2025-11-07T05:49:14+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 610703799 Norton Hospitals Inc NORT 5026298263 Accounting 224 E Broadway 5th Floor Louisville KY 402022025 Adam Kempf Senior VP & CFAO 2025-11-07 true RACHEL SPURLOCK P00520729 5023263996 2025-11-07 2024 2025-03-06 01:10:19Z RUSSELL F COX 4967 US Highway 42 Suite 100 Louisville KY 40222 3372703478 false X www.nortonhealthcare.com X 1969 KY Norton Hospitals, Inc.'s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and faith heritage. 18 17 14235 809 0 7071458 14203415 2985477061 3347858249 -92162 7233423 9312371 2999781942 3371281873 1200000 0 987222821 1044179021 0 0 1625030116 1780539871 2612252937 2825918892 387529005 545362981 3977045908 4590299021 136079908 204135571 3840966000 4386163450 Norton Hospitals, Inc.'s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and faith heritage. false false 2772865805 1200000 3355279920 Norton Hospitals, Inc. (NHI) was formed to: I) provide on a nonprofit basis, hospital or health care facilities and services for the care and treatment of ill and injured persons and those who otherwise require medical care and related services of the kind customarily furnished most effectively by hospitals or health care facilities; II) conduct educational activities related to rendering care to the sick and injured; III) promote and conduct scientific research related to the care of the sick and injured. Norton Healthcare expanded services in 2024 with the addition of Norton West Louisville Hospital. Norton West Louisville Hospital opened in November 2024. The hospital offers comprehensive services, including adult and pediatric primary care physician offices, emergency department services, inpatient services and outpatient functions. Imaging services, including X-rays and CT scans, are available, along with specialty services such as women's health, cardiology, neurology and endocrinology. Some physician offices offer evening hours as well. NHI has a total of 1,907 licensed beds, Norton Hospital - 585 beds; Norton Children's Hospital - 300 beds; Norton Audubon Hospital - 432 beds; Norton Women's and Children's Hospital - 373 beds; Norton Brownsboro Hospital - 197 beds; and Norton West Louisville Hospital - 20 beds. These hospitals operate twenty-four (24) hours a day, seven (7) days a week. In 2024, NHI's hospitals, diagnostic centers and Norton Cancer Institute served 71,587 inpatients, 750,552 outpatients, 265,104 emergency department visits, and 31,369 observation cases. In addition, NHI's operating rooms cared for 17,479 inpatient surgical patients and 42,716 outpatient surgical patients. Additionally, 8,138 deliveries were performed at NHI birthing centers. As part of our commitment to improving the health of our community, NHI provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2024, under its charity care program, NHI provided free care to 11,860 patients, at a cost of $15.7 million. Also, Norton Healthcare, Inc. (NHC), parent company of NHI, grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 17,715 patients were provided care at discounted rates. Another contribution to the community was educational support of $98.3 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $22.3 million and contributions to community groups were $2.2 million. NHC provides programmatic support to the UofL School of Medicine through funding and facilities. During the 2024 calendar year, 208 residents completed clinical rotations in 52 specialties at NHC facilities. Residency programs are part of the $98.3 million in educational support and clinical funding provided to the medical school. 2772865805 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true false false false false false false false false true false true false false false false true true true false false true X 143 0 true 14235 true false false false false false false false false false false false false X 18 17 true false false false true true true true true false false false true true true true true true true true false false KY X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5th Fl Louisville KY 40202 Russell F Cox President & CEO/Trustee 10.0 40.0 X X 0 3633654 482184 Barry Pennybaker Trustee 1.0 3.5 X 0 2000 0 Craig D Grant Vice Chair 1.0 4.5 X 0 2000 0 Donald H Robinson Trustee 1.0 6.5 X 0 0 0 Edie Nixon Chair 1.0 15.5 X 0 2000 0 G Hunt Rounsavall Sr Trustee 1.0 6.5 X 0 2000 0 Gail Lyttle Trustee 1.0 3.5 X 0 2000 0 Gary L Stewart Trustee 1.0 6.5 X 0 2000 0 Gregory E Mayes Trustee 1.0 5.5 X 0 2000 0 James L Sublett MD Trustee (PARTIAL YEAR) 1.0 3.5 X 0 2000 0 Joe Craig Trustee 1.0 4.5 X 0 2000 0 Judge Denise Clayton Trustee 1.0 3.5 X 0 2000 0 Lee K Garlove Trustee 1.0 3.5 X 0 2000 0 Maria Hampton Trustee 1.0 3.5 X 0 2000 0 Maria L Bouvette Trustee 1.0 3.5 X 0 2000 0 Martha K Heyburn MD Trustee 1.0 3.5 X 0 2000 0 Richard R Ivey Trustee 1.0 3.5 X 0 2000 0 Ronald Lehocky MD Trustee 1.0 5.5 X 0 2000 0 Sue Davis EdD RN Trustee 1.0 5.5 X 0 2000 0 Adam Kempf Sr VP & CFAO 10.0 40.0 X 0 1418297 241646 Michael W Gough Exec VP and COO (partial year) 10.0 40.0 X 0 3200723 16296 Robert B Azar Sr VP Chief Legal Officer/Secretary 10.0 40.0 X 0 1125537 176992 Charlotte Ipsan Hospital CAO 29.0 21.0 X 0 1044527 185407 Corenza Townsend Chief Administrative Officer 50.0 0 X 302994 0 49661 Jeremy Sprecher Chief Administrative Officer 50.0 0 X 374986 0 84291 Joseph Flynn DO CAO NMG - Physician -in-Chief NCI 50.0 0 X 1055175 0 162437 Karen Donahue Division VP Finance 50.0 0 X 512387 0 89384 Matthew Ayers Sys VP, Associate Chief Hospital Officer 49.0 1.0 X 627189 0 116793 Randy Hamilton Chief Administrative Officer 50.0 0 X 555745 0 89083 Aaron Spalding MD Physician 50.0 0 X 1652767 0 109009 Chandler Park MD Physician 50.0 0 X 1073796 0 1292 Joseph Maly MD Physician 50.0 0 X 1465771 0 64145 Mia Jusufbegovic MD Physician 50.0 0 X 1380109 0 9210 Paul Tennant MD Physician 50.0 0 X 1704289 0 81061 Andrew Strausbaugh Former Hospital CAO 0.0 0.0 X 131309 0 12183 Emmett Ramser Former Hospital CAO 0.0 0.0 X 511628 0 34578 11348145 10456738 2005652 1579 true true false Messer Construction Co 9710 Bunsen Parkway Louisville KY 40291 Construction 23804942 Northstar Anesthesia of KY II PLLC 6225 N State Hwy 161 Suite 200 Irving TX 75038 Anesthesia Services 20686194 Anesthesiology Consulting Enterprise 425 Lewis Hargett Cir Lexington KY 40503 Anesthesia Services 7688700 Morrison Management Specialist 400 Northridge Rd Suite 600 Sandy Springs GA 30350 Food Service 5984753 Anesthesia Services of KY PLLC 601 South Floyd St Suite 407 Louisville KY 40202 Anesthesia Services 5913996 158 14203415 168500 14203415 Net Patient Revenue 622110 3347567115 3347567115 Healthcare Education 624190 291134 291134 0 0 0 0 3347858249 927511 1275887 -348376 0 -348376 -348376 53556 145718 0 -92162 -92162 -92162 0 PURCHASING CO-OP INC 561499 3601272 3601272 Other Payor Payments 900099 2466938 2466938 PARKING INCOME 812930 1798538 1798538 1793999 1793999 0 0 9660747 3371281873 3355279920 0 1798538 1200000 1200000 4020125 4020125 0 624478 624478 839881742 839881742 42628543 42628543 99022516 99022516 58001617 58001617 249723722 249723722 0 0 13590178 13590178 29511420 29511420 960603 960603 42443684 42443684 93756559 93756559 15275373 15275373 Medical Supplies 841754878 841754878 Allocated Support 331581796 278528709 53053087 Provider Tax/HRIP Expenses 131672023 131672023 Repairs & Maintenance 23548137 23548137 6721498 6721498 0 0 2825918892 2772865805 53053087 0 7800 7800 337945431 346490150 0 0 0 0 66021642 74510041 3673144 5273303 2341029403 1450760689 903896818 890268714 0 0 7626123 7542790 2657874950 3266206223 3977045908 4590299021 118121476 186957772 0 0 17958432 17177799 136079908 204135571 X 3837895952 4377941672 3070048 8221778 3840966000 4386163450 3977045908 4590299021 X 545362981 -165531 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 92169 92169 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Norton Hospitals, Inc. pays dues to the Kentucky Hospital Association and the American Hospital Association. A portion of those dues in the amount of $63,186.08 and $28,982.46 was spent by the Kentucky Hospital Association and the American Hospital Association, respectively, on lobbying. 27669003 -38561 345070 1013368 26962144 26541898 99232 2130177 1102304 27669003 30615700 162657 -3095470 1140989 26541898 27056341 488087 4112120 1040848 30615700 24411014 898799 2852846 1106318 27056341 0.0 1.0 0.0 false true 25617435 25617435 1296731064 646573562 650157502 953870192 793649946 160220246 64810712 10537181 54273531 890268714 RECEIVABLE FROM AFFILIATE 3127190637 MISCELLANEOUS RECEIVABLES 1180997 RIGHT OF USE ASSETS 6785352 DUE FROM THIRD PARTY PAYORS 131049237 3266206223 Federal Income Taxes DUE TO THIRD PARTY PAYORS ASSET RETIREMENT OBLIGATION 10392447 LEASE LIABILITIES 5026017 CONTRACT LIABILITIES 1759335 17177799 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds The Children's Hospital Foundation, Inc. and Norton Healthcare Foundation, Inc. utilize income generated from endowment funds to support various programs, services and capital projects for the benefit of Norton Hospitals, Inc. true true X true X 350 false 15889649 683283 15206366 0.00538 771748650 1131178589 0 0.0 516875 0 516875 0.00018 0 0 788155174 1131861872 15723241 0.00556 17736133 3783819 13952314 0.00494 126562310 25379072 101183238 0.03581 8360147 5376646 2983501 0.00106 29183997 23327437 5856560 0.00207 2815038 0 2815038 0.00100 0 0 184657625 57866974 126790651 0.04487 0 0 972812799 1189728846 142513892 0.05043 0 0.0 0 0.0 1025601 1025601 0.00036 0 0.0 0 0.0 0 0.0 1265571 47312 1218259 0.00043 0 0.0 0 0.0 0 0 2291172 47312 2243860 0.00079 true 0 536790 414839090 463061415 -48222325 X true true 6 1 Norton Hospital 200 E Chestnut St Louisville KY 40202 https://nortonhealthcare.com/location/hospitals/norton-hospital/ 100234 X X X X A 2 Norton Children's Hospital 231 E Chestnut St Louisville KY 40202 http://www.nortonchildrens.com/ 100234 X X X X X A 3 Norton Women's and Children's Hospital 4001 Dutchmans Lane Louisville KY 40207 https://nortonhealthcare.com/location/loc0000192204/ 100255 X X X X A 4 Norton Audubon Hospital One Audubon Plaza Drive Louisville KY 40217 https://nortonhealthcare.com/location/loc0000191717/ 100252 X X X X A 5 Norton Brownsboro Hospital 4950 Norton Healthcare Blvd Louisville KY 40241 https://nortonhealthcare.com/location/loc0000191727/ 100475 X X X A 6 Norton West Louisville Hospital 850 South 28th Street Louisville KY 40211 https://nortonhealthcare.com/location/loc0000212223/ 101559 X X X B A 5 false false true X X X X X X X X X 22 true true true true X https://nortonhealthcare.com/about-us/community-health-needs-assessment/ X true 22 true https://nortonhealthcare.com/about-us/community-health-needs-assessment/ false true X 350.0 0 X X X X X true true X X X true X https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ X https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ X https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/ X X X X X X X true X false X X X X true X false false B 1 true false false false true X 350.0 0 X X X X X true true X X X true X WWW.NORTONHEALTHCARE.COM/FAP X WWW.NORTONHEALTHCARE.COM/FAP X WWW.NORTONHEALTHCARE.COM/FAP X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - ALL HOSPITALS. NORTON HEALTHCARE CONDUCTED A COMMUNITYWIDE SURVEY TO OBTAIN FEEDBACK FROM THE GENERAL PUBLIC REGARDING HEALTH NEEDS AND PERCEPTIONS. THE COMMUNITY SURVEY WAS MADE AVAILABLE IN MULTIPLE LANGUAGES, INCLUDING ENGLISH, SPANISH, FRENCH, ARABIC, CHINESE, NEPALI, RUSSIAN, SOMANI, AND VIETNAMESE, THROUGH ONLINE AND PAPER SURVEYING METHODS. THERE WERE 5,185 SURVEYS COLLECTED. SURVEYS THAT FELL OUTSIDE OF JEFFERSON COUNTY OR WERE MISSING THE ZIP CODE, AGE, GENDER, RACE AND EDUCATIONAL ATTAINMENT DEMOGRAPHIC INFORMATION WERE EXCLUDED FROM THE RESULTS. THIS LEFT 2,794 SURVEYS THAT WERE WEIGHTED BASED ON AGE, GENDER, RACE AND EDUCATIONAL ATTAINMENT IN ORDER TO MAKE THE SURVEY RESULTS MORE REPRESENTATIVE OF THE JEFFERSON COUNTY POPULATION AS A WHOLE. IN ADDITION, NORTON HEALTHCARE OBTAINED INPUT FROM 54 VARIOUS COMMUNITY STAKEHOLDERS, INCLUDING 25 NORTON-EMPLOYED PHYSICIANS, 20 COMMUNITY LEADERS IN JEFFERSON COUNTY AND NINE LEADERS FROM AREAS SURROUNDING JEFFERSON COUNTY THROUGH FACE-TO-FACE VIRTUAL MEETINGS. COMMUNITY LEADERS REPRESENT AREAS OF PUBLIC HEALTH, MAJOR EMPLOYERS, PUBLIC SCHOOLS, SOCIAL SERVICES ORGANIZATIONS AND COMMUNITY HEALTH DEPARTMENTS. SHAWNEE CHRISTIAN HEALTH CENTER, JEFFERSON COUNTY PUBLIC SCHOOLS, URBAN LEAGUE OF LOUISVILLE, FORD MOTOR COMPANY, MOLO VILLAGE CDC, EVOLVE502, YMCA OF GREATER LOUISVILLE, CENTERSTONE, METRO UNITED WAY, BELLEWOOD & BROOKLAWN, FAMILY HEALTH CENTERS, HOSPARUS, CENTER FOR WOMEN & FAMILIES, PARK DUVALLE COMMUNITY HEALTH CENTER, BULLITT COUNTY PUBLIC SCHOOLS, AMERICANA COMMUNITY CENTER, LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT, FOUNDATION FOR A HEALTHY KENTUCKY, OLDHAM COUNTY HEALTH DEPARTMENT, KENTUCKY YOUTH ADVOCATES, CLARK COUNTY HEALTH DEPARTMENT, LOUISVILLE METRO OFFICE FOR GLOBALIZATION, BULLITT COUNTY HEALTH DEPARTMENT, LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS , AND NORTH CENTRAL HEALTH DISTRICT REPRESENTATIVES WERE ALL INCLUDED AS PART OF THE PROCESS TO INTERVIEW PEOPLE WHO REPRESENT THE COMMUNITY, THESE INTERVIEWS FOCUSED ON COVID-19, THE BLACK LIVES MATTER MOVEMENT AND GUN SAFETY AS WELL AS THE FOLLOWING FOUR KEY AREAS: PRESSING PROBLEMS IN HEALTH CARE, BARRIERS TO HEALTH CARE, HEALTH CARE ENGAGEMENT AND GLOBAL OR UNIVERSAL ISSUES INVOLVING HEALTH CARE. TO ENSURE THE MEDICALLY UNDERSERVED WERE REPRESENTED IN THIS CHNA, MEDIAN HOUSEHOLD INCOMES IN NEIGHBORHOODS THROUGHOUT JEFFERSON COUNTY WERE COMPARED TO IDENTIFY NEIGHBORHOODS WITH A LOWER MEDIAN INCOME. 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. Norton Healthcare, Inc. (NHC) collaborated with a variety of partners ranging from other local health systems to the Jefferson County Public School system and other community organizations. NHC conducted a community wide survey to obtain feedback from the general public regarding health needs and perceptions. The community survey was made available in multiple languages, including English, Spanish, French, Arabic, Chinese, Nepali, Russian, Somali, and Vietnamese, through online and paper surveying methods. After the conclusion of the survey, a few specific under-represented populations in the survey results were found. To ensure that the opinions and perspectives of these groups were adequately represented, NHC utilized IQS, an independent research organization, to assist with the collection of the surveys to target under-represented populations. Community input also was obtained through key stakeholder interviews of 54 community leaders and health care providers. To ensure the medically underserved were represented in this CHNA, interviews were conducted with representatives from Louisville Metro Department of Public Health and Wellness, Jefferson County Public Schools and health care organizations serving neighborhoods where median household incomes are very low, as well as agencies providing services related to mental health, domestic violence and recent immigration to the United States. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - All Hospitals. SUBSTANCE USE THE NORTON MATERNAL OPIATE AND SUBSTANCE TREATMENT (MOST) PROGRAM WAS CREATED TO HELP PREGNANT WOMEN BREAK THE CYCLE OF ADDICTION. THE MOST PROGRAM OFFERS KNOWLEDGEABLE, SUPPORTIVE STAFF MEMBERS WHO ARE SKILLED IN CARING FOR PREGNANT WOMEN WITH SUBSTANCE USE DISORDERS AND FOR THEIR BABIES. THE NORTON MOST PROGRAM OFFERS HOSPITAL STABILIZATION/DETOXIFICATION (DETOX) SERVICES AND AN OUTPATIENT RECOVERY PROGRAM. NORTON HEALTHCARE PREVENTION & WELLNESS OFFERS A COMPREHENSIVE NO COST TOBACCO CESSATION PROGRAM TO HELP THOSE IN THE COMMUNITY STRUGGLING WITH TOBACCO ADDICTION. CLASSES MEET FOR EIGHT 60- TO 90-MINUTE SESSIONS OVER SEVEN WEEKS. CLASSES FOLLOW THE AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING PROGRAM, PROVEN TO BE EFFECTIVE FOR MILLIONS OF SMOKERS. NORTON PREVENTION & WELLNESS CONDUCTED 12 AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASSES IN 2023. NEARLY HALF OF THE ATTENDEES REPORTED BEING TOBACCO FREE. IN 2024, NORTON PREVENTION & WELLNESS HELD 152 CLASS SESSIONS AS PART OF THE FREEDOM FROM SMOKING PROGRAM. NORTON HEALTHCARE OFFERS NO-COST GROUP CLASSES TO HELP ADULTS 18 YEARS AND OLDER ACHIEVE A HEALTHY, TOBACCO-FREE LIFESTYLE. CLASSES FOLLOW THE AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING PROGRAM, PROVEN TO BE EFFECTIVE FOR HUNDREDS OF THOUSANDS OF TOBACCO USERS. CLASSES ADDRESS CIGARETTES, CIGARS, VAPING AND OTHER FORMS OF TOBACCO. NORTON HEALTHCARE HOSTED N-O-T: NOT ON TOBACCO VIRTUAL STOP-SMOKING SERIES FOR TEENS WITH 32 ATTENDEES IN 2024. NORTON LEATHERMAN SPINE IS WORKING TO REDUCE OPIOID USE BEFORE AND AFTER BACK SURGERY, AND FOR BACK PAIN IN GENERAL. RESEARCH HAS SHOWN USE OF OPIOIDS FOR PAIN BEFORE SURGERY IS ASSOCIATED WITH HIGHER IN-HOSPITAL OPIOID CONSUMPTION AND POORER POSTOPERATIVE QUALITY OF LIFE. USE OF OPIOIDS AFTER SURGERY PUTS PATIENTS AT GREATER RISK FOR LONG-TERM USE OF THE DRUGS - SOMETHING THAT IS ALL TOO FREQUENT. AS THEY LOOK TO REDUCE OPIOID USE AND ALLEVIATE PAIN, THEY WORKING TO EXPLORE ALTERNATIVE PAIN RELIEF INCLUDING NEUROMODULATION WHICH MAY PROVIDE A VIABLE ALTERNATIVE. HOSTED PROGRAMMING TARGETED AT SUBSTANCE USE IN TEENAGERS INCLUDING A PEDIATRICIAN WHO HOSTED UPDATES IN PEDIATRICS: SUBSTANCE USE IN TEEN IN 2024. THE OBJECTIVE OF THIS ACTIVITY PROVIDES TOOLS FOR PHYSICIANS ON HOW TO IDENTIFY ADOLESCENTS WITH SUBSTANCE USE USING EVIDENCE-BASED SCREENING TOOLS. THIS WAS OFFERED FOR FREE ONLINE AND IS AVAILABLE FOR DOWNLOAD BY THE COMMUNITY. OBESITY NORTON SPORT HEALTH PERFORMANCE & WELLNESS CENTER BEGAN OFFERING SENIOR LIFEREADY IN 2024 COACH-LED CLASSES THAT INCLUDE CLASSIC SENIOR FITNESS, SENIOR YOGA, OR OPEN GYM THROUGH A DISCOUNTED MEMBERSHIP FOR THOSE AGE 65 AND OLDER, OR AT NO ADDITIONAL COST THROUGH THEIR MEDICARE SILVERSNEAKERS OR RENEW ACTIVE MEMBERSHIPS. WEIGHT-LOSS SEMINARS - EITHER ONLINE OR IN-PERSON - ARE FREE AT NORTON WEIGHT MANAGEMENT SERVICES TO GIVE INFORMATION ABOUT BARIATRIC SURGERY OR MEDICALLY GUIDED WEIGHT LOSS. THE BARIATRIC SURGERY SEMINAR IS LED BY A BOARD-CERTIFIED BARIATRIC SURGEON. IN 2019 THE LOUISVILLE URBAN LEAGUE AND NORTON HEALTHCARE, INC. (NHC) ANNOUNCED NORTON'S SUPPORT OF THE WEST END MULTI-USE SPORTS AND LEARNING COMPLEX. NHC CONTRIBUTED $5 MILLION TO THE PROJECT THROUGH A $3 MILLION GRANT AND AN ADDITIONAL CHALLENGE GRANT OF $2 MILLION IN MATCHING FUNDS. THE FACILITY IS NAMED THE NORTON SPORTS HEALTH ATHLETICS & LEARNING COMPLEX AND OFFICIALLY OPENED IN FEBRUARY 2021. THE CAMPUS HOSTS LOCAL, REGIONAL AND NATIONAL INDOOR AND OUTDOOR TRACK MEETS, OTHER SPORTING EVENTS, CONCERTS AND A VARIETY OF OTHER EVENTS. FEATURING 90,000 SQUARE FEET OF FLOOR SPACE WITH A 4,100 SEAT, 200-METER BANKED MONDO INDOOR TRACK AND THE 400-METER HUMANA OUTDOOR TRACK & FIELD, THE VENUE ATTRACTS ATHLETES AND GUESTS FROM ACROSS THE NATION AND BRING A LARGE ECONOMIC IMPACT TO THE REGION. ADDITIONALLY, THE COMPLEX INCLUDES A 4-LANE MINI-BOWLING ALLEY, AN INTERACTIVE ROCK-CLIMBING WALL AND A MULTI-PURPOSE SPACE THAT IS USED FOR EDUCATIONAL PROGRAMMING FOR THE LOUISVILLE COMMUNITY. NHC OPENED A COMPREHENSIVE SPORTS PERFORMANCE AND HEALTH AND WELLNESS FACILITY IN 2022. THE NEW NORTON SPORTS HEALTH PERFORMANCE & WELLNESS CENTER OFFERS STATE-OF-THE-ART TECHNOLOGY AND TRAINING FOR ELITE AND HIGH SCHOOL ATHLETES, AS WELL AS PROGRAMMING AND WORKOUT SPACE FOR CASUAL EXERCISERS AND THOSE NEW TO FITNESS. THE 40,000-SQUARE-FOOT CENTER IS MORE THAN DOUBLE THE SIZE OF THE FORMER LOCATION AND REPRESENTS MORE THAN A $1 MILLION INVESTMENT. THE NEW LOCATION ALSO WILL OFFER A MORE TRADITIONAL GYM WITH CARDIO EQUIPMENT, WEIGHT MACHINES AND CLASSES FOR THE GENERAL PUBLIC. SENIORS WILL HAVE ACCESS TO THE FACILITY THROUGH THEIR MEDICARE SILVERSNEAKERS MEMBERSHIPS. THERE ALSO WILL BE PROGRAMMING FOR HIGH SCHOOL ATHLETES, INCLUDING TEAM TRAINING, STRENGTH AND CONDITIONING. THE NORTON HEALTHCARE WALKING CLUB, IN PARTNERSHIP WITH THE LOUISVILLE ZOO IS OFFERED FREE TO COMMUNITY MEMBERS. IN 2024, THE GET HEALTHY WALKING CLUB INCREASED BY OVER 3,900 MEMBERS AND REACHED 14,300 TOTAL MEMBERS. WITH A MEMBERSHIP CARD, CLUB MEMBERS HAD FREE ACCESS TO WALK AT THE LOUISVILLE ZOO EACH DAY FROM MARCH THROUGH OCTOBER, FROM 8 TO 9:30 A.M. NHC JOINED A PARTNERSHIP CALLED LOUMED WITH UOFL HEALTH, THE UNIVERSITY OF LOUISVILLE AND JEFFERSON COMMUNITY & TECHNICAL COLLEGE. LOUMED IS A PLANNED MEDICAL AND EDUCATION DISTRICT COVERING A LARGE SECTION OF THE CITY'S DOWNTOWN CORE. AS PART OF THIS INITIATIVE THE FORMER COMMUNITY CORRECTIONAL CENTER IS BEING TORN DOWN TO BUILD LOUMED COMMONS. LOUMED COMMONS PLANS TO INTRODUCE AN OPEN, PARK-LIKE SETTING WITH A LUSH TREE CANOPY AND NATIVE PLANTS, A DEDICATED AREA FOR FOOD TRUCKS, SHADED SEATING AREAS AND A PAVILION FOR EVENTS. THIS WILL HELP PROMOTE PHYSICAL AND MENTAL WELLBEING THROUGH INTEGRATION OF GREEN SPACE. POOR NUTRITION NORTON CHILDREN'S PREVENTION & WELLNESS HOSTS SKILL-BUILDING WORKSHOPS TO SUPPORT FAMILIES WITH TEENS IN THEIR JOURNEY TOWARD HEALTHY LIVING. THE SIX-WEEK WORKSHOP SERIES FOCUSES ON GOAL-SETTING FOR HEALTHY HABITS, HEALTHY MEAL PLANNING AND PREP, FUN WAYS TO STAY ACTIVE, INCLUDING FREE PASSES TO THE YMCA, AND TOOLS TO POSITIVELY REDUCE STRESS. Norton Hospitals, Inc. CONTINUES TO OFFER FREE HEALTH SCREENINGS AND EDUCATION TO THE COMMUNITY THROUGH USE OF OUR MOBILE PREVENTION UNIT, AS WELL AS THROUGH VARIOUS COMMUNITY EVENTS AND HEALTH FAIRS. IN 2024, THERE WERE OVER 185 FREE SCREENING EVENTS PERFORMED IN THE COMMUNITY. THE NORTON HEALTHCARE MOBILE PREVENTION CENTER CONNECTS PEOPLE TO WELLNESS AT MULTIPLE STOPS. MANY OF THE SCREENINGS ARE PROVIDED AT LOW COST OR NO COST, AND OTHERS TYPICALLY ARE COVERED BY INSURANCE. IN 2024 MORE THAN 6,200 KINDERGARTENS PARTICIPATED IN BUILDING HEALTHY SUPERHEROES PROGRAM, A VIRTUAL FIELD TRIP THAT TEACHES STUDENTS THE IMPORTANCE OF EATING FRUITS AND VEGETABLES, LIMITING SCREEN TIME, BEING ACTIVE, AVOIDING SUGARY DRINKS, TAKING CARE OF THEIR TEETH AND RECOGNIZING THEIR EMOTIONS. 950 INDIVIDUALS ATTENDED NUTRITION CLASSES LED BY NORTON CHILDREN'S PREVENTION & WELLNESS. CLASSES INCLUDE A CLASS CALLED SNACK N PLAY WHICH IS AN INTERACTIVE CLASS WITH COMMUNITY PARTNERS TEACHES HOW TO PREPARE A HEALTHY SNACK AND NUTRITION BASICS, AND ENDS WITH A FUN PHYSICAL ACTIVITY. GROWING COOKS IS ANOTHER CLASS WHICH IS A SERIES OF ONLINE COOKING CLASSES IS FOR TEENS AGES 14 AND OLDER. PARTICIPANTS LEARN HOW TO COOK HEALTHY RECIPES AND GET TIPS ON KITCHEN SAFETY, HEALTH AND WELLNESS. NORTON HEALTHCARE FOOD PANTRIES SERVED ALMOST 19,000 INDIVIDUALS WITH FOOD INSECURITY NEEDS AT 23 UNIQUE LOCATIONS. MENTAL HEALTH NORTON CHILDREN'S MEDICAL GROUP, AFFILIATED WITH THE UOFL SCHOOL OF MEDICINE, EMBARKED ON A PROGRAM TO PROVIDE TRAUMA-INFORMED CARE EDUCATION TO THE ENTIRE PRIMARY CARE TEAM, INCLUDING PRIMARY CARE PROVIDERS, CLINICAL STAFF, NURSES, CHRONIC CARE COORDINATORS, CHILD PSYCHIATRISTS, SOCIAL WORKERS AND COMMUNITY HEALTH WORKERS. THE TEAM ALSO WORKED TO BUILD BRIDGES TO OVER 25 COMMUNITY PARTNERS, INCLUDING REPRESENTATIVES OF FOOD PANTRIES, HOUSING SUPPORT, WELLNESS AND SAFETY RESOURCES, LEGAL AID, AFTER-SCHOOL AND CHILD CARE PROGRAMS, MENTAL HEALTH ORGANIZATIONS, AND MEDICAID HEALTH INSURANCE PROVIDERS. HEALTH EDUCATORS FROM NORTON CHILDREN'S PREVENTION & WELLNESS TEAM PARTNER WITH LOCAL MIDDLE/HIGH SCHOOLS TO OFFER PEER-TO-PEER EDUCATION AND AWARENESS ABOUT MENTAL HEALTH CONCERNS. WORKSHOPS ARE OFFERED IN SCHOOL HEALTH AND PHYSICAL EDUCATION CLASSROOMS, AT AFTER-SCHOOL EVENTS AND THROUGH SUMMER PROGRAMS. WORKSHOPS PROVIDE PEER EDUCATION TO SUPPORT YOUNG PEOPLE IN DEVELOPING POSITIVE GROUP NORMS AND MAKING HEALTHY DECISIONS. THIS SERIES TEACHES STUDENTS HOW TO REDUCE STRESS AND EMPOWERS STUDENTS TO BECOME VOICES IN THEIR SCHOOLS AND TO ENCOURAGE HEALTHY BEHAVIORS AND DECISION-MAKING. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - All Hospitals. NORTON CHILDREN'S HOSPITAL (NCH) OFFERS INPATIENT PSYCHIATRIC CARE FOR CHILDREN AGES 2 TO 17 THROUGH THE ACKERLY CHILD PSYCHIATRIC UNIT. THEIR MISSION IS TO HELP CHILDREN AND FAMILIES REACH THEIR FULLEST POTENTIAL IN A NURTURING AND SAFE ENVIRONMENT. THEY ARE EQUIPPED TO SERVE PATIENTS WITH DEVELOPMENTAL DISABILITIES AND AUTISM, AND EXTEND CARE REGARDLESS OF A FAMILY'S BACKGROUND OR ABILITY TO PAY. IN THE AMBULATORY SETTING, NORTON CHILDREN'S MEDICAL GROUP PSYCHIATRY & PSYCHOLOGY OFFERS CHILD AND ADOLESCENT PSYCHIATRY SERVICES. IN 2019, NHI ESTABLISHED THE NORTON BEHAVIORAL HEALTH PRACTICE, WITH THE GOAL OF PROVIDING CLINICALLY INTEGRATED FAMILY AND PATIENT-CENTERED MENTAL HEALTH CARE. THE PRACTICE OFFERS TELEMEDICINE VISITS IN PRIMARY CARE LOCATIONS TO IMPROVE ACCESS AND HELP OVERCOME THE STIGMA OFTEN ASSOCIATED WITH MENTAL HEALTH FACILITIES. THE PRACTICE CARED FOR ALMOST 5,000 UNIQUE PATIENTS IN 2024. NORTON WOMEN'S MENTAL HEALTH SERVICES PROVIDES OUTPATIENT WOMEN'S MENTAL HEALTH SERVICES ON THE NORTON - ST. MATTHEWS CAMPUS. THEY ARE COMMITTED TO PROVIDING QUALITY MENTAL HEALTH CARE TO WOMEN ACROSS THEIR LIFESPAN. THE PRACTICE CARED FOR OVER 1,300 UNIQUE PATIENTS IN 2024. THE Norton Cancer Institute BEHAVIORAL ONCOLOGY PROGRAM IS STAFFED BY A TEAM TRAINED AND EQUIPPED TO CARE FOR THE EMOTIONAL AND MENTAL HEALTH NEEDS OF PATIENTS AND THEIR FAMILIES. NCI IS ONE OF FEW ONCOLOGY PROGRAMS NATIONWIDE OFFERING A ROBUST PROGRAM FOR MENTAL AND EMOTIONAL HEALTH NEEDS. THE PRACTICE CARED FOR OVER 1,400 UNIQUE PATIENTS IN 2024. NORTON CHILDREN'S BEHAVIORAL & MENTAL HEALTH, AFFILIATED WITH THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE, PROVIDES OUTPATIENT AND INPATIENT MENTAL HEALTH CARE FOR CHILDREN AGES 2 TO 21. PATIENTS AND THEIR FAMILIES HAVE ACCESS TO CHILD PSYCHIATRIC AND PSYCHOLOGICAL EVALUATION AND TREATMENTS. SERVICES INCLUDE MEDICATION THERAPY AND A BROAD RANGE OF INDIVIDUAL, GROUP AND FAMILY THERAPIES. A SOCIAL WORKER IS ON CALL TO ASSIST WITH ADDRESSING BARRIERS TO CARE. THE PRACTICES CARED FOR OVER 9,000 UNIQUE PATIENTS IN 2024. HEALTH LITERACY AS OF NOVEMBER 2022, A COMMUNITY HEALTH WORKER PROGRAM WAS ESTABLISHED BY THE INSTITUTE FOR HEALTH EQUITY, A PART OF NHC. COMMUNITY HEALTH WORKERS BUILD RELATIONSHIPS WITH PATIENTS TO REMOVE BARRIERS TO CARE AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. THE TEAM IS TRAINED TO HELP DEVELOP PERSONALIZED ROAD MAPS TO HEALTHIER LIVES, TAKING INTO ACCOUNT THE UNIQUE NEEDS AND CULTURAL SENSITIVITIES OF UNDERSERVED POPULATIONS FOR ONE PATIENT, A COMMUNITY HEALTH WORKER MAY BE A CONNECTION TO A LOCAL FOOD PANTRY. FOR ANOTHER, THE WORKER MAY HELP TO ARRANGE RELIABLE TRANSPORTATION TO APPOINTMENTS. SOME PATIENTS NEED COACHING ON ACCESSING COMMUNITY RESOURCES. OTHERS MAY NOT FULLY UNDERSTAND THE BENEFITS OF ESTABLISHING A RELATIONSHIP WITH A PRIMARY CARE PROVIDER. WENDY NOVAK DIABETES INSTITUTE, A PART OF NORTON HEALTHCARE AND NORTON CHILDREN'S, FOR PATIENTS WITH DIABETES AND OTHER ENDOCRINOLOGY NEEDS. DEDICATED ENDOCRINOLOGISTS PROVIDE FAMILY-CENTERED CARE IN A NEW EXPANDED MULTI-PRACTICE LOCATION THAT OFFERS A TRANSITION TO ADULT DIABETES PROGRAM TO ASSIST ADOLESCENTS AS THEY MOVE TO ADULT-BASED CARE. DIABETES EDUCATION AND PEDIATRIC VIRTUAL BEHAVIORAL HEALTH SERVICES ALSO WILL BE AVAILABLE TO PATIENTS. COMMUNITY ACTIVITIES AND OUTREACH EVENTS ARE AN IMPORTANT ASPECT OF THE WENDY NOVAK DIABETES INSTITUTE'S MISSION. IN ADDITION TO THE IMPORTANCE OF PROVIDING FAMILIES WITH OPPORTUNITIES TO LEARN MORE ABOUT HOW TO LIVE HEALTHY, ACTIVE LIVES, THESE EVENTS BUILD A SENSE OF COMMUNITY. NHC DEVELOPED A COMMUNITY-BASED DOULA PROGRAM WHICH LAUNCHED IN 2022 TO HELP WOMEN FROM GROUPS OR COMMUNITIES WITH STATISTICALLY POOR MATERNAL OUTCOMES HAVE ACCESS TO A DOULA AND THE BENEFITS ONE OFFERS. THE NORTON WOMEN'S DOULA PROGRAM PROVIDES ELIGIBLE PREGNANT PATIENTS WITH A DOULA AT NO COST TO THEM. WHILE DOULAS ARE WELCOME IN MANY BIRTHING HOSPITALS, THIS IS THE FIRST PROGRAM IN KENTUCKY TO EMPLOY DOULAS AS PART OF THE CARE TEAM. IN 2024 MIDWIFE SERVICES EXPANDED TO NORTON HOSPITAL, AS NORTON OB/GYN ASSOCIATES IN DOWNTOWN LOUISVILLE INTRODUCES A NEW MIDWIFE PROGRAM. THIS SIGNIFICANT ADDITION TO THE PRACTICE EXPANDS EXISTING COMPREHENSIVE PRENATAL CARE SERVICES. ACCESS TO CARE NORTON WEST LOUISVILLE HOSPITAL OPENED MONDAY, NOV. 11, 2024, INCREASING ACCESS TO OUTPATIENT, HOSPITAL AND EMERGENCY SERVICES, AS WELL AS PRIMARY AND SPECIALTY CARE, FOR RESIDENTS OF WEST LOUISVILLE - A CRITICAL NEED THAT HAS LONG BEEN MISSING FROM THIS AREA OF LOUISVILLE. OVER THE FIRST MONTH, MORE THAN 2,574 PATIENTS HAVE WALKED THROUGH THEIR DOORS FOR MEDICAL CARE RANGING FROM PRIMARY CARE AND PREVENTIVE SCREENINGS TO EMERGENCY SERVICES AND INPATIENT CARE. THE HOSPITAL ALSO HAS A CENTRALIZED CHECK-IN AREA, COMMUNITY ROOM, A BISTRO, OUTDOOR GREEN SPACE AND A DARE TO CARE FOOD PANTRY. NHC AND NCH'S CONTINUE TO FULFILL THEIR PROMISE TO EXPAND ACCESS TO HEALTH CARE WITH THE 2024 OPENING OF A NEW MULTIPRACTICE LOCATION IN WESTPORT PLAZA IN NORTHEASTERN LOUISVILLE. THE 21,000-SQUARE-FOOT SPACE - A $9.5 MILLION INVESTMENT - INCLUDES NHC'S FIRST SAME-DAY ORTHOPEDIC INJURY CARE CENTER AND THE FIRST MULTIDISCIPLINARY OFFICE TO HOUSE BOTH PEDIATRIC AND ADULT ORTHOPEDIC AND ENDOCRINOLOGY CARE UNDER THE SAME ROOF. THE COMPREHENSIVE AND SPECIALIZED SERVICES THAT WILL BE PROVIDED IN THIS NEW SPACE WILL MAKE IT EASIER FOR CHILDREN AND ADULTS OF ALL AGES. THE NEW OFFICE ALSO WILL HOUSE WENDY NOVAK DIABETES INSTITUTE, A PART OF NHC AND NCH'S, FOR PATIENTS WITH DIABETES AND OTHER ENDOCRINOLOGY NEEDS. DEDICATED ENDOCRINOLOGISTS WILL PROVIDE FAMILY-CENTERED CARE AS WELL AS OFFER A TRANSITION TO ADULT DIABETES PROGRAM TO ASSIST ADOLESCENTS AS THEY MOVE TO ADULT-BASED CARE. DIABETES EDUCATION AND PEDIATRIC VIRTUAL BEHAVIORAL HEALTH SERVICES ALSO WILL BE AVAILABLE TO PATIENTS. NORTON SPORTS HEALTH PERFORMANCE & WELLNESS CENTER, ADJACENT TO THE NEW SPACE, WILL OFFER A WENDY NOVAK DIABETES INSTITUTE SPORTS & ACTIVITY PROGRAM. THIS NEW SPORTS LAB, STAFFED BY A DEDICATED RESEARCH SCIENTIST AND EXERCISE PHYSIOLOGIST, WILL ALLOW FOR STATE-OF-THE-ART FITNESS AND METABOLIC EVALUATIONS. THIS FACILITY WILL ALLOW US TO PERSONALIZE THE CARE WE PROVIDE TO IMPROVE HEALTH OUTCOMES FOR OUR PATIENTS AND PARTICIPATE IN CUTTING-EDGE RESEARCH IN DIABETES AND EXERCISE SCIENCE. ALONG WITH ORTHOPEDIC AND ENDOCRINOLOGY SERVICES, THE NEW SPACE ALSO WILL HOUSE AN ADULT PRIMARY CARE OFFICE, TIMESHARE SPACE FOR SEVERAL SPECIALTY PRACTICES AND A NORTON PROMPT CARE CLINIC, WHICH WILL OFFER SAME-DAY APPOINTMENTS FOR MINOR ILLNESSES AND INJURIES FOR PATIENTS AGES 2 AND OLDER. NHC AND JEFFERSON COUNTY PUBLIC SCHOOLS ARE EXPANDING A PARTNERSHIP TO OFFER VIRTUAL MEDICAL CARE TO STUDENTS AND STAFF AT ALL 89 PUBLIC ELEMENTARY SCHOOLS ACROSS JEFFERSON COUNTY OVER THE NEXT TWO SCHOOL YEARS. WITH PARENTAL CONSENT, THE NORTON ECARE SCHOOL TELEHEALTH PROGRAM ALLOWS CHILDREN TO SEE A NHC PROVIDER THROUGH A SECURE VIDEO VISIT FROM THE SCHOOL NURSE'S OFFICE. WORKING TOGETHER, THE SCHOOL NURSE AND NHC PROVIDER USE REMOTE MEDICAL TECHNOLOGY TO EXAMINE THE STUDENTS, LOOK AT THEIR SKIN, LISTEN TO THEIR HEARTS AND LUNGS, AND CHECK THEIR NOSES, THROATS AND EARS. THE NORTON ECARE SCHOOL TELEHEALTH PROGRAM LAUNCHED IN 2019 WITH THREE JCPS SCHOOLS AND EXPANDED TO 14 SCHOOLS IN 2022. THE PROGRAM WILL EXPAND TO 50 ELEMENTARY SCHOOLS DURING THE 2023-2024 SCHOOL YEAR AND THE DISTRICT'S REMAINING ELEMENTARY SCHOOLS DURING THE 2024-2025 SCHOOL YEAR. NHC CONTINUES IT'S FOCUS OF EXPANDING ACCESS TO HEALTH CARE IN JEFFERSONVILLE, INDIANA. ADDITIONAL EMERGENCY AND DIAGNOSTIC SERVICES WERE MADE AVAILABLE WHEN NORTON MEDICAL CENTER OPENED IN MARCH 2024 IN THE JEFFERSONVILLE COMMONS SHOPPING CENTER, 2023 MERCY WAY. THE NEW CENTER, A $17 MILLION INVESTMENT, HOUSES A FULL-SERVICE EMERGENCY DEPARTMENT AND DIAGNOSTIC CENTER IN APPROXIMATELY 15,000 SQUARE FEET OF SPACE. THE EMERGENCY DEPARTMENT HAS EIGHT EXAM ROOMS - WITH THE CAPABILITY OF CONVERTING ONE TO A TRAUMA BAY IF NEEDED - A LAB AND ACCESS TO ADJOINING DIAGNOSTIC IMAGING. IT IS OPEN 24 HOURS PER DAY, SEVEN DAYS A WEEK, WITH NO APPOINTMENT NECESSARY. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - ALL HOSPITALS. HEALTH DISPARITIES NORTON WOMEN'S CARE LAUNCHED A NEW DOULA PROGRAM IN 2022 THAT AIMS TO IMPROVE THE LONG-TERM HEALTH OF NEW MOTHERS IN UNDERSERVED AREAS OF THE COMMUNITY. NHC HAS DEVELOPED THE COMMUNITY-BASED DOULA PROGRAM TO HELP WOMEN WITH STATISTICALLY POOR MATERNAL OUTCOMES IN LOUISVILLE HAVE ACCESS TO A DOULA AND THE BENEFITS ONE OFFERS. THE PROGRAM PROVIDES ELIGIBLE PREGNANT PATIENTS WITH A DOULA AT NO COST TO THEM. WHILE DOULAS ARE WELCOME IN MANY BIRTHING HOSPITALS, THIS IS THE FIRST PROGRAM IN KENTUCKY THAT EMPLOYS DOULAS AS PART OF THE CARE TEAM. THIS NEW PROGRAM INCLUDES SEVERAL HOME VISITS THROUGHOUT THE PATIENT'S PREGNANCY AND THE PERIOD AFTER DELIVERY. ELIGIBLE PATIENTS MUST LIVE IN THE CALIFORNIA, PORTLAND OR RUSSELL NEIGHBORHOOD, AND RECEIVE ADDITIONAL PRENATAL CARE THROUGH NORTON OB/GYN ASSOCIATES AND NORTON WOMEN'S SPECIALISTS DOWNTOWN PRACTICES, WITH BABIES DELIVERED AT NORTON HOSPITAL. INITIALLY, THE PROGRAM EMPLOYED THREE DOULAS. PROVIDERS AT NORTON WOMEN'S SPECIALISTS AND NORTON OB/GYN ASSOCIATES CAN REFER PATIENTS TO THE COMMUNITY-BASED DOULA PROGRAM. IN 2023 NORTON CHILDREN'S MEDICAL GROUP - RUSSELL, LOCATED IN THE SEVEN COUNTIES SERVICES BUILDING AT 2225 W. BROADWAY, FEATURES MORE THAN 2,200 SQUARE FEET OF EXAM ROOMS AND LAB SPACE. THE FACILITY OFFERS PRIMARY AND SPECIALTY CARE TO ABOUT 4,000 KIDS A YEAR. THERE'S ALSO AN ON-SITE PHARMACY AVAILABLE TO PATIENTS AND FAMILIES. NHC IS COMMITTED TO BRINGING QUALITY CARE TO FAMILIES IN WEST LOUISVILLE. IN 2022, NHC CONDUCTED A CITYWIDE SURVEY TO IDENTIFY GAPS IN HEALTH CARE THROUGHOUT THE COMMUNITY. ACCORDING TO THE SURVEY, ONE OF THE BIGGEST CONCERNS IN WEST LOUISVILLE IS ACCESS TO CHILDREN'S HEALTH CARE. ANOTHER RESPONSE FROM THE SURVEY CALLED FOR ACCESS TO MENTAL HEALTH SERVICES. BEING LOCATED IN THE SEVEN COUNTIES SERVICES BUILDING ALLOWS THE TWO ORGANIZATIONS TO WORK TOGETHER TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY. IN 2023 NHC ANNOUNCED CHANGES TO ITS FINANCIAL ASSISTANCE PROGRAM. THE CHANGES ARE INTENDED TO INCREASE ACCESS TO HEALTH CARE BY ALLEVIATING FINANCIAL STRESS THAT OFTEN SERVES AS A BARRIER AND PREVENTS INDIVIDUALS FROM SEEKING CARE. PREVIOUSLY, FAMILIES WERE ELIGIBLE FOR NHC'S FINANCIAL ASSISTANCE PROGRAM IF THEIR HOUSEHOLD INCOME WAS EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES. WITH THESE CHANGES, THAT INCOME LEVEL HAS INCREASED TO 350% OF THE FEDERAL POVERTY GUIDELINES. FOR EXAMPLE, A FAMILY OF FOUR WITH A COMBINED HOUSEHOLD INCOME OF UP TO $105,000 NOW COULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ADDITIONALLY, INDIVIDUALS CAN NOW APPLY IN ADVANCE TO PARTICIPATE IN THE EXPANDED FINANCIAL ASSISTANCE PROGRAM. BY COMPLETING THE QUALIFICATION PROCESS AHEAD OF TIME, IT WILL REMOVE THE BARRIER THAT SOME EXPERIENCE WHEN ASKED TO DISCUSS FINANCIAL STATUS MATTERS AT THE POINT OF CARE. PREVIOUSLY, FAMILIES WOULD COMPLETE AN APPLICATION AFTER RECEIVING TREATMENT, INCLUDING AFTER AN EMERGENCY OR SERIOUS MEDICAL CONDITION. NOW THIS CAN BE DONE BEFORE THERE IS A CRISIS OR NEED FOR MEDICAL TREATMENT. COMMUNITY MEMBERS CAN APPLY AT ANY TIME ONLINE OR CAN REQUEST A PAPER COPY OF THE APPLICATION, WHICH IS AVAILABLE IN SEVERAL LANGUAGES. ONCE APPROVED, THE APPLICATION WILL BE VALID FOR ONE YEAR. THOSE TAKING PART IN THE PROGRAM CAN RE-APPLY EVERY YEAR. THE NORTON PREVENTION & WELLNESS MOBILE PRIMARY CARE UNIT CONTINUED TO INCREASE ACCESS TO HEALTH CARE IN UNDERSERVED NEIGHBORHOODS. IN COLLABORATION WITH MANY COMMUNITY PARTNERS, STAFF PROVIDED OVER 7,000 SCREENINGS IN 2024 (BLOOD PRESSURE, BODY MASS INDEX, GLUCOSE AND CHOLESTEROL) FOR ALMOST 4,000 PARTICIPANTS IN MULTIPLE LOCATIONS THROUGHOUT JEFFERSON AND SURROUNDING COUNTIES, INCLUDING IN SOUTHERN INDIANA. THERE WERE OVER 213 UNIQUE EVENTS WHERE THESE SCREENINGS WERE OFFERED DURING 2024. TRUST IN 2024, FAITH AND HEALTH MINISTRIES SERVED MORE THAN 183 FAITH COMMUNITIES WITH ACTIVE HEALTH MINISTRY PROGRAMS. THROUGH LONG-STANDING RELATIONSHIPS, THE DEPARTMENT PROVIDED A TRUSTED VOICE FOR HEALTH RELATED INFORMATION RELEVANT TO FAITH COMMUNITIES. NHC AND NCH'S CONTINUED TO FULFILL THEIR PROMISE TO EXPAND ACCESS TO HEALTH CARE WITH THE OPENING OF A NEW MULTI-PRACTICE LOCATION IN WESTPORT PLAZA IN NORTHEASTERN LOUISVILLE. THE 21,000-SQUARE-FOOT SPACE - A $9.5 MILLION INVESTMENT - INCLUDES NHC'S FIRST MULTIDISCIPLINARY OFFICE TO HOUSE BOTH PEDIATRIC AND ADULT ENDOCRINOLOGY CARE UNDER THE SAME ROOF. IT ALSO INCLUDES A SAME-DAY ORTHOPEDIC INJURY CARE CENTER AND THE FIRST MULTIDISCIPLINARY OFFICE TO HOUSE BOTH PEDIATRIC AND ADULT ORTHOPEDIC CARE. NHC CONSOLIDATED AND INVESTED $5.2 MILLION IN ITS DOWNTOWN OB-GYN, WOMEN'S SPECIALTY CARE, DOULAS AND MIDWIVES TO ONE FLOOR IN THE NORTON CHILDREN'S FOUNDATION BUILDING. THE 10,000 SQUARE FOOT FACILITY FEATURES 14 EXAM ROOMS, 2 ULTRASOUND ROOMS, 2 LABS, AND 12 BATHROOMS. THE SPACE IS ALSO COLORFULLY DECORATED WITH MODERN FEATURES. THE FACILITY ALSO COMES WITH ADVANCED WI-FI FEATURES, WHICH WILL HELP ENHANCE THE PATIENT EXPERIENCE WITH TRANSLATION SERVICES AND TELEHEALTH. THE OFFICE SERVICES A LOT OF NON-ENGLISH SPEAKING PATIENTS, SO TRANSLATION IS CRITICAL. THEY ALSO SERVE PATIENTS FROM ACROSS THE REGION, SO BEING ABLE TO OFFER VIRTUAL VISITS PROVIDES EASIER ACCESS TO ALL PATIENTS. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - All Hospitals. LANGUAGE NORTON COMMUNITY MEDICAL ASSOCIATES - LA CLINICA PRESTON, NHC'S FIRST 100% BILINGUAL PRACTICE, OPENED IN 2021 IN OKOLONA WITH STAFF AND PROVIDERS WHO UNDERSTAND THE UNIQUE CONCERNS OF LOUISVILLE'S LATINX COMMUNITY AND FAMILIES. AFTER 18 MONTHS NHC CAME TO THE CONCLUSION THAT THEY NEEDED A LARGER OFFICE TO ACCOMMODATE AT LEAST FOUR PROVIDERS. THOUGH TRANSLATION SERVICES HAVE ALWAYS BEEN AVAILABLE AT NHC FACILITIES, AN OFFICE EQUIPPED WITH TRUSTED EMPLOYEES WHO BRIDGE LANGUAGE AND CULTURE GAPS IS A WAY TO IMPROVE CARE FOR THE GROWING LATINX COMMUNITY. THERE ARE RADIATION ROOMS AT LA CLINICA PRESTON, AS WELL AS COMPLETE SAMPLE TESTING PRIVACY. IN THE HALLWAYS, SPANISH IS DISPLAYED FIRST ON EVERY LABEL. THE ULTIMATE GOAL IS TO IMPROVE HEALTH OUTCOMES. IN 2024 LA CLINICA PRESTON IS HOME TO NINE HEALTH CARE WORKERS RANGING FROM PROVIDERS TO MEDICAL ASSISTANTS AND X-RAY TECHNOLOGISTS WITH A STRONG INTEREST IN THE UNDERSERVED HISPANIC COMMUNITY. LOUISVILLE NOW HAS A SIGNIFICANT HISPANIC POPULATION AND THE PRACTICE NOW HAS TWO PROVIDERS AND SEE 50 PATIENTS DAILY. IN 2024 THE PRACTICE IS RECEIVING SEVEN TO 10 NEW PATIENTS EVERY DAY. NHC HISPANIC HEALTH FAIR IS HOSTED BY NORTON PREVENTION & WELLNESS TO PROVIDE HEALTH SCREENINGS AND RESOURCES. THE HISPANIC HEALTH FAIR IS LOCATED AT ST. RITA CATHOLIC CHURCH AND PROVIDES FREE HEALTH SCREENINGS, EDUCATIONAL AND COMMUNITY RESOURCES, AND FAMILY FRIENDLY ACTIVITIES FOR THE HISPANIC/LATINX COMMUNITY. NORTON PREVENTION & WELLNESS CONTINUED TO HOST A FREE HEALTH CARE THAT INCLUDED SCREENINGS FOR CHOLESTEROL, BLOOD PRESSURE, COLON CANCER, HEARING AND VISION AT ITS ANNUAL HEALTH FAIR FOR LATINO AND HISPANIC RESIDENTS. IN 2024 206 PEOPLE ATTENDED THE FAIR REPRESENTING 18 UNIQUE COUNTRIES OF ORIGIN. IN 2024 NHC'S EQUITY, INCLUSION & BELONGING DEPARTMENT TOOK OWNERSHIP OF INTERPRETER SERVICES. THEY WORKED TO EXPAND QUALIFIED MEDICAL INTERPRETERS BY PROVIDING CERTIFICATION OPPORTUNITIES AND TRAINING FOR EMPLOYEES. NHC'S COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A PRIORITIZATION PROCESS TO RANK IDENTIFIED NEEDS AND ISSUES BASED ON PERCEPTION OF THE COMMUNITY, SECONDARY RESEARCH AND HOW THE ISSUES ALIGN WITH NHC'S MISSION, VISION, VALUES AND STRATEGIC PRIORITIES. IDENTIFIED NEEDS WERE CATEGORIZED INTO FOUR CATEGORIES: HEALTH CONDITIONS, ACCESS TO CARE, BEHAVIORAL CONDITIONS AND SOCIOECONOMIC/DEMOGRAPHIC NEEDS. NHC EXECUTIVE LEADERSHIP AND THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF TRUSTEES IDENTIFIED AREAS IN THE BEHAVIORAL AND SOCIOECONOMIC CATEGORIES WHERE NHC CAN MOST EFFECTIVELY FOCUS ITS RESOURCES TO HAVE SIGNIFICANT IMPACT. THOSE AREAS OF FOCUS ARE: SUBSTANCE USE, OBESITY, MENTAL HEALTH, POOR NUTRITION, HEALTH DISPARITIES, HEALTH LITERACY, LANGUAGE BARRIERS AND TRUST IN THE HEALTH CARE SYSTEM. NEEDS THAT WERE IDENTIFIED BUT ARE CURRENTLY NOT AN AREA OF FOCUS FOR NHC ARE HOME CRIME AND SAFETY CONCERNS, HOUSING INSECURITY, AND POVERTY LEVELS. THESE FALL OUTSIDE OF THE CURRENT CORE COMPETENCIES OF THE ORGANIZATION AND THEREFORE ARE NOT ADDRESSED DIRECTLY IN OUR COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGIES. NHC HAS A DESIRE TO CONTINUE PROVIDING CLINICAL PROGRAMS AND SERVICES TO MEET COMMUNITY NEEDS WHILE ALSO PURSUING CONTINUOUS IMPROVEMENT IN EXISTING AND FUTURE PROGRAMS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WE SERVE. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - All Hospitals. Other eligibility criteria in addition to the criteria answered above would include as described in the Financial Assistance Policy: * The patient does not qualify for subsidized coverage of government assistance such as Disproportionate Share Hospital, Children's Health Insurance Program, Medicaid, Medicaid Managed Care Organization, or Hoosier Healthcare. * To be eligible for assistance for non-emergent Medically Necessary Care, a patient (or that patient's guarantor) must be a resident of Kentucky, Indiana, Tennessee, Ohio, or Illinois. This residency requirement does not apply to emergency care. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - ALL HOSPITALS. See response to Part VI, Line 3; Patient education of eligibility for assistance. 0 Schedule H, Line 7, Input 7 STATE FILING OF COMMUNITY BENEFIT REPORT Not required at this time by Commonwealth of Kentucky. Schedule H, Part I, Line 6b Community Benefit Report The annual community benefit initiative report is for all six hospitals in Norton Hospitals, Inc.'s (NHI) and is contained in the report prepared by NHI's parent corporation, Norton Healthcare, Inc. Schedule H, Part VI, Line 5 Promotion of community health pt 1 Norton Healthcare Inc. (NHC) is a not-for-profit corporation serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system has six Louisville-based hospitals and three hospitals in Southern Indiana. NHC expanded services in 2024 with the addition of Norton West Louisville Hospital (West Louisville). This new hospital adds to the recent additions of Norton King's Daughters Health in 2022 and Norton Clark Hospital and Norton Scott Hospital in 2023. West Louisville Hospital opened in November 2024. The hospital offers comprehensive services, including adult and pediatric primary care physician offices, emergency department services, inpatient services and outpatient functions. Imaging services, including X-rays and CT scans, are available, along with specialty services such as women's health, cardiology, neurology and endocrinology. Some physician offices offer evening hours as well. In 2024, NHC, through its affiliates, Norton Hospitals Inc. and Norton Healthcare - Indiana Inc., had a total of 2,254 licensed beds: Norton Audubon Hospital, 432 beds; Norton Brownsboro Hospital, 197 beds; Norton Children's Hospital, 300 beds; Norton Hospital, 585 beds; Norton West Louisville Hospital, 20 beds; Norton Women's & Children's Hospital, 373 beds; Norton Kings' Daughters' Health, 86 beds; Norton Clark Hospital, 236 beds; Norton Scott Hospital, 25 beds. These nine hospitals operate 24 hours a day, seven days a week. Norton Pharmacies PLLC, a disregarded entity of NHC, operates five retail pharmacies and one specialty pharmacy that dispense medications for the convenience of NHC's patients and employees. In 2024, NHC, through its affiliate, Community Medical Associates Inc., had approximately 3.7 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute served 72,141 inpatients and 855,864 outpatients, and saw 262,530 emergency department patients. In addition, NHC hospitals' operating rooms cared for 17,784 inpatient surgical patients and 42,729 outpatient surgical patients. Additionally, 8,138 babies were delivered at NHC birthing facilities. NHC is committed to improving the health of our community and provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2024, under its charity care program, NHC provided free care to 11,860 patients at a cost of $15.7 million. NHC also grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 17,715 patients were provided care at discounted rates. Another contribution to the community was educational support of $98.3 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $22.3 million, and contributions to community groups were $2.2 million. NHC employees donated more than 231,000 hours of community service, a benefit valued at more than $1.6 million in salaries. In addition, many employees self-reported personal volunteer activities. A majority of the organization's governing body is comprised of persons who reside in the organization's primary service are who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some of all of its departments or specialties. Contributions to the community NHC employees and physicians gave $807,239.90 in the 2024-2025 Combined Giving Campaign to help support nonprofit organizations that also are committed to improving the health and well-being of community residents. Supported organizations include WHAS Crusade for Children, Metro United Way, Fund for the Arts, and our own The Norton Children's Hospital Foundation, Inc. and Norton Healthcare Foundation, Inc. In 2024, 115 employees helped "raise the roof" on NHC's 19th Habitat for Humanity home at 765 John Little St. in Louisville, Kentucky. In 2024, an estimated 1,250 NHC employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 745 employees and their 1,609 children by providing for their families at Christmas. West Louisville expanded service in the metro Louisville area. Between Nov. 11, 2024, and December 31, 2025, there were 2,574 emergency department visits. Between Nov. 11, 2024, and December 31, 2024, there were 62 patients admitted to the hospital and 29 outpatient surgeries performed. Belonging & Health Equity NHC supports, advises and advocates for our patients, and employees to create a more inclusive environment that reflects our mission, vision, and values. By focusing on psychological safety, intersectionality, and diversity of thought, Norton strives to create an atmosphere where our patients staffs' authenticity is accepted regardless of a person's: * Age * Disability * Gender identity * National origin * Race * Religion * Sexual orientation Schedule H, Part VI, Line 5 Promotion of community health pt 2 Workforce development and community education As one of Kentucky's largest health care systems, NHC has established a culture of continual, lifelong learning. Opportunities are available through our human resources department's workforce development team and Norton Healthcare Institute for Education & Development. The workforce development team encourages continuing education, offers programs to improve career pathways and provides financial assistance for educational programs, for employees and nonemployees, aimed toward key areas of workforce need within the organization. NHC encourages and supports the career goals of employees, their dependents and nonemployees by providing tuition assistance and scholarships, as well as other advancement opportunities. Established in the early 2000s, workforce development has assisted more than 6,000 students with tuition assistance. In 2024, workforce development financially supported over 970 students with over $11.2 million in educational assistance programs. * In 2024, the workforce development team provided over 1,500 career coaching sessions to employees and students. Each program participant worked directly with a career coach. Coaches offer services in resume writing, career and education exploration, financial assistance opportunities, and interviewing skills. * The NHC Scholars Program, a forgivable loan program for employees and nonemployees, provides educational funding to students interested in pursuing health care-related degrees in key areas of workforce need. It is an affiliation between NHC and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 2,800 graduates start or continue their careers with NHC. * The Student Nurse Apprenticeship Program is a 12- to 18-month apprentice model led by the Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development. Student nurses in the program engage in hands-on learning with an experienced nurse while living the mission of NHC. * In 2018, NHC was one of the founding partners in Jefferson County Public Schools' Academies of Louisville, a strategic pipeline development program established in conjunction with the local public school system. Jefferson County Public Schools created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. NHC transformed its summer program and previous high school scholarship offerings into a comprehensive internship program for students who are interested starting their health care pathway. This program continued to operate through all of 2024. * In 2019, NHC announced a strategic partnership program with UPS and its Metropolitan College program. Norton Healthcare-UPS Health Care Career Tracks provides a two-plus-two method, splitting a four-year bachelor's degree into two parts. This program continued to operate through all of 2024. * In 2019, NHC also launched the Surgical Technologist Apprenticeship Program and the Respiratory Therapy Apprentice Program, which allow students to work and learn with tuition assistance as they grow their careers with NHC. The Medical Assistant Training Program launched in 2020 with a goal of offering internal training programs to produce medical assistants to introduce into the NHC workforce. Several apprenticeship cohorts run throughout each year. This program continued to operate through all of 2024. * In 2022, Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development, created the student healthcare assistant employment opportunity. College students enrolled in a health care discipline have the opportunity to learn about providing direct patient care while enrolled in their academic program, with emphasis on schedule flexibility and clinical experience. This program continued to operate through all of 2024. Norton Healthcare Institute for Education & Development provides inclusive, forward-thinking learning experiences to enhance both the professional and personal growth of employees and students. With programming that spans from clinical onboarding to executive leadership, the institute ensures team members at every level are equipped to succeed. The institute is structured across six centers, each contributing to Norton Healthcare's strategic priorities around workforce development, clinical readiness and retention. Centers: 1. Center for Allied Health Education - Develops and delivers onboarding, clinical skills training and continuing education for systemwide allied health professionals across diagnostics, respiratory therapy, imaging, pharmacy, lab, and other key services. 2. Center for System Nursing & Ancillary Education - Centralizes clinical onboarding and competency education for bedside nurses, nursing support staff and ancillary clinical roles to ensure consistency, quality and clinical preparedness across all facilities. 3. Center for Professional Growth - Oversees all leadership development programming, from front-line leader training to the Norton Healthcare Executive Fellowship. Offers tailored tracks, mentoring and coaching to promote internal career mobility and succession planning. 4. Center for eLearning & Clinical Documentation Support - Develops and deploys system wide digital learning assets, hybrid education modules and electronic medical record support resources. This team ensures access, usability and consistency in online learning delivery. 5. Center for Nurse Residency & Clinical Advancement - Manages the transition-to-practice program for new registered nurses and oversees the clinical ladder program to recognize, retain and develop experienced nurses through professional advancement pathways. 6. Center for Nursing Practice - Focuses on student role development; this center leads: * Student Nurse Apprenticeship Program - This is a 12- to 18-month hybrid experience that develops students across culture, clinical and confidence tiers. * Student healthcare assistant role - For students in health care disciplines, this employment pathway provides flexible, competency-based clinical exposure across 13 disciplines, directly supporting NHC's staffing needs. Norton Faith & Health Ministries Norton Faith & Health Ministries partners with faith communities to weave together health and wellness promotion with intentional care of the spirit. Mentoring, educational resources and networking opportunities are provided to assist health ministry coordinators and faith community nurses in their ministry. In 2024, the department engaged in 163 events with faith partners. Initiatives included: * Promoting whole-person health and wellness, providing health education tools, offering health screenings and providing one-on-one health ministry mentoring * Coordinating an annual faith leader conference * Sponsoring health ministry networking programs on Social Security and crimes against older adults, as well as holding a special remembrance lunch for faith partners * Partnering with the Kentucky Heart Disease Stroke Prevention Task Force to provide cardiovascular assessments, risk-reduction information and education on the blood pressure awareness program The department continued to serve as a trusted source for health and wellness information by coordinating subject matter experts and speakers for a variety of health topics. It also distributed electronic correspondence to a network of health ministries, Norton Healthcare employees and more. Schedule H, Part VI, Line 5 Promotion of community health pt 3 Pastoral care department The pastoral care department provides spiritual, religious and emotional care and support for patients, families and staff throughout the system, 24 hours a day, seven days a week. Chaplains made more than 33,000 visits to patients and their families in 2024. Chaplains care for people regardless of their religious or spiritual background or beliefs and seek to help them strengthen the emotional, relational and spiritual resources that they have in order to cope and to thrive. One unique aspect of the integration of chaplains into the NHC system is in decedent care. When there is a body unclaimed or there is difficulty in locating the next of kin, the chaplains make sure that a dignified disposition is done as soon as possible. * Here are other important aspects of chaplain care: * Providing spiritual care, comfort and conversation with patients who are lonely, afraid, conflicted, struggling or celebrating good news * Grief support and facilitation of decision-making at the time of death * Family support for pediatric trauma patients * Conversations about end-of-life decisions and goals of care * Education about advance directives * Offering religious rituals and literature * Discussing ethical dilemmas In addition to caring for patients and families, the chaplains of NHC provide care every day to the organization's employees through individual counseling, sharing prayers and other rituals, debriefing stressful events on units, comforting a department when a co-worker dies or blessing a new or renovated unit. Through teaching, committee involvement, ethics consults and many other ways, chaplains are fully integrated into the life of the system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute, a part of NHC, is a regional leader in cardiovascular disease prevention and treatment. Each year, Norton Heart & Vascular Institute provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. A team of specialists treats patients at NHC's adult-service hospitals and numerous diagnostic outpatient and specialty centers throughout the region. Four hospitals are accredited by the American College of Cardiology as Chest Pain Centers. Three of them - Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital - serve as American Heart Association award-winning regional percutaneous coronary intervention receiving centers. Norton Audubon Hospital has been recognized year after year with the American College of Cardiology's HeartCare Center: National Distinction of Excellence accreditation. It is the only hospital in Louisville with this distinction. Norton Heart & Vascular Institute offers a nationally recognized advanced heart failure and recovery program, with expertise in the management of end-stage heart failure, mechanical circulatory support implantation and support of patients who require heart transplantation. The Norton Heart & Vascular Institute Heart Rhythm Center provides state-of-the-art monitoring and a comprehensive suite of treatment options for all types of heart arrhythmias. Our experienced team of cardiothoracic and vascular surgeons provides surgical capabilities that include ventricular assist device implantation; minimally invasive treatments for atrial fibrillation, cardiac valve repair and valve replacement; and repair of life-threatening vascular conditions. Vascular surgeons treat the spectrum of arterial and venous disease with both endovascular and open surgical procedures. More information is available at NortonHeartAndVascularInstitute.com. Norton Orthopedic Institute Norton Orthopedic Institute provides advanced orthopedic care for all bones and joints, and for people of all ages. Norton Orthopedic Institute is made up of board-certified physicians - many of whom are fellowship trained - who work together with therapists, physical rehabilitation specialists, primary care physicians, neurologists, certified athletic trainers and other care providers to offer a full range of multidisciplinary orthopedic services. These specialists practice a team approach in the diagnosis, treatment and rehabilitation of bone and joint conditions and injuries. Norton Orthopedic Institute's hip and knee replacement program has been certified as an Orthopedic Center of Excellence by DNV, as meeting guidelines of the American Academy of Orthopedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, Norton Orthopedic Institute offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. More information is available at NortonOrthopedicInstitute.com. Norton Women's Care Norton Women's Care offers a complete range of services with an emphasis on caring for the whole person - mind, body and spirit. Services focus on the health and wellness at all stages of life - adolescence, prepregnancy, pregnancy, motherhood, midlife and beyond. More patients choose Norton Women's Care at Norton Hospital and Norton Women's & Children's Hospital to deliver their babies than any other facility in the region. Specialty services include full gynecologic care; a pelvic health program; obstetrics, including high-risk pregnancy care; cardio-obstetrics; support from certified nurse midwives and doulas; newborn care with access to Level III and IV neonatal intensive care units; cancer prevention and treatment, including a comprehensive breast health program; a dedicated women's heart and vascular care, education and support program; a bone health program addressing osteoporosis, rheumatology and prevention of other orthopedic diseases; and Norton Women's Mental Health Services for evaluation and treatment of issues including depression, premenstrual dysphoric disorder, infertility and menopause. Norton Women's Care also offers a variety of educational wellness programs through the Marshall Women's Health & Education Center on the Norton Healthcare - St. Matthews campus. More information is available at NortonWomensCare.com. In 2024, Norton Women's Care birthing facilities at Norton Hospital, Norton Women's & Children's Hospital and Norton Kings' Daughters' Health provided care and medical services for 8,503 deliveries. In 2023, Norton Women's Care was recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. Schedule H, Part VI, Line 5 Promotion of community health pt 4 Norton Prevention & Wellness Norton Prevention & Wellness is supported in part by the Norton Healthcare Foundation, which raises funds exclusively for Norton Healthcare's adult-service hospitals and services. * In 2024, Norton Prevention & Wellness staff provided preventive screenings aboard the Norton Prevention & Wellness Mobile Prevention Center in collaboration with various community partners. Mammograms and wellness exams, including cervical cancer screenings, were provided to several women. Of those, over 10% had not been screened in the past five years and some had never had a mammogram. Of the over 100 Mobile Prevention Center events, over half took place in underserved communities, and over 50% of patients came from medically underserved areas. * Education on cardiovascular health, effects of smoking, prostate health, breast health and women's health, colon health and more was provided to numerous community members at various events, such as health fairs and presentations. * If eligible and interested, participants were offered referrals for a colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for patients, and several people received at-home testing kits. To help eliminate barriers to care, Norton Prevention & Wellness implemented a dedicated phone number, (502) 446-9355 (WELL), that links eligible patients to colonoscopy scheduling or requesting of in-home tests. * In collaboration with many community partners, staff provided health screenings (blood pressure, body mass index, glucose and cholesterol levels) for numerous participants in multiple locations throughout Jefferson County and surrounding counties, including in Southern Indiana. A1C level screening is now available for participants with abnormal glucose levels. Each participant received education on healthy lifestyle choices, such as diet and exercise. * Norton Prevention & Wellness conducted American Lung Association Freedom From Smoking classes in 2024. Nearly half of the attendees reported being tobacco-free. * In 2024, Norton Prevention & Wellness offered Hands-Only CPR classes in the community in collaboration with community partners. * Norton Prevention & Wellness was the primary coordinator for the Hispanic Health Fair and the Get Healthy Walking Club Expo, bringing together many vendors and services in one location to serve all ages. All participants who had abnormal results from any of our health screening events also received navigation assistance with a registered nurse to connect them to healthcare resources, and assist them in overcoming barriers to access care. Norton Children's Prevention & Wellness Norton Children's Prevention & Wellness is supported by the Norton Children's Hospital Foundation, which raises funds exclusively for the not-for-profit Norton Children's Hospital (NCH) and its sister facilities. Through donations, volunteerism and community support, the foundation is able to provide funding for equipment, new technologies, clinical research, child advocacy and health education for patients, families, medical staff and the community along with the services listed below. * Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2024, virtual and in-person car seat checks were completed. Additionally, new child passenger safety technicians were certified on how to properly install car seats. * Several third and fourth graders across Kentucky learned about bicycle safety through the NCH Bike Safety Rodeo in 2024. * The Safety City program welcomed over second-grade students to learn about bike and pedestrian safety. * In a virtual program, kindergarten students participated in the Building Health Superheroes virtual field trip. Building Healthy Superheroes is designed to teach healthy and safe lifestyle choices for children. This superhero-themed virtual option provides teachers with resources to administer the course, and students graduate as a "healthy superhero" at the conclusion of the class. * NCH's Food Pantries served individuals with food insecurity needs. These pantries also provided jars of baby food and 1,418 boxes of diapers and wipes. * NCH's Prevention & Wellness provided in-person education and supplies to community members. * Virtual classes in 2024 served individuals with prevention and wellness programming. Events included cooking workshops, child safety classes and safe grandparenting classes. * The NCH's Safety Care-a-van program distributed pieces of safety equipment and educational materials to families, more than five times the number distributed 2023. In exchange, Safety Surveys were collected to help NCH's Prevention & Wellness tailor programming to community need. * Through a collaboration with Louisville Metro Police Department, unused and expired medications were collected during the National Prescription Drug Take Back Day to promote medication safety. * The "Just for Kids" Transport Team transports babies and children from across the region to NCH. Transportation is provided by helicopter and five specially equipped ambulances known as mobile intensive care units. In 2024, 2,904 transportation trips were completed. Kentucky Poison Control Center of NCH In 2024, the center managed individual cases from calls and provided continued assistance through follow-up calls to concerned families in all 120 counties in Kentucky, as well as to physicians and other health care providers from every health care facility in the state. The primary mission of the Kentucky Poison Control Center of Norton Children's Hospital is to reduce illness and death from poisoning in Kentucky. The center provides 24/7 free and confidential access to specially trained nurses, pharmacists and physicians who are certified in toxicology. They are specialists in communicating advice to health care professionals, first responders, patients, parents, family members, the general public and the media. Some of the more common calls received involve medications, tobacco products, household cleaning products, plants and personal care items. Calls also are answered about work-related exposures in farming and industry, food poisoning, insect bites and snakebites, and a variety of other potential hazards. On average, the poison control center's hotline at (800) 222-1222 receives more than 30,000 calls annually, 24 hours a day, 365 days a year. Three of every four patients from those calls are successfully managed safely and inexpensively at home, reducing unnecessary emergency room visits and/or shortening hospital stays. More information is available at KYPoisonControl.com. Schedule H, Part VI, Line 5 Promotion of Community Health pt5 Norton Neuroscience Institute Established in early 2009, Norton Neuroscience Institute is the region's leading provider of neurologic care. The multidisciplinary comprehensive program has more than 120 subspecialty fellowship-trained neurosurgeons, neurologists, neuropsychologists and advanced practice providers. These specialists are trained to provide patients and their families with advanced treatment for complex neurologic disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; memory and dementia disorders; movement disorders, including Parkinson's disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. Patients also have access to Norton Neuroscience Institute Cressman Neurological Rehabilitation, which offers advanced technology and specialized services in one location. Norton Neuroscience Institute provides leadership for a regional stroke care network. Four of Norton Healthcare's adult-service hospitals in Louisville are certified by DNV, with Norton Brownsboro Hospital designated as a Comprehensive Stroke Center, representing the highest level of stroke care. In addition, Norton Hospital and Norton Brownsboro Hospital received 2024 American Heart Association Get With the Guidelines - Stroke designations. Norton Brownsboro Hospital received Gold Plus designation, the highest possible award. Norton Neuroscience Institute is a leader in the region for providing innovative surgery technology, such as NeuroPace, NeuroBlate, focused ultrasound and ROSA (a robotic surgical assistant) and leading-edge treatment for brain tumors, including TruBeam and Optune therapies. As part of the comprehensive care provided by Norton Neuroscience Institute, patients and their families have access to support resources to manage their diagnoses through two Norton Neuroscience Institute Resource Centers. The resource centers offer dedicated patient navigators, support groups, exercise programs and extensive educational resources. Norton Community Medical Associates With more than 50 locations across Louisville, Southern Indiana and surrounding areas, Norton Community Medical Associates provides trusted primary care for adults and children with a focus on prevention, wellness and personalized support. Experienced providers partner with patients to manage both short- and long-term health needs, offering services such as annual physicals, vaccines, full-body checkups, treatment for minor illnesses and injuries, and care coordination for chronic conditions. Patients also benefit from integrated mental health support through Norton Behavioral Medicine, access to specialists at Wendy Novak Diabetes Institute, nutrition and weight loss guidance, and on-site lab work and diagnostic testing. In addition to individualized care, our providers are active in promoting community wellness through medical screenings, education and outreach programs that support early intervention and healthier communities. Norton Research Institute Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. Originally opened in 2001 as Norton Healthcare Research Office, Norton Research Institute is dedicated to conducting high-quality, cutting-edge research that brings new treatments to those who need it most. The institute supports Norton Healthcare's community's medical providers who are at the leading edge of advancements and discoveries. Norton Research Institute includes over 300 clinical research professionals providing support for active studies, including translational research, device studies, health outcome studies, biorepository and bench lab research, data collection and Phase 1, Phase 2 and Phase 3 clinical trials. Our portfolio of 750 studies stretches over more than 30 specialties across the spectrum of adult and pediatric care. Norton Research Institute is focused on conducting research in a manner that protects the rights and well-being of all who participate in clinical trials and is dedicated to upholding ethical standards in our research practices. * Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, infectious diseases, neurology, neurosurgery, and pulmonology. * The pediatric research portfolio through Norton Children's Research Institute, affiliated with the UofL School of Medicine, is critical to the mission of NCH, the only pediatric hospital in our service area. * NHC invests significantly in clinical research to benefit our community and patients, and to support clinical science by participating in the development of new clinical interventions (drugs, devices, procedures) that will become generalized 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. * In 2023, NHC started building research capacity and infrastructure (including a research laboratory) to address Parkinson's disease, movement disorders and memory disorders. The laboratory was completed and opened in 2024. * In 2024, NHC initiated efforts to build a 1,500-square-foot lab to house an islet clinical transplant program. The lab, one of only 11 in the country, will allow the team to isolate and prepare the cells for transplant, pioneer new islet treatments and lead clinical studies. Norton Cancer Institute As the leading provider of cancer care in Louisville and Southern Indiana, Norton Cancer Institute's (NCI) mission is to blend comprehensive treatment and services with compassion, hope and healing for patients and their families. Leading pioneering research, our subspecialized oncologists serve as principal investigators on studies that drive the development of innovative treatments now shaping cancer care nationwide. Through a multidisciplinary approach, its team offers patients the latest in treatments and technology focused on cancer prevention, diagnosis, care and survivorship. The institute's specialists cover a broad range of tumor-specific subspecialties in medical, radiation and surgical oncology in the following areas: breast, dermatology, gastrointestinal, genitourinary, gynecologic, head and neck, hematology, neurologic, orthopedic, sarcoma and connective tissue, and thoracic oncology. Our specialists also provide care in behavioral oncology, cancer genetics and hematology. NCI offers state-of-the-art medical, surgical and radiation therapies, including minimally invasive robotic surgery, stereotactic radiosurgery and advanced brachytherapy. Extensive educational, physical, spiritual and emotional support services, including support groups, seminars, art and music therapy, massage therapy, yoga and nutritional counseling are available through five NCI Resource Centers. NCI is designated by the American College of Surgeons Commission on Cancer as the only accredited Integrated Network Cancer Program in Kentucky. More information is available at NortonCancerInstitute.com. Community support from The Norton Children's Hospital Foundation and Norton Healthcare Foundations In 2024, The Norton Children's Hospital Foundation and Norton Healthcare Foundation raised over $32 million to support the mission of NHC. Grants were invested to supporting a wide range of initiatives to expand workforce, enhance facilities, establish new programs and provide facility advancements. Additional funds were set aside in restricted funds for future use. This support made possible: * MRI-guided high-frequency focused ultrasound procedure to treat essential tremor * Community room and services at West Louisville * The Heel, Dog, Heal facility dog program across Norton Healthcare facilities, including 10 trained dogs and their handlers * Wendy Novak Diabetes Institute Perinatal Program * Creation of Norton Neuroscience Institute Cressman Parkinson's Research program * Equipment to expand breast cancer surgery capabilities at Norton Brownsboro Hospital * Norton eCare School Telehealth * Expressive therapists for Norton Cancer Institute Pat Harrison Resource Center * Norton Women's Doula Program Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care Norton Hospitals, Inc. has a policy where we discount charges for all self-pay patients with no insurance coverage regardless of income qualifications. Because of this policy, we responded "No" to line 3b in that we do not utilize federal poverty guidelines for providing discounted care. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Norton Healthcare, Inc. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology used to calculate the community benefit expenses was to calculate the cost by hospital location (six separate locations under one Medicare provider number). The cost was determined based on a specific location cost to charge ratio. The cost used in the calculator was reduced by provider taxes, Graduate Medical Education expenses, and other costs. The adjusted cost to charge ratio was then multiplied times the gross charges for qualified financial assistance charges, Medicaid, and the state Disproportionate Program (other means tested government program) to obtain the specific community benefit expense. Cost of Health Improvement and Community Benefit Programs, Health Education, Research Programs, some Subsidized Health Services, and Donations are stated at actual cost. The cost of these items are tracked throughout the general ledger process and through other accounting software. Schedule H, Part II Community Building Activities NORTON HOSPITALS, INC. (NHI) SUPPORTED OVER 300 COMMUNITY ORGANIZATIONS WITH LEADERSHIP SUPPORT WHICH INCLUDED OVER 231,000 HOURS AND OVER $1.6 MILLION IN SALARIES. NHI REPRESENTATIVES SERVED ON A VARIETY OF NONPROFITS AND GOVERNMENT AGENCIES THAT HELPED IMPROVE ACCESS TO HEALTH SERVICES, ENHANCED THE HEALTH OF THE COMMUNITY, ADVANCED MEDICAL AND HEALTH CARE KNOWLEDGE, AND RELIEVED OR REDUCED THE BURDEN OF GOVERNMENT OR COMMUNITY EFFORT. NHI'S PURPOSE IS TO PROVIDE QUALITY HEALTH CARE TO ALL THOSE WE SERVE, IN A MANNER THAT RESPONDS TO THE NEEDS OF OUR COMMUNITIES AND HONORS OUR FAITH HERITAGE. OUR COMMUNITY BENEFIT INITIATIVE ALIGNS WITH OUR MISSION TO PROMOTE THE HEALTH OF THE COMMUNITY THROUGH SERVICE ON LOCAL BOARDS, ADVISORY COUNCILS AND VOLUNTEERING. NHI EMPLOYEES REPRESENT NHI ON MANY COMMUNITY BOARD POSITIONS THAT HELP TO ENHANCE THE COMMUNITY INCLUDING THE AMERICAN RED CROSS, GREATER LOUISVILLE INC. BOARD, THE CENTER FOR WOMEN AND FAMILIES, HABITAT FOR HUMANITY, UNITED WAY OF KENTUCKY, THE AMERICAN HEART ASSOCIATION, THE RONALD MCDONALD HOUSE, AND MANY MORE. NHI HAS A RICH CULTURAL HISTORY OF PROVIDING COMMUNITY SUPPORT AND NHI EMPLOYEES ARE PASSIONATE ABOUT SERVING OTHERS AND PROMOTING THE HEALTH OF OUR COMMUNITY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, NORTON HEALTHCARE, Inc. HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTON HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part 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 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 Hospitals, Inc.'s (NHI) financial assistance program guidelines, these accounts are then required to submit the necessary documentation to ultimately be classified as a financial assistance account. Based on all accounts that are classified as probable financial assistance by Medassist Firstsource and their experience with getting accounts qualified as financial assistance, it is estimated that 16.6% of those accounts classified as probable financial assistance and which do not submit the required documentation would qualify as a NHI financial assistance account. The estimated cost of accounts that are estimated to qualify for our financial assistance programs is calculated based on gross charges for accounts for the year that are probable but do not submit the necessary documentation multiplied times our cost to charge ratio times the 16.6% estimated conversion factor. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote In accordance with accounting guidance, bad debt is no longer an expense, but is included as a reduction in net patient service revenue. The following paragraph per the audited financial statements (page 19, second paragraph) discusses the handling of patient deductible and coinsurance not paid by patients; Generally, patients who are covered by third-party payors are responsible for patient responsibility balances, including deductibles and coinsurance, which vary in amount. The Corporation estimates the transaction price for patients with deductibles and coinsurance based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any explicit price concessions, discounts, and /or implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of change. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The costing methodology used to determine the Medicare allowable cost was based on the Medicare principles used in completing the Medicare cost report. All cost reported came from the Medicare cost report. Norton Hospitals, Inc. (NHI) accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. NHI believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate NHI for the cost of providing hospital care to Medicare beneficiaries. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance After the patient's initial screening for financial assistance, if it is believed that the patient qualifies for financial assistance; Norton Hospitals Inc. will not start collection efforts pending the patient submitting the necessary information to document meeting the financial assistance qualifications. If the patient submits the necessary documentation within a reasonable time period, then there will not be any collection efforts made to collect any amount from the patient. The patient may receive a statement/bill reflecting the amount due through the financial assistance application process pending the patient's financial assistance application, but there will be no collection efforts. Only after an attempt is made to contact the patient to obtain the necessary documentation for completing the financial assistance application and the patient not responding will collection efforts begin. There is ongoing effort throughout the collection process to screen for Medicaid eligibility, Disproportionate Share Hospital, and the need for providing financial assistance applications to patients. When a patient is approved for financial assistance, their account balance is written off. Schedule H, Part V, Section B, Line 16a FAP website A - Norton Hospital: Line 16a URL: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; B - Norton West Louisville 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: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; B - Norton West Louisville Hospital: Line 16b URL: WWW.NORTONHEALTHCARE.COM/FAP; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Norton Hospital: Line 16c URL: https://nortonhealthcare.com/patient-resources/billing-information/financial-assistance/; B - Norton West Louisville Hospital: Line 16c URL: WWW.NORTONHEALTHCARE.COM/FAP; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT NORTON HOSPITALS, INC (NHI) REGULARLY AND CONSISTENTLY EVALUATES WORKFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGH PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICES, LOCAL AND STATE UNIVERSITIES, KENTUCKIANA WORKS, AND THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE NHI IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, NHI ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTER FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS, BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATION, FREE SCREENINGS AND ACCESS TO HEALTH CARE. NORTON HEALTHCARE, INC. (NHC), THE PARENT COMPANY of NHI, CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ALL FIVE HOSPITALS. THE CHNA DEFINED THE PATIENT SERVICE AREA BY PATIENT ORIGIN FOR INPATIENT STAYS, DEMOGRAPHIC, SOCIOECONOMIC, POPULATION, AND OTHER HEALTH RELATED INDICATORS UTILIZED TO PROVIDE INFORMATION ON THE HEALTH STATUS OF THE COMMUNITY. COMMUNITY INPUT WAS PROVIDED THROUGH PROVIDER AND COMMUNITY INTERVIEWS, TARGETED FOCUS GROUPS AND A COMMUNITY HEALTH SURVEY. HEALTH NEEDS WERE PRIORITIZED AND ADDRESSED BASED ON HEALTH STATUS FINDINGS AND COMMUNITY INPUT. THE CHNA IS A COMPONENT OF THE ORGANIZATIONS STRATEGIC PLANNING PROCESS AS RESOURCES ARE NECESSARY TO IMPLEMENT STRATEGIES OUTLINED FOR PRIORITIES IDENTIFIED. THE NHC BOARD OF TRUSTEES AS WELL AS THE LEADERSHIP OF NHC AND HOSPITAL CHIEF ADMINSTRATIVE OFFICERS HAVE APPROVED THE ASSESSMENT AND IMPLEMENTATION PLAN. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Signage is posted in all Norton Healthcare, Inc. (NHC) hospital facilities, including the admission area and emergency room, providing information on the ability to apply for financial assistance and to seek help in paying your bill. The signage is translated in twelve languages and all languages are contained on the same poster. The languages are: English, Spanish, Vietnamese, Chinese, Croatian, French, German, Kinyarwanda, Napali, Somali, Swahili 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 2024 statements mailed to the guarantors by Norton Hospitals, Inc. (NHI) contained information to start the financial assistance application process. Norton Hospitals, Inc. (NHI) employs an outside eligibility vendor, Medassist Firstsource. All self-pay accounts for the facilities are placed for eligibility screening with Medassist Firstsource. They screen for NHC financial assistance, Medicaid, Medicaid Managed Care organizations, presumptive eligibility, and Disproportionate Share Hospital/Kentucky Children's Health Insurance Program (DSH/KCHIP). In addition, they may provide education and referral assistance to the appropriate county/state departments for food stamps, rent assistance, heating assistance, etc. The process of completing the application is often performed by Medassist Firstsource. They protect filing deadlines by submitting the appropriate forms to the state/county. They follow up to secure proof of income documents for NHC financial assistance and follow up with a state caseworker as needed. Medassist Firstsource also makes outside field calls or home visits to the patients to secure the needed information for eligibility assistance if the patient is homebound. Additionally, Medassist Firstsource may provide assistance with patient transportation needs so that the patient can make their scheduled appointments with their caseworker. All of the services provided by Medassist Firstsource eligibility are at no cost to the patient. Cost to the hospitals for these eligibility and enrollment services was in excess of $5,246,276 in 2024. NHI has a staff of 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 NHC financial assistance is not limited to the self-pay population. Even patients with insurance coverage are encouraged to apply for assistance so their deductible, co-payments, and co-insurance amounts are covered under the various assistance programs. Financial counselors/social workers at the facilities are educated and trained to assist with counseling patients to determine and explain our financial assistance programs. They continue to receive on-going education throughout the entire year regarding eligibility changes and additions for Norton financial assistance, DSH/KCHIP, Medicaid, Medicaid Managed Care organization, presumptive eligibility, etc. As the foundation office receives inquiries directed to their office, they refer these individuals to Patient Financial Services (PFS) to screen for possible NHC financial assistance or The Children's Hospital Foundation, Inc. (CHF) funding. If a child's account does not qualify for Norton financial assistance, that account is referred to management of PFS for consideration for special funding through CHF. Charity information was provided on the back of the SBO statement. NHI 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, NHI then allowed the patient/guarantor to apply and be 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 NHI include with their initial placement letter an insert of a copy of a financial assistance application for the guarantor to complete. Calls resulting from notification correspondence sent by the collection agencies may be routed to Spanish-speaking Customer Service representatives or patient/guarantors may also request an interpreter service to assist in facilitating information regarding financial assistance. NHI has translated the full financial assistance policy, financial assistance applications, billing and collection policy and the plain language summary into twelve languages: English, Spanish, Vietnamese, Chinese, Croatian, French, German, Kinyarwanda, Napali, Somali, Swahili and Arabic. NHI's Customer Service department routinely instructs and screens patients in the protocol regarding financial assistance through the NHC financial assistance program. Since 2007, NHI has offered at the time of final billing all true hospital self-pay patients a significant discount off of the total charges that were reflected on their monthly statements and the amount due. Contracted collection agencies are required to solicit financial assistance applications when the patient/guarantor indicates "cannot pay". The statement provided by NHI in 2024 included the link to the NHC website to allow the patient/guarantor to learn more about financial assistance. The statement back also included a QR code that connects the patient to our financial assistance webpage where the patient can apply online or download an application. The statement back also provided instructions on where the patient can send their completed application; options include mailing, faxing, or bringing the application directly to the facilities, or emailing the form to PFS. The statement also 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 (NHI) PRIMARY SERVICE AREA POPULATION IS OVER 1.5 MILLION AND EXPECTED TO INCREASE 2% BETWEEN 2025 AND 2030. IN 2023, THE PRIMARY SERVICE AREA INCREASED FROM A 16 COUNTY AREA TO AN AREA INCLUSIVE OF 17 COUNTIES, 5 OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY, 5 BORDER THE RIVER IN INDIANA, AND INCLUDES 5 ADDITIONAL KENTUCKY COUNTIES AND 2 ADDITIONAL INDIANA COUNTIES THAT DO NOT BORDER THE OHIO RIVER. 94% OF NHI'S PATIENTS ARE DERIVED FROM THIS SERVICE AREA. APPROXIMATELY 32% OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 30% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2025 WAS ESTIMATED AT 335,562 AND IS EXPECTED TO DECREASE TO 331,345 WITHIN 5 YEARS AND REPRESENTS 21% OF THE POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 630,855 IN 2025 AND IS EXPECTED TO INCREASE 2% BY 2030. CURRENTLY 9% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 15% HAVE A HOUSEHOLD INCOME THAT IS LESS THAN $25,000 A YEAR; THE MEDIAN HOUSEHOLD INCOME IS $74,826 COMPARED TO $80,610 FOR THE UNITED STATES. NHI TREATS 46.6% OF THE ADULT INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 51% MEDICARE, 20% MEDICAID/PASSPORT AND 2% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS JUNE 2025 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 4.2% COMPARED TO 4.9% FOR KENTUCKY AND 4% FOR THE UNITED STATES. NHI'S PRIMARY SERVICE AREA HAS ADEQUATE ACCESS TO HOSPITAL CARE, WITH OVER 3,200 INPATIENT SHORT-TERM ACUTE CARE BEDS IN JEFFERSON COUNTY ALONE, 1,712 (47.8%) OF WHICH ARE PART OF THE NORTON HEALTHCARE SYSTEM. REVIEW OF OCCUPANCY RATES FOR EACH HOSPITAL INDICATES THAT THE INPATIENT NEED IS CURRENTLY BEING MET. THROUGH A CERTIFICATE OF NEED (CON) PROCESS, KENTUCKY HAS A STATE HEALTH PLAN THAT REGULATES HEALTH SERVICES PROVIDED. THE CON PROCESS ESTABLISHES CRITERIA BASED ON COMMUNITY NEED IN AN ATTEMPT TO ENSURE THAT UNNECESSARY DUPLICATION OF SERVICES DOES NOT OCCUR. IN JEFFERSON COUNTY 10% OF FAMILIES ARE BELOW THE FEDERAL POVERTY GUIDELINES AS COMPARED TO 12% OF FAMILIES BELOW THE FEDERAL POVERTY LINE IN KENTUCKY. POVERTY IS A KEY DRIVER OF HEALTH STATUS AND CREATES BARRIERS TO ACCESS, INCLUDING HEALTH SERVICES, HEALTHY FOOD CHOICES AND OTHER FACTORS THAT CONTRIBUTE TO POOR HEALTH. CERTAIN SEGMENTS OF THE COMMUNITIES SERVED BY NHI HAVE EXTREME POVERTY. THE WEST SEGMENT OF JEFFERSON COUNTY HAS POVERTY RATES OVER 2.5 TIMES THAT OF KENTUCKY RATES WITH 31% OF FAMILIES LIVING BELOW POVERTY. THE CENTRAL SEGMENT OF JEFFERSON COUNTY HAS POVERTY RATES OF 19% OF FAMILIES LIVING BELOW POVERTY. RESIDENTS OF JEFFERSON COUNTY, KENTUCKY, ACCOUNT FOR APPROXIMATELY 61% OF NHI'S INPATIENT DISCHARGES AND 68% OF NHI'S INPATIENT AND OUTPATIENT CASES COMBINED. ALMOST 68% OF NHI'S PATIENTS ARE FROM JEFFERSON COUNTY, WHICH IS KENTUKCKY'S HEAVIEST POPULATED URBAN AREA. NHI'S PRIMARY SERVICE AREA'S POPULATION IS 74% URBAN, 25% SUBURBAN AND 1% RURAL. FOUR AREAS WITHIN JEFFERSON COUNTY HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED AREAS BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THE HRSA IS THE PRIMARY FEDERAL AGENCY FOR IMPROVING HEALTH CARE FOR PEOPLE WHO ARE ECONOMICALLY AND MEDICALLY VULNERABLE. IT WORKS WITH STATE PARTNERS TO DETERMINE AREAS WITH TOO FEW PRIMARY CARE, DENTAL AND MENTAL HEALTH PROVIDERS AND SERVICES. THERE ARE LIMITED FEDERAL RESOURCES, SO THE DESIGNATION HELPS TO PRIORITIZE AND FOCUS RESOURCES TO AREAS WITH THIS DESIGNATION. SECONDARY SERVICE AREA NHI's SECONDARY SERVICE AREA INCREASED FROM 17 COUNTIES TO 20 COUNTIES IN 2023 AS MANY COUNTIES ARE NOW INCLUDED IN THE PRIMARY SERVICE AREA. NHI's SECONDARY SERVICE AREA POPULATION WAS 562,874 IN 2025 AND IS EXPECTED TO INCREASE 3% BETWEEN 2025 AND 2030. THE SECONDARY SERVICE AREA SPREADS ACROSS 15 KENTUCKY COUNTIES AND 5 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 31% OF THE SECONDARY SERVICE AREA POPULATION AND IS ABOVE THE 30% 55+ PERCENTAGE IN THE UNITED STATES. THE PEDIATRIC POPULATION IN 2025 WAS ESTIMATED AT 125,123 AND EXPECTED TO SLIGHTLY INCREASE TO 127,464 BY 2030. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO REMAIN RELATIVELY FLAT (DECREASING BY 1%), 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 219,599 IN 2025 AND IS EXPECTED TO INCREASE 5% BY 2030. ALMOST 50,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE AVERAGE HOUSEHOLD INCOME IS UNDER $25,000 FOR 20% OF THE POPULATION. THE MEDIAN HOUSEHOLD INCOME IS $62,655 5% LESS THAN KENTUCKY AND 16% LESS THAN THE PRIMARY SERVICE AREA AVERAGE HOUSEHOLD INCOME. NHI'S SECONDARY SERVICE AREA'S POPULATION IS 67% SUBURBAN, 24% URBAN, AND 9% RURAL. Schedule H, Part VI, Line 6 Affiliated health care system Norton Healthcare, Inc. (the controlling company) (NHC) 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 1,907 licensed beds, over 300 physician practice locations, and 18 Norton Immediate Care Center locations, and other ancillary health care services. Norton Healthcare - Indiana, Inc. is an affiliate of NHC and operates Norton King's Daughters' Hospital in Madison IN, Norton Clark Hospital in Jeffersonville, IN, and Norton Scott Hospital in Scottsburg, IN. Norton King's Daughters' Hospital has 86 licensed beds and 8 physician practices and other ancillary health care service locations. Norton Clark Hospital has 236 licensed beds and includes two medical office buildings and an outpatient surgery center. Norton Scott Hospital is a 25 bed critical access hospital. true Norton WLH Real Estate Inc 224 E Broadway 5TH FLOOR Louisville KY 40202 331241700 501(c)(3) 0 1200000 FMV Land Land for the Norton West Louisville Hospital 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds The organization transferred assets to a related entity to support the building of Norton West Louisville Hospital, which is in furtherance of the Norton Hospitals, Inc.'s exempt purpose. No formal grant monitoring process was used due to the related-party nature of the transaction; the organization relied on common management oversight and its ongoing involvement in the project to ensure the funds were used as intended. X true true true true false false false false false true false Russell F Cox President & CEO/Trustee 0 1857038 0 953295 0 823321 0 449244 0 32940 0 4115838 0 124221 Robert B Azar Sr VP Chief Legal Officer/Secretary 0 692567 0 303986 0 128984 0 162205 0 14787 0 1302529 0 0 Michael W Gough Exec VP and COO (partial year) 0 719698 0 554516 0 1926509 0 0 0 16296 0 3217019 0 1734253 Adam Kempf Sr VP & CFAO 0 925300 0 363283 0 129714 0 212195 0 29451 0 1659943 0 0 Emmett Ramser Former Hospital CAO 2571 0 55518 0 453539 0 13800 0 20778 0 546206 0 0 0 Andrew Strausbaugh Former Hospital CAO 6286 0 0 0 125023 0 7096 0 5087 0 143492 0 46120 0 Matthew Ayers Sys VP, Associate Chief Hospital Officer 420130 0 141003 0 66056 0 89137 0 27656 0 743982 0 0 0 Karen Donahue Division VP Finance 354963 0 94785 0 62639 0 70855 0 18529 0 601771 0 0 0 Joseph Flynn DO CAO NMG - Physician -in-Chief NCI 690511 0 254620 0 110044 0 131491 0 30946 0 1217612 0 0 0 Randy Hamilton Chief Administrative Officer 370709 0 131857 0 53179 0 75371 0 13712 0 644828 0 0 0 Charlotte Ipsan Hospital CAO 0 582608 0 236341 0 225578 0 156081 0 29326 0 1229934 0 0 Jeremy Sprecher Chief Administrative Officer 266090 0 95669 0 13227 0 57870 0 26421 0 459277 0 0 0 Corenza Townsend Chief Administrative Officer 230031 0 58193 0 14770 0 31904 0 17757 0 352655 0 0 0 Mia Jusufbegovic MD Physician 1379529 0 0 0 580 0 0 0 9210 0 1389319 0 0 0 Joseph Maly MD Physician 1449031 0 0 0 16740 0 17250 0 46895 0 1529916 0 0 0 Chandler Park MD Physician 1072002 0 0 0 1794 0 0 0 1292 0 1075088 0 0 0 Aaron Spalding MD Physician 1565579 0 0 0 87188 0 22247 0 86762 0 1761776 0 0 0 Paul Tennant MD Physician 1703628 0 0 0 661 0 17250 0 63811 0 1785350 0 0 0 Schedule J, Part I, Line 1a Discretionary spending account DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, INC. (NHC) EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NHC PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NHC DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2024: Matthew Ayers Charlotte Ipsan Joseph Flynn Karen Donahue 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; REVIEW OF OTHER ORGANIZATION'S FORM 990; 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 2024 by Former Key Employee, Andrew Strausbaugh in the amount of $31,820. Other compensation included in Schedule J Column B(iii). Severance payment was received during 2024 by former Key Employee, Emmett Ramser in the amount of $359,224. Other compensation included in Schedule J Column B(iii). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $410,065 Michael W. Gough - $219,544 Robert Azar - $136,740 Adam Kempf - $187,984 Matthew Ayers - $65,255 Charlotte Ipsan - $121,249 Joseph Flynn - $114,241 Karen Donahue - $50,155 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2024 AND CAN BE COMPRISED OF CURRENT AND OR PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $251,451 Michael W. Gough - $206,074 Robert Azar - $96,040 Adam Kempf - $107,772 Matthew Ayers - $52,015 Charlotte Ipsan - $195,331 Joseph Flynn - $83,170 Andrew Strausbaugh - $47,516 Emmett Ramser - $92,719 Karen Donahue - $42,622 Schedule J, Part I, Line 7 Non-fixed payments Norton Healthcare, Inc. (NHC) has in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval. JASON NACHAZEL FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE 90296 COMPENSATION false SARAH A ROBINSON FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE 81669 COMPENSATION false Lorraine Bouvette Family member of Maria Bouvette, Trustee 71354 COMPENSATION false Laura Hortert FAMILY MEMBER OF EMMETT RAMSER, FORMER KEY EMPLOYEE 38494 COMPENSATION false Megan Knights Family member of Emmett Ramser, Former Key Employee 65802 Compensation false Emma Stumler Family member of Adam Kempf, Officer 135723 Compensation false Tara Hamilton Family member of Randy Hamilton, Key Employee 47146 Compensation false Emrie Agnew Family member of Charlotte Ipson, Key Employee 38084 Compensation false Katherine Donahue Family member of Karen Donahue, Key Employee 55910 Compensation false X Furniture 2 42500 Market value X Donated Meals/Gift Cards 3 126000 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - Furniture Number of contributions Other - Donated Meals/Gift Cards Number of contributions Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES NORTON HEALTHCARE, INC. (NHC) EIN 61-102875 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC ON BEHALF OF NHI. NHI HAS APPROXIMATELY 14,235 EMPLOYEES. Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S NORTON HEALTHCARE, INC. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. (NHI) AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NHC ON BEHALF OF NHI. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF Forms 1099 REPORTED AND FILED FOR 2024 BY NHC FOR NHI WAS 143. NHI HAS 158 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2024. 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 2 Family/business relationships amongst interested persons Russell F. Cox, Robert B. Azar, Adam D. Kempf, and Michael W. Gough (Officers, Norton Enterprises, Inc.) - Business relationship 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 2025 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 2025 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., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., Norton Healthcare-Indiana, Inc., and Norton WLH Real Estate, 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 The Top Management Official is paid by a related organization. Please see the 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, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s. 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 and similar organizations. Gallagher consultants presented and discussed this comparability data in 2023 for the 2024 compensation review and met in 2024 for the 2025 compensation review with the 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 CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/. GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (E) Board Member Stipend Payments Norton Healthcare, Inc. (NHC) and Affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, 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 on the Form 990 as reportable compensation to the Trustee receiving stipends in 2024. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 1793999, Related or Exempt Function Revenue: 1793999, 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 - -165531; Total - -165531; NORTON HEALTHCARE INC ACCOUNTING 224 E BROADWAY 5TH FLOO 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 FLOO 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 FLOO 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 FLOO 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 FLOO LOUISVILLE KY 40202 310914919 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 NORTON HEALTHCAREINC false NORTON HEALTHCARE - INDIANA INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 850513259 OPERATE HOSPITAL AND OTHER HEALTHCARE FACILITIES IN 501(c)(3) 10 Norton Healthcare Inc false NORTON KING'S DAUGHTERS' HEALTH INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 350895832 PROVIDE HOSPITAL SERVICES IN 501(c)(3) 3 NORTON HEALTHCARE - Indiana INC false Norton WLH Real Estate Inc Accounting 224 E Broadway 5th Floor Louisville KY 40202 331241700 Provide support services KY 501(c)(3) 3 Norton Hospitals Inc true NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 402022025 611054301 Invests in partnerships that provide medical services. KY Norton Healthcare Inc C Corporation false false true true false false false false false false false true false false false true true false true true Norton WLH Real Estate Inc B 1200000 FMV