4% FOR KENTUCKY AND 3.4% FOR THE UNITED STATES. SECONDARY SERVICE AREA Hospitals' SECONDARY SERVICE AREA DECREASED FROM 26 COUNTIES TO 17 COUNTIES IN 2016 AS MANY COUNTIES ARE NOW INCLUDED IN THE PRIMARY SERVICE AREA. Hospitals' SECONDARY SERVICE AREA POPULATION WAS 428,109 IN 2019 AND IS EXPECTED TO INCREASE 3.1% BETWEEN 2019 AND 2024. THE SECONDARY SERVICE AREA SPREADS ACROSS 15 KENTUCKY COUNTIES AND 2 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 29.2% OF THE SECONDARY SERVICE AREA POPULATION AND IS SLIGHTLY HIGHER THAN IN THE UNITED STATES. THE PEDIATRIC POPULATION IN 2019 WAS ESTIMATED AT 96,149 AND EXPECTED TO INCREASE TO 97,241 BY 2024. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO REMAIN RELATIVELY FLAT (1% GROWTH), THERE IS A NEED FOR CHILDREN TO HAVE APPROPRIATE ACCESS TO CARE IN THE RURAL AREAS OF KENTUCKY. THE NUMBER OF HOUSEHOLDS IN THE SECONDARY SERVICE AREA WAS ESTIMATED AT 168,483 IN 2019 AND IS EXPECTED TO INCREASE 3.3% BY 2024. OVER 47,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE HOUSEHOLD INCOME IS UNDER $25,000 FOR 27.5% OF THE POPULATION. THE AVERAGE HOUSEHOLD INCOME IS $61,405, 13% LESS THAN KENTUCKY AND 23% LESS THAN THE PRIMARY SERVICE AREA AVERAGE HOUSEHOLD INCOME. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Norton Healthcare, Inc. (the controlling company) and its affiliates, including Norton Hospitals, Inc., Norton Properties, Inc., Community Medical Associates, Inc., The Children's Hospital Foundation, Inc., Norton Healthcare Foundation, Inc., and Norton Enterprises, Inc. operate in the Louisville, Kentucky metropolitan area and the operations of the affiliated healthcare system include 1,837 licensed beds, over 200 physician practice locations, and 14 Norton Immediate Care Center locations, and other ancillary health care services. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Russell F Cox | ||||||||||||||
| President & CEO/Trustee | $0 | $1,092,389 | $0 | $539,014 | $0 | $392,345 | $0 | $109,695 | $0 | $29,726 | $0 | $2,163,169 | $0 | $38,500 |
| Robert B Azar | ||||||||||||||
| Sr VP Chief Legal Officer/Secretary | $0 | $468,944 | $0 | $173,855 | $0 | $1,311,015 | $0 | $114,337 | $0 | $12,841 | $0 | $2,080,992 | $0 | $958,590 |
| Michael W Gough | ||||||||||||||
| Exec VP and COO | $0 | $789,537 | $0 | $310,970 | $0 | $231,069 | $0 | $192,261 | $0 | $22,559 | $0 | $1,546,397 | $0 | $91,560 |
| Adam Kempf | ||||||||||||||
| Sr VP, CFO/Treasurer | $0 | $382,599 | $0 | $119,735 | $0 | $85,657 | $0 | $91,525 | $0 | $25,058 | $0 | $704,573 | $0 | $37,372 |
| Mary Gruebbel | ||||||||||||||
| Former, VP Patient Care Svc/CNO | $17,210 | $0 | $83,371 | $0 | $339,238 | $0 | $31,783 | $0 | $8,159 | $0 | $479,760 | $0 | $0 | $0 |
| Joseph Flynn DO | ||||||||||||||
| CAO NMG - Physician -in-Chief NCI | $582,056 | $0 | $174,619 | $0 | $80,937 | $0 | $105,538 | $0 | $27,518 | $0 | $970,668 | $0 | $61,200 | $0 |
| Thomas Kmetz | ||||||||||||||
| Division President Women and Children Services (partial year) | $48,569 | $0 | $169,020 | $0 | $580,608 | $0 | $124,088 | $0 | $27,277 | $0 | $949,562 | $0 | $540,735 | $0 |
| Matthew Ayers | ||||||||||||||
| Hospital CAO | $321,057 | $0 | $92,001 | $0 | $61,655 | $0 | $66,048 | $0 | $22,547 | $0 | $563,307 | $0 | $36,124 | $0 |
| Charlotte Ipsan | ||||||||||||||
| Hospital CAO | $292,537 | $0 | $83,441 | $0 | $81,767 | $0 | $72,181 | $0 | $22,863 | $0 | $552,788 | $0 | $35,596 | $0 |
| Jon Cooper | ||||||||||||||
| Hospital CAO | $290,874 | $0 | $86,747 | $0 | $74,475 | $0 | $63,302 | $0 | $22,812 | $0 | $538,210 | $0 | $0 | $0 |
| Andrew Strausbaugh | ||||||||||||||
| Hospital CAO | $282,092 | $0 | $74,707 | $0 | $45,974 | $0 | $58,738 | $0 | $25,030 | $0 | $486,540 | $0 | $0 | $0 |
| Aaron Spalding MD | ||||||||||||||
| Physician | $642,124 | $0 | $540,914 | $0 | $70,405 | $0 | $17,358 | $0 | $35,646 | $0 | $1,306,447 | $0 | $0 | $0 |
| Don Stevens MD | ||||||||||||||
| Physician | $821,899 | $0 | $333,800 | $0 | $34,171 | $0 | $30,653 | $0 | $22,069 | $0 | $1,242,591 | $0 | $0 | $0 |
| Yong Cha MD | ||||||||||||||
| Physician | $640,438 | $0 | $500,773 | $0 | $20,980 | $0 | $13,750 | $0 | $38,766 | $0 | $1,214,707 | $0 | $0 | $0 |
| Shawn Glisson MD | ||||||||||||||
| Physician | $913,912 | $0 | $131,641 | $0 | $3,885 | $0 | $13,750 | $0 | $26,358 | $0 | $1,089,546 | $0 | $0 | $0 |
| Michael Driscoll MD | ||||||||||||||
| Physician | $740,809 | $0 | $194,132 | $0 | $3,020 | $0 | $13,750 | $0 | $32,907 | $0 | $984,618 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Discretionary spending account | DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, INC. (NHC) EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NHC PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NHC DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2018: Matthew Ayers - $10,000 Thomas Kmetz - $17,500 Charlotte Ipsan - $10,000 Jon Cooper - $10,000 Joseph Flynn - $10,000 Andrew Strausbaugh - $10,000 |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | NORTON HEALTHCARE INC (NHC) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR NORTON HOSPITALS, INC. AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF NHC; AN INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT AGREEMENTS; THIRD PARTY COMPENSATION SURVEYS AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. SEE NARRATIVE IN SCHEDULE O, REFERENCING PART VI, LINE 15 WHICH FURTHER DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | Severance payment was received during 2018 by key employee: Thomas Kmetz in the amount of $471,267 other compensation included in Schedule J column B(iii) and former Key Employee: Mary Gruebbel in the amount of $272,999 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" OULINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $83,271 Michael W. Gough - $166,273 Robert Azar - $95,263 Adam Kempf - $72,433 Matthew Ayers - $47,731 Jon Cooper - $44,179 Charlotte Ipsan - $47,723 Thomas Kmetz - $94,365 Joseph Flynn - $91,788 Andrew Strausbaugh - $39,900 Mary Gruebbel - $9,783 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 Matthew Ayers - $46,863 Jon Cooper - $41,776 Charlotte Ipsan - $40,830 Thomas Kmetz - $81,310 Joseph Flynn - $61,755 Andrew Strausbaugh - $32,696 Mary Gruebbel - $45,890 |
| 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JASON NACAZEL | |||
| FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE | $83,368 | COMPENSATION | false |
| BARBARA KMETZ | |||
| FAMILY MEMBER OF THOMAS KMETZ, KEY EMPLOYEE | $88,123 | COMPENSATION | false |
| SARAH A ROBINSON | |||
| FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE | $54,746 | COMPENSATION | false |
| Lorraine Bouvette | |||
| Family member of Marie Bouvette, Trustee | $69,433 | COMPENSATION | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES | NORTON HEALTHCARE, INC. (NHC) EIN 61-102875 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (Hospitals) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC ON BEHALF OF Hospitals. Hospitals HAS APPROXIMATELY 11,029 EMPLOYEES. |
| Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S | NORTON HEALTHCARE, INC. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (Hospitals) AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NHC ON BEHALF OF Hospitals. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2018 BY NHC FOR Hospitals, WAS APPROXIMATELY 288. Hospitals HAS 158 INDEPENDENT CONTRACTORS EXCEEDING $100,000 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 OF FIRE THE CHIEF EXECUTIVE OFFICER; AND F) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Norton Healthcare, Inc. EIN 61-1028725 is the sole member of Norton Hospitals, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Trustees of Norton Healthcare, Inc. appoints the Trustees of the organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | According to the Articles of Incorporation of the organization, Norton Healthcare, Inc. (NHC ) the sole member, possesses all of the rights granted to a member pursuant to law, including the right to elect Trustees or Directors and approve amendments to the Articles of Incorporation of the organization. NHC also possesses the right to require the organization to (I) provide contributions of funds of the organization to pay all to a portion of the principle of, interest on, and all other payments to become due and owing with respect to any and all indebtedness incurred by NHC, and (II) provide security for such indebtedness. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | AT THE October 3, 2019 NORTON HEALTHCARE, INC. (NHC) FINANCE COMMITTEE MEETING AND AT THE OCTOBER 17, 2019 NHC BOARD OF TRUSTEES MEETING, THE 990S WERE DISCUSSED AND COMMITTEE MEMBERS AND TRUSTEES HAD AN OPPORTUNITY TO ASK QUESTIONS. COINCIDING WITH THE FINANCE COMMITTEE MEETING, ELECTRONIC COPIES OF THE 990S WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND BOARD OF TRUSTEES THROUGH THE DIRECTORS PORTAL SITE, PRIOR TO THE FILING WITH THE IRS. NHC IS THE PARENT OF COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTERST OF THE ORGANIZATION. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | Please see explanation provided for Form 990, Part VI, Line 15b. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), 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 CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| Form 990, Part VII, Section A, Line 1a, Column (E) Board Member Stipend Payments | Norton Healthcare, Inc. (NHC) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.) encourages and facilitates board member attendance at educational programs and conferences on subjects relevant to NHC. NHC's travel policy for Board of Trustees provides that for each trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS regulations, NHC provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2018. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Outside Lab Services - Total Revenue: 34772, Related or Exempt Function Revenue: 34772, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | AFFILIATE TRANSFER - -142288; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTON HEALTHCARE INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 611028725 | PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES | KY | 501(c)(3) | Type II | NA | false |
| COMMUNITY MEDICAL ASSOCIATES INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 611276316 | OPERATES A NETWORK OF PHYSICIAN PRACTICES | KY | 501(c)(3) | 10 | NORTON HEALTHCARE INC | false |
| NORTON PROPERTIES INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 611028724 | MAINTAIN OFFICE AND PARKING FACILITIES | KY | 501(c)(3) | Type I | NORTON HEALTHCARE INC | false |
| THE CHILDREN'S HOSPITAL FOUNDATION INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 616027530 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCARE INC | false |
| NORTON HEALTHCARE FOUNDATION INC | ||||||||||
| ACCOUNTING 224 E BROADWAY 5TH FLOOR | LOUISVILLE | KY | 40202 | 310914919 | GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES | KY | 501(c)(3) | 7 | NORTON HEALTHCAREINC | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON ENTERPRISES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 224 E BROADWAY 5TH FLOOR | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402022025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611054301 | EIN |
| Primary Activities | PROVIDE NURSING AND PATHOLOGY SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |