NORTON HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-08
IRS object ID: 201803129349301965
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-08T12:05:10-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611028725	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Adam Kempf	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2018-11-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RUSSELL F COX	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4967 US HIGHWAY 42 SUITE 100	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40222	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$387,556,707	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	2660	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$832,896	PYContributionsGrantsAmt
CY Contributions Grants	$969,493	CYContributionsGrantsAmt
PY Program Service Revenue	$162,981,857	PYProgramServiceRevenueAmt
CY Program Service Revenue	$165,953,019	CYProgramServiceRevenueAmt
PY Investment Income	$27,139,114	PYInvestmentIncomeAmt
CY Investment Income	$43,310,438	CYInvestmentIncomeAmt
PY Other Revenue	$8,446,642	PYOtherRevenueAmt
CY Other Revenue	$2,451,000	CYOtherRevenueAmt
PY Total Revenue	$199,400,509	PYTotalRevenueAmt
CY Total Revenue	$212,683,950	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,293,714	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,910,387	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$143,082,879	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$150,900,280	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$114,769,185	PYOtherExpensesAmt
CY Other Expenses	$128,568,411	CYOtherExpensesAmt
PY Total Expenses	$260,145,778	PYTotalExpensesAmt
CY Total Expenses	$281,379,078	CYTotalExpensesAmt
PY Revenues Less Expenses	-$60,745,269	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$68,695,128	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,723,698,889	TotalAssetsBOYAmt
Total Assets EOY	$1,798,724,698	TotalAssetsEOYAmt
Total Liabilities BOY	$2,150,187,394	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,211,956,402	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$426,488,505	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$413,231,704	NetAssetsOrFundBalancesEOYAmt
Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$218,720,569	ExpenseAmt
Grant	$1,910,387	GrantAmt
Revenue	$187,558,989	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHI) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2017 NHI, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 LICENSED BEDS: NORTON HOSPITAL - 605 BEDS; NORTON CHILDREN'S HOSPITAL - 300 BEDS; NORTON AUDUBON HOSPITAL - 432 BEDS; NORTON WOMEN'S AND CHILDREN'S HOSPITAL - 373 BEDS; AND NORTON BROWNSBORO HOSPITAL - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$218,720,569	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	532	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2660	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Russell F Cox
President & CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$4,035,197	$0	$235,755
Donald H Robinson
Chair	12.0	2.5	Yes (X)		$0	$0	$0
Gary L Stewart
Vice Chair & Chair Elect	3.0	3.5	Yes (X)		$1,600	$0	$0
Maria L Bouvette
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Brendan Canavan
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Sue Davis EdD RN
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Marshall Farrer
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$0	$0	$0
Maria Gerwing Hampton
Trustee	5.0	2.5	Yes (X)		$1,600	$0	$0
Craig D Grant
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Rick Guillaume
Chair Emeritus	1.0	2.5	Yes (X)		$1,600	$0	$0
Martha K Heyburn MD
Trustee	3.0	2.5	Yes (X)		$0	$0	$0
Rita Hudson Shourds EdD
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Richard R Ivey
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Ronald Lehocky MD
Trustee	3.0	2.5	Yes (X)		$1,600	$0	$0
Gail Lyttle
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Gregory E Mayes
Trustee	5.0	2.5	Yes (X)		$1,600	$0	$0
Maureen McGowan
Trustee (partial year)	1.0	2.5	Yes (X)		$0	$0	$0
Edie Nixon
Trustee	4.0	2.5	Yes (X)		$0	$0	$0
Barry Pennybaker
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Erwin Roberts
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
G Hunt Rounsavall Jr
Trustee	3.0	3.5	Yes (X)		$0	$0	$0
Rev William J Schultz
Trustee	3.0	2.5	Yes (X)		$1,600	$0	$0
James L Sublett MD
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Richard S Wolf MD
Chair Emeritus	1.0	3.5	Yes (X)		$1,600	$0	$0
Michael W Gough
EVP Operations/CFO/Treasurer	30.0	20.0		Yes (X)	$1,694,691	$0	$254,428
Robert B Azar
Sr VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$706,415	$0	$121,175
Steven Hester MD
Div President Provider Ops & Sys CMO	50.0	0			$969,412	$0	$198,143	Yes (X)
Douglas Winkelhake
Division President Adult Services	50.0	0			$884,229	$0	$183,733	Yes (X)
Steven Heilman MD
Sys VP Ancillary Serv & CMIO	50.0	0			$746,733	$0	$115,280	Yes (X)
Tracy Williams
Sr VP & CNO	50.0	0			$661,742	$0	$66,608	Yes (X)
Charles Bohn
SYS VP Chief HR Officer	50.0	0			$651,768	$0	$903,063	Yes (X)
Steve Ready
Sys VP CIO	50.0	0			$642,170	$0	$133,849	Yes (X)
Scott Watkins
Sr VP Operations	50.0	0			$608,431	$0	$137,244	Yes (X)
James Frazier MD
VP Medical Affairs	50.0	0			$571,489	$0	$105,480	Yes (X)
Adam Kempf
Sr VP Finance	50.0	0			$475,897	$0	$97,894	Yes (X)
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$473,849	$0	$48,807	Yes (X)
Michael Esposito
Sys VP Chief Network Development Officer	50.0	0			$457,836	$0	$95,738	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$431,009	$0	$92,938	Yes (X)
Mary Lynn Meyer
Sr VP CDO	30.0	20.0			$206,048	$329,642	$106,821	Yes (X)
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	50.0	0			$452,624	$0	$82,151		Yes (X)
Alfonso Cornish
Sys VP Learning & Org Dev	50.0	0			$395,682	$0	$40,834		Yes (X)
Jim Meyers
Sys VP Revenue Cycle	50.0	0			$391,056	$0	$89,406		Yes (X)
Kathleen Exline
VP Perf Excel & Care Continium	50.0	0			$385,920	$0	$79,056		Yes (X)
Shelly Gast
Sys VP Mngd Care & Payor Strategy	50.0	0			$362,698	$0	$72,763		Yes (X)
Kenneth Wilson MD
SYS VP Clinical Effectiveness	0.0	40.0			$0	$561,693	$57,168			Yes (X)
Thomas Johnson
Former Sys VP PR-Chief Communication Officer	0.0	0			$408,297	$0	$73,235			Yes (X)
Stephen A Williams
Former CEO/Trustee	0.0	0.0			$770,079	$0	$51			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,407,273	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$891,335	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,391,619	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	249	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Firstsource Solutions USA LLC
1661 Lyndon Farm Ct	Louisville	KY	40223	Professional Services	$7,964,405
Huron Consulting Services LLC
3005 Momentum Place	Chicago	IL	606895330	Professional Services	$5,410,749
The CSI Companies Inc
P O Box 890841	Charlotte	NC	282890841	Professional Services	$5,010,397
Brooksource
PO Box 55767	Indianapolis	IN	46205	Professional Services	$3,463,234
Doe-Anderson Inc
620 W Main St	Louisville	KY	40202	Professional Services	$2,766,891

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	130	CntrctRcvdGreaterThan100KCnt
Related Organizations	$894,493	RelatedOrganizationsAmt
Government Grants	$75,000	GovernmentGrantsAmt
Total Contributions	$969,493	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$157,639,290	$157,639,290
Clinical Research Trials	900099	$8,110,104	$8,110,104
Education Programs	900099	$203,625	$203,625

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$165,953,019	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,991,571	TotalRevenueColumnAmt
Exclusion	$21,991,571	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,163,897	TotalRevenueColumnAmt
Exclusion	$2,163,897	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$58,731	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$58,731	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,731	TotalRevenueColumnAmt
Related Or Exempt Func Income	$58,731	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$194,027,727	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$174,872,757	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,154,970	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,154,970	TotalRevenueColumnAmt
Related Or Exempt Func Income	$19,154,970	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Credit Card Rebate	900099	$782,173	$782,173
Employee Emergency Fund	900099	$559,215	$559,215
Miscellaneous Income	900099	$1,050,881	$1,050,881

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$2,392,269	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$212,683,950	TotalRevenueColumnAmt
Related Or Exempt Func Income	$187,558,989	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$24,155,468	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,780,387	TotalAmt
Program Services	$1,780,387	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$130,000	TotalAmt
Program Services	$130,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,722,864	TotalAmt
Program Services	$7,385,375	ProgramServicesAmt
Management And General	$5,337,489	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$44,885	TotalAmt
Program Services	$44,885	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$112,239,204	TotalAmt
Program Services	$97,350,979	ProgramServicesAmt
Management And General	$14,888,225	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,937,865	TotalAmt
Program Services	$4,491,402	ProgramServicesAmt
Management And General	$446,463	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,611,018	TotalAmt
Program Services	$10,633,487	ProgramServicesAmt
Management And General	$977,531	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,344,444	TotalAmt
Program Services	$8,076,563	ProgramServicesAmt
Management And General	$1,267,881	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,085,579	TotalAmt
Program Services	$1,833,319	ProgramServicesAmt
Management And General	$252,260	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$587,500	TotalAmt
Program Services	$235,000	ProgramServicesAmt
Management And General	$352,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$180,500	TotalAmt
Program Services	$72,200	ProgramServicesAmt
Management And General	$108,300	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,596,181	TotalAmt
Management And General	$3,596,181	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,471,336	TotalAmt
Program Services	$39,622,677	ProgramServicesAmt
Management And General	$14,848,659	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,551,924	TotalAmt
Program Services	$1,191,788	ProgramServicesAmt
Management And General	$360,136	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,665,365	TotalAmt
Program Services	$6,126,828	ProgramServicesAmt
Management And General	$1,538,537	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,578,004	TotalAmt
Program Services	$1,266,223	ProgramServicesAmt
Management And General	$311,781	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$35,636,226	TotalAmt
Management And General	$35,636,226	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,212,504	TotalAmt
Program Services	$63,179	ProgramServicesAmt
Management And General	$20,149,325	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,187,006	TotalAmt
Program Services	$9,846,647	ProgramServicesAmt
Management And General	$1,340,359	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$39,800,394	$36,401,750	$3,398,644
Recruitment	$981,044	$852,241	$128,803
Interest allocation	-$41,287,412		-$41,287,412
Insurance allocation	-$11,247,175	-$9,897,514	-$1,349,661

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,569,435	TotalAmt
Program Services	$1,213,153	ProgramServicesAmt
Management And General	$356,282	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$281,379,078	TotalAmt
Program Services	$218,720,569	ProgramServicesAmt
Management And General	$62,658,509	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$826,266	BOYAmt
EOY	-$24,004,507	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$161,629,132	BOYAmt
EOY	$145,766,990	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,715,984	BOYAmt
EOY	$10,518,320	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$656,187	BOYAmt
EOY	$794,161	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,350,419	BOYAmt
EOY	$31,525,657	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$449,488,186	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$356,040,591	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,616,936	BOYAmt
EOY	$93,447,595	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,063,546,599	BOYAmt
EOY	$1,114,100,833	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$338,934,391	BOYAmt
EOY	$396,299,336	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$31,075,507	BOYAmt
EOY	$30,276,313	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,723,698,889	BOYAmt
EOY	$1,798,724,698	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$198,202,859	BOYAmt
EOY	$200,275,705	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,640,544	BOYAmt
EOY	$1,030,521	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,124,709,451	BOYAmt
EOY	$1,095,766,975	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$825,634,540	BOYAmt
EOY	$914,883,201	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,150,187,394	BOYAmt
EOY	$2,211,956,402	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$426,650,440	BOYAmt
EOY	-$413,518,983	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$161,935	BOYAmt
EOY	$287,279	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$426,488,505	BOYAmt
EOY	-$413,231,704	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,723,698,889	BOYAmt
EOY	$1,798,724,698	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$68,695,128	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$92,289,350	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,337,421	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	4	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
NORTON HOSPITALS INC
610703799	3	Yes (true)	$1,561,247,042	$0
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$411,390,996	$0
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$1,575,474	$0
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$6,322,746	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$1,980,536,258	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

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

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$25,872	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$180,500	OtherActivitiesAmt
Total Lobbying Expenditures	$206,372	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 Description of the activities reported on lines 1A through 1i	FormAndLineReferenceDesc
Explanation	Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Government Strategies totaling $60,000 and Rotunda Group LLC totaling $120,500. Part II-B, line 1(g): Employees of Norton Healthcare, Inc. are engaged in lobbying health policy issues at the state level to lobby the executive and legistlative branches of Kentucky's government. Norton Healthcare, Inc. is not registered to lobby at the federal level. Lobbying compensation paid and activities as reported to the Kentucky Legislative Ethics committee is $25,872	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,598,936	OtherCostOrOtherBasisAmt
Depreciation	$41,224,874	DepreciationAmt
Book Value	$9,374,062	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$352,775,984	OtherCostOrOtherBasisAmt
Depreciation	$314,082,073	DepreciationAmt
Book Value	$38,693,911	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,987,459	OtherCostOrOtherBasisAmt
Depreciation	$733,644	DepreciationAmt
Book Value	$43,253,815	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$93,447,595	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$282,739,525
REAL ESTATE MASTER TRUST UNITS	$89,085,974
Private Equity Master Trust	$24,473,837

Field	Value	IRS element (for citing)
Total Book Value Securities	$396,299,336	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$702,213,146
SELF INSURANCE TRUST	$85,428,166
OTHER LIABILITIES	$47,201,011
INTEREST RATE SWAP LIABILITY
OTHER INSURANCE	$1,589,443
Pension	$66,702,114
Capital Lease
Deferred Income LT	$11,749,321

Field	Value	IRS element (for citing)
Total Liability	$914,883,201	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$297,862,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$297,862,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$297,862,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (71 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Jefferson County Public Schools
Jefferson Co Board of Education	3332 NEWBURG RD	LOUISVILLE	KY	40218	616001316	Jefferson Co	$337,500	Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing by providing specilized football helmets.
UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY	789 S LIMESTONE ST	LEXINGTON	KY	405360596	616001218	state of KY	$200,000	general program support of university and Pharmacy College
Shawnee Christian Healthcare Center Inc
234 Amy Ave		Louisville	KY	40212	234345390	501(c)(3)	$170,000	support for Behavioral Health Initiative
LEADERSHIP LOUISVILLE CENTER
707 W MAIN ST		Louisville	KY	402022634	310958491	501(c)(3)	$128,650	general program support for educating leaders in community
METRO UNITED WAY INC
DEPT52860	P O BOX 950148	Louisville	KY	402950148	610444680	501(c)(3)	$58,500	support health and human services
Community Medical Associates Inc
Accounting	224 E Broadway	Louisville	KY	402022025	611276316	501(c)(3)	$48,460	Support of a nurse practitioner for the Bellarmine Student Health Clinic
Louisville Area Chamber of Commerce Inc
614 W MAIN ST		Louisville	KY	40202	610434089	501(c)(6)	$47,000	general support Louisville Healthcare CEO council initiative to advance knowledge for aging care; general support for Advocacy into Action and education in the workforce
AMERICAN HEART ASSOCIATION
P O BOX 841750		DALLAS	TX	752841750	135613797	501(c)(3)	$46,000	Support Heart Health awareness
FUND FOR THE ARTS
623 W MAIN ST		Louisville	KY	40202	610479626	501(c)(3)	$40,500	Support program for the development and education and quality of life through the arts
WHAS Crusade for Children
520 W Chestnut St		LOUISVILLE	KY	40202	237075524	501(c)(3)	$35,000	Supporting children with special needs
AMERICAN RED CROSS
510 E CHESTNUT		Louisville	KY	40202	610444647	501(c)(3)	$33,000	Support red cross efforts of emergency assitance, disaster relief and education
LouisvilleJefferson Co Metro
9th FLOOR	531 COURT PLACE	LOUISVILLE	KY	402023396	320049006	Jefferson Co	$30,000	Support for annual health & fitness event
WORLD TRIATHLON CORP
3407 W DR MARTIN LUTHER KING B		TAMPA	FL	33607	592965638		$30,000	Support for promoting healthy lifestyles
Catholic Education Foundation Inc
401 W MAIN ST		LOUISVILLE	KY	40202	611294640	501(c)(3)	$23,000	Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
BELLARMINE UNIVERSITY
2001 NEWBURG RD		Louisville	KY	40205	610482955	501(c)(3)	$21,700	General program support
AMERICAN CANCER SOCIETY
1640 LYNDON FARM CT		LOUISVILLE	KY	40223	131788491	501(c)(3)	$21,500	Support for cancer prevention, outreach, and patient services
BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN		LOUISVILLE	KY	40218	616057856	501(C)(3)	$20,200	support for all children to reach their potential through professional supported 1:1 relationships with volunteer mentors
LIFEHOUSE INC
2710 RIEDLING DR		LOUISVILLE	KY	40206	208514733	501(c)(3)	$20,000	supporting emotional, spiritual, physical and intellectual needs of mother and baby
THE HEALING PLACE
1020 W MARKET ST		Louisville	KY	40202	611164775	501(c)(3)	$19,400	Support social and medical assistance for individuals with addictions
LOUISVILLE URBAN LEAGUE
1535 WEST BROADWAY		LOUISVILLE	KY	40203	610444771	501(c)(3)	$18,700	Support the assistance of African Americans and other minority groups to attain social and economic equality and stability
COLON CANCER PREVENTION PROJECT
P O BOX 4039		LOUISVILLE	KY	40204	201510713	501(c)(3)	$15,500	Support for colon cancer awareness initiatives
DOWNTOWN DEVELOPMENT CORPORATION
556 S FOURTH ST		LOUISVILLE	KY	40202	310992627	501(c)(3)	$15,000	Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST		LOUISVILLE	KY	40202	611365860	501(c)(3)	$15,000	Support for promoting healthy lifestyles
MARCH OF DIMES FOUNDATION
P O BOX 932852		ATLANTA	GA	311932852	131846366	501(c)(3)	$14,000	Support for outreach, education for families with premature babies
21ST CENTURY PARKS INC
471 W MAIN ST		Louisville	KY	40202	201780317	501(C)(3)	$13,315	support parks initiative and healthy outdoor living
SOUTHEAST CHRISTIAN CHURCH OF JEFFERSON COUNTY KENTUCKY INC
920 BLANKENBAKER PKWY		LOUISVILLE	KY	40243	610850307	501(C)(3)	$12,750	General program support
HOSPARUS
3539 EPHRAIM MCDOWELL DR		LOUISVILLE	KY	40205	610921718	501(c)(3)	$12,700	Support Pediatric bereavement program
YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST		Louisville	KY	40202	610444843	501(c)(3)	$12,300	support youth development, education & healthy living
INDIA COMMUNITY FDTN OF LOUISVILLE
12505 VALLEY PINE DR		LOUISVILLE	KY	40299	610989811	501(c)(3)	$11,500	Support promotion of cultural and educational knowledge of the Indian culture
BRAIN INJURY ALLIANCE OF KY
7321 NEW LAGRANGE RD		LOUISVILLE	KY	40222	611128496	501(c)(3)	$11,500	Support Outreach and education for patients with brain injuries
CYSTIC FIBROSIS FOUNDATION
1941 BISHOP LN		LOUISVILLE	KY	40218	131930701	501(c)(3)	$10,800	Cystic Fibrosis patient support
NATIONAL KIDNEY FOUNDATION OF KY
161 ST MATTHEWS AVE		Louisville	KY	40207	610673518	501(c)(3)	$10,000	Supporting the awareness, prevention and treatment of kidney diesease
LEUKEMIA AND LYMPHOMA SOCIETY
301 E MAIN ST		LOUISVILLE	KY	40202	135655916	501(c)(3)	$10,000	Outreach, education and general support
CORE COMMITTEE INC
P O BOX 1621		ELIZABETHTOWN	KY	427021621	208105293	501(c)(3)	$10,000	General support protecting and protecting Fort Knox economic impact
LOUISVILLE MEDICAL LEGAL
COMMUNITY HEALTH PARTNERSHIP	600 W MAIN ST	LOUISVILLE	KY	40202	352079715	501(c)(3)	$10,000	General program support
START THE HEART FOUNDATION
7611 WOLFPEN RIDGE CT		PROSPECT	KY	40059	463998988	501(c)(3)	$10,000	General program support
THE COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA	325 W MAIN ST	LOUISVILLE	KY	40202	611100993	501(C)(3)	$10,000	Support the connection of donors, nonprofits and civic partners to create lasting impact in community for people to thrive
FRIEND FOR LIFE
4003 KRESGE WAY		LOUISVILLE	KY	40207	611139410	501(c)(3)	$10,000	Program support for peer-to-peer cancer patient counseling/relationships
A WOMAN'S CHOICE RESOURCE CENTER
101 WEST MARKET		LOUISVILLE	KY	40202	611142823	501(c)(3)	$10,000	Support for pregnancy center
FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLE		LOUISVILLE	KY	40208	611285124	501(c)(3)	$10,000	Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
EPILEPSY FOUNDATION KENTUCKIANA
982 EASTERN PARKWAY		LOUISVILLE	KY	402171566	611314540	501(c)(3)	$9,900	Program support for Epilepsy support groups and outreach
LEADERSHIP SOUTHERN INDIANA
8204 HWY 311		SELLERSBURG	IN	47172	351644080	501(c)(3)	$9,700	Support for leadership development program
VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST		LOUISVILLE	KY	402022504	610480950	501(C)(3)	$9,000	Support to provide affordable housing and other assistance to low income families
NATIONAL MULTIPLE SCLEROSIS SOCIETY
KY-SOUTHEAST INDIANA CHAPTER	1201 STORY AVE	LOUISVILLE	KY	40206	610702202	501(c)(3)	$9,000	Support education and resources related to multiple sclerosis
KENTUCKIANA HEALTH COLLABORATIVE
1930 BISHOP LN		Louisville	KY	40218	450700087	501(c)(3)	$8,800	Program support action-oriented community efforts for health and well-being
LOUISVILLE PRIDE FOUNDATION
1205 EAST WASHINGTON ST		LOUISVILLE	KY	40206	471945331	501(C)(3)	$8,000	Support inclusion and unity
BRIDGEHAVEN
950 S FIRST ST		Louisville	KY	40203	610548949	501(c)(3)	$7,500	General program support
KOMEN KENTUCKY
1201 STORY AVE		Louisville	KY	40206	752855046	501(c)(3)	$7,500	Support breast cancer awareness
SUPPLIES OVER SEAS
1500 ARLINGTON AVE		LOUISVILLE	KY	40206	272624272	501(c)(3)	$7,500	Support of providing medical supplies to areas of need
SHIVELY AREA MINISTRIES
4415 DIXIE HWY		LOUISVILLE	KY	40216	611134579	501(c)(3)	$7,500	Support for health/wellness programs, medical assistance for underserved population in Shively Area
KIDS CANCER ALLIANCE INC
607 W MAIN ST		LOUISVILLE	KY	40202	611256743	501(c)(3)	$7,500	Support pediatric cancer patients
TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIR		LOUISVILLE	KY	40245	030528530	501(C)(3)	$6,500	Support promotion of cultural and educational knowledge about Telugu people
PREGNANCY HELPLINE INC OF LOUISVILLE
515 WEST OAK ST		LOUISVILLE	KY	40203	611055060	501(c)(3)	$6,000	General support for pregnancy center and maternity
PARKINSON'S SUPPORT CENTER OF KENTUCKIANA
315 TOWNEPARK CIRCLE		LOUISVILLE	KY	40243	611367576	501(c)(3)	$5,800	Support programs and services for people with Parkinson's disease and provide public education and awareness
LEADERSHIP KENTUCKY FOUNDATION
464 CHENAULT RD		FRANKFORT	KY	406019260	311096215	501(c)(3)	$5,700	General donation to sustain LKY programs
MORTON CENTER
1028 BARRETT AVE		LOUISVILLE	KY	402041667	311068020	501(c)(3)	$5,500	support and treatment for addiction
INTEGRATING WOMAN LEADERS FOUNDATION
47 W 96th ST		LOUISVILLE	KY	46260	471139202	501(c)(3)	$5,500	Support to empower and connect women in the workplace
KENTUCKY COUNTRY DAY SCHOOL INC
4100 SPRINGDALE RD		Louisville	KY	40241	610731998	501(C)(3)	$5,013	General program support
WELLSPRING SPECIAL EVENT
P O BOX 1927		LOUISVILLE	KY	402011927	311020023	501(c)(3)	$5,000	Supporting mental health recovery
PRP ALUMNI ASSOCIATION
P O BOX 58051		LOUISVILLE	KY	40268	320087730	501(c)(3)	$5,000	General education support
KENTUCKY DIABETES CAMP FOR CHILDREN INC
1930 BISHOP LN		LOUISVILLE	KY	40218	273619275	501(c)(3)	$5,000	Support camps for children with diabetes
HABITAT FOR HUMANITY CLARK & FLOYD CO
P O BOX 1814		NEW ALBANY	IN	47150	351817055	501(c)(3)	$5,000	Support home building for those in need
ASSOCIATION OF PROFESSIONAL CHAPLIANS
2800 W HIGGINS RD		HOFFMAN EST	IL	601697221	363762667	501(c)(3)	$5,000	Support pastoral education
Young Professionals
657 S HURSTBOURNE PKWY		LOUISVILLE	KY	40222	450483455	501(c)(3)	$5,000	Support for leadership development, educational opportunities and philanthropic support to Louisville's Young Professionals for the benefit of the local community
CEREBRAL PALSY KIDS CENTER
982 EASTERN PKWY		LOUISVILLE	KY	40217	610492378	501(c)(3)	$5,000	Support for children with cerebral palsy
PARK DUVALLE COMMUNITY HEALTH CENTER INC
3015 WILSON AVE		LOUISVILLE	KY	40211	610666209	501(c)(3)	$5,000	Supporting community health
KENTUCKY PEDIATRIC SOCIETY
420 CAPITAL AVE		FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians
CLOUT
C/O FR JOE GRAFFIS	1113 S 4th ST	LOUISVILLE	KY	40203	611202173	501(c)(3)	$5,000	Program support of interfaith relations and social justice
KY AND SOUTHERN INDIANA STROKE ASSOCIATION
3425 STONY SPRING CIRCLE		LOUISVILLE	KY	402205437	611335267	501(c)(3)	$5,000	Support education, outreach for families and stroke patients
OVARIAN AWARENESS OF KENUCKY
2300 HURSTBOURNE VILLAGE DRIVE		LOUISVILLE	KY	40299	611393292	501(c)(3)	$5,000	Support education and awarness of ovarian cancer and provide support women with ovarian cancer
THE ALS ASSOCIATION KY CHAPTER
8640 HAINES DR		FLORENCE	KY	41017	943124729	501(c)(3)	$5,000	Support for ALS patient care services program

Field	Value	IRS element (for citing)
Total501c3 Org	69	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	undergraduate scholarships for students pursuing education for a career in the healthcare field	GrantTypeTxt
Recipient	95	RecipientCnt
Cash Grant	$130,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen A Williams
Former CEO/Trustee	$219,845	$0	$510,997	$0	$39,237	$0	$0	$0	$51	$0	$770,130	$0	$37,614	$0
Russell F Cox
President & CEO/Trustee	$1,071,143	$0	$903,081	$0	$2,060,973	$0	$206,430	$0	$29,325	$0	$4,270,952	$0	$2,340,630	$0
Michael W Gough
EVP Operations/CFO/Treasurer	$720,807	$0	$762,396	$0	$211,487	$0	$233,044	$0	$21,384	$0	$1,949,119	$0	$612,087	$0
Robert B Azar
Sr VP Chief Legal Officer/Secretary	$441,021	$0	$160,233	$0	$105,160	$0	$109,793	$0	$11,382	$0	$827,589	$0	$58,596	$0
Kenneth Wilson MD
SYS VP Clinical Effectiveness	$0	$303,428	$0	$67,658	$0	$190,607	$0	$38,550	$0	$18,618	$0	$618,861	$0	$94,128
Thomas Johnson
Former Sys VP PR-Chief Communication Officer	$7,843	$0	$77,776	$0	$322,678	$0	$51,491	$0	$21,744	$0	$481,532	$0	$261,459	$0
Steven Hester MD
Div President Provider Ops & Sys CMO	$620,165	$0	$225,302	$0	$123,945	$0	$170,250	$0	$27,893	$0	$1,167,555	$0	$81,960	$0
Douglas Winkelhake
Division President Adult Services	$565,286	$0	$202,422	$0	$116,521	$0	$155,993	$0	$27,740	$0	$1,067,962	$0	$70,880	$0
Steven Heilman MD
Sys VP Ancillary Serv & CMIO	$377,734	$0	$289,347	$0	$79,653	$0	$88,672	$0	$26,609	$0	$862,014	$0	$232,948	$0
Tracy Williams
Sr VP & CNO	$348,361	$0	$131,339	$0	$182,042	$0	$49,431	$0	$17,177	$0	$728,351	$0	$98,096	$0
Charles Bohn
SYS VP Chief HR Officer	$344,075	$0	$144,985	$0	$162,709	$0	$878,666	$0	$24,397	$0	$1,554,831	$0	$50,708	$0
Steve Ready
Sys VP CIO	$442,594	$0	$117,240	$0	$82,336	$0	$108,625	$0	$25,223	$0	$776,019	$0	$46,244	$0
Scott Watkins
Sr VP Operations	$401,631	$0	$118,236	$0	$88,563	$0	$110,620	$0	$26,624	$0	$745,674	$0	$45,824	$0
James Frazier MD
VP Medical Affairs	$386,073	$0	$100,676	$0	$84,740	$0	$79,170	$0	$26,309	$0	$676,969	$0	$45,180	$0
Adam Kempf
Sr VP Finance	$309,061	$0	$96,128	$0	$70,708	$0	$79,859	$0	$18,035	$0	$573,791	$0	$33,372	$0
Dana Allen
Sys VP Chief Mktg & Communication Officer	$275,456	$0	$71,326	$0	$127,068	$0	$31,718	$0	$17,090	$0	$522,656	$0	$61,916	$0
Michael Esposito
Sys VP Chief Network Development Officer	$300,920	$0	$82,171	$0	$74,745	$0	$72,932	$0	$22,806	$0	$553,574	$0	$37,276	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$302,034	$0	$72,825	$0	$56,150	$0	$76,865	$0	$16,073	$0	$523,947	$0	$33,140	$0
Mary Lynn Meyer
Sr VP CDO	$206,048	$139,260	$0	$121,527	$0	$68,856	$0	$90,197	$0	$16,624	$206,048	$436,463	$0	$46,204
Jennifer Evans MD
Sys VP Women's & Pediatric Svc Line	$334,534	$0	$103,562	$0	$14,527	$0	$54,919	$0	$27,232	$0	$534,774	$0	$0	$0
Alfonso Cornish
Sys VP Learning & Org Dev	$241,796	$0	$62,459	$0	$91,427	$0	$30,905	$0	$9,929	$0	$436,516	$0	$30,468	$0
Jim Meyers
Sys VP Revenue Cycle	$275,081	$0	$73,186	$0	$42,789	$0	$63,734	$0	$25,672	$0	$480,462	$0	$0	$0
Kathleen Exline
VP Perf Excel & Care Continium	$273,838	$0	$68,018	$0	$44,065	$0	$56,298	$0	$22,758	$0	$464,976	$0	$0	$0
Shelly Gast
Sys VP Mngd Care & Payor Strategy	$265,813	$0	$59,213	$0	$37,672	$0	$55,193	$0	$17,570	$0	$435,461	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2017: Stephen A. Williams -$ 623 Russell F. Cox - 30,000 Michael G. Gough - 30,000 Robert B. Azar - 17,500 Tracy Williams - 17,500 Steve Hester - 17,500 Scott Watkins - 15,000 Michael Esposito - 9,615 Charles Bohn - 17,500 Steve Ready - 10,000 James Frazier - 10,000 Steve Heilman - 10,000 Kenneth Wilson - 10,000 Douglas Winklehake - 17,500 Dana Allen - 10,000 Thomas Johnson - 10,000 Mary Jo Bean - 15,000 Adam Kempf - 15,000 Shelly Gast - 10,000 Jennifer Evans - 10,000 Kathleen Exline - 10,000 Jim Meyers - 10,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2017 by former Key Employee, Thomas Johnson in the amount of 253,211 . Other compensation included in Schedule J Column B(iii)
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-FLEX BENEFIT PLAN, THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - 177,293 Michael W. Gough - 204,538 Robert Azar - 89,175 Mary Lynn Meyer - 65,227 Dana Allen - 15,134 Mary Jo Bean - 52,125 Charles Bohn - 73,770 Jennifer Evans - 38,719 Shelly Gast - 36,025 Alfonso Cornish - 11,456 Michael Esposito - 48,700 Kathleen Exline - 37,266 James Frazier - 62,769 Steven Heilman - 72,255 Steven Hester - 143,165 Thomas Johnson - 13,311 Adam Kempf - 57,269 Jim Meyers - 41,042 Steve Ready - 82,474 Scott Watkins - 82,731 Tracy Williams - 29,193 Kenneth Wilson - 18,762 Douglas Winkelhake - 127,155 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2017 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Stephen A. Williams - $ 37,614 Russell F. Cox - 1,866,343 Michael W. Gough - 94,642 Robert Azar - 62,777 Mary Lynn Meyer - 46,273 Dana Allen - 89,158 Mary Jo Bean - 35,657 Charles Bohn - 5,405 Shelly Gast - 24,068 Alfonso Cornish - 61,727 Michael Esposito - 40,824 Kathleen Exline - 28,675 James Frazier - 50,389 Steven Heilman - 47,699 Steven Hester - 83,288 Thomas Johnson - 32,992 Adam Kempf - 35,546 Jim Meyers - 30,073 Steve Ready - 48,273 Scott Watkins - 51,487 Tracy Williams - 137,206 Kenneth Wilson - 147,672 Douglas Winkelhake - 76,095
Schedule J, Part I, Line 7 Non-fixed payments	In 2017, NHI had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHI's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$75,000,300	$0	$0	$0	$953,000	$2,000	$0	$74,045,259	$41	$0	2011	false	false	Yes (true)	Yes (true)
B	$13,230,000	$0	$23,775,000	$0	$0	$0	$150,000	$0	$0	$0	$23,625,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$14,100,000	$0	$21,100,000	$0	$0	$0	$171,313	$0	$0	$0	$20,928,687	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$200,060,571	$0	$0	$0	$0	$0	$31,048	$200,029,523	$0		2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0224	0.0076	0.0300	false	false	Yes (true)
B									0.0
C									0.0
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0147	0.0076	0.0223	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
NONE
A	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
B	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
NONE
C	false	Yes (true)	false	false	false	false	Yes (true)
NONE
D	false		Yes (true)	false	false	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,445,000	$0	$615,510,636	$0	$766,240	$0	$0	$0	$4,430,755	$186,905,177	$308,563,977	$114,844,487	Yes (true)	false	false	Yes (true)
B	$23,005,000		$100,075,000								$100,075,000		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0142	0.0076	0.0218	false	false	Yes (true)
B	false	false	false		false	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Family member of Adam Kempf, Key Employee	RelationshipDescriptionTxt
Transaction	$44,885	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	(Continued from Part III) In 2017, NHI, through its affiliate, Community Medical Associates, Inc., encountered approximately 2.0 million visits. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 72,126 inpatients, 536,783 outpatients, and 245,652 emergency room visits. In addition Norton Healthcare hospitals' operating rooms cared for 20,881 inpatient surgical patients and 34,995 outpatient surgical patients. Additionally, 7,712 babies were delivered at Norton Healthcare birthing centers. As part of our commitment to improving the health of our community, Norton Healthcare provides funding for a wide array of practical life-saving and life-enhancing services that benefit the communities we serve. In 2017, under its charity care program, NHI provided free care to 10,615 patients, at a cost of $9.4 million. Also, NHI grants patients a discount from billed charges to any individuals that have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 11,219 patients were provided care at discounted rates. Other contributions to the community were unpaid cost of Medicaid services of $97.4 million and educational support of $41.0 million, primarily to the University of Louisville's School of Medicine. Also, community health improvement services totaled $8.5 million, and contributions to community groups were $2.0 million. As NHI representatives, our employees donated 56,357 hours of community benefit service, a benefit valued at more than $1.2 million. In addition, many employees self-reported personal volunteer activities, which totaled more than 8,000 hours of service. Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2017 calendar year, 175 residents completed clinical rotations in 42 specialties at Norton Healthcare facilities. Residency programs are part of the $39.7 million in educational support and clinical funding provided to the school. Contributions to the Community * Norton Healthcare employees and physicians gave more than $973,000 to the 2017-2018 Combined Giving Campaign to help support community organizations also committed to improving the health and well-being of community residents. Supported organizations include: the WHAS Crusade for Children, Metro United Way, Fund for the Arts, Children's Hospital Foundation and Norton Healthcare Foundation. * More than 175 Norton Healthcare employees "Raised the Roof" on a Habitat for Humanity house on Broadleaf Drive in Louisville, Ky. This is the eleventh Habitat home Norton Healthcare employees have built. * In 2017, more than 2,500 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 434 employees and their 969 children by providing for their families at Christmas. 126 children received or will be receiving new car seats through partnership with a grant program with Norton Children's Prevention and Wellness. * More than 42,000 pounds of usable surplus medical supplies valued at more than $685,000 and $50,000 in equipment were donated for use locally and around the world. Community Education and Workforce Development As one of Kentucky's largest healthcare systems, Norton Healthcare, Inc. has established a culture of continual, lifelong learning through the departments of Workforce Development, Norton Institute for Nursing and Norton University. Workforce Development, encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of the organization. Norton Healthcare encourages and supports employees and dependents career goals by providing financial assistance and scholarships as well as other advancement opportunities. Established in the early 2000's, the Office of Workforce Development has assisted more than 6,000 students (74 percent frontline) with tuition assistance. In 2017, Workforce Development financially supported more than 850 students with nearly $5.1 million in educational assistance programs. * Workforce Development Career Center served over 1,400 students. Each program participant worked directly with a Certified Career Management Coach, offering services in resume writing; career and educational exploration; financial assistance opportunities for educational pursuit; interviewing skills and mentoring. * Norton Scholars Accelerated Program, a student loan program, for employees and non-employees, provides educational funding to students interested in pursuing designated healthcare careers. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. This program has 2,736 graduates and 2,228 of these graduates have continued their careers with Norton Healthcare. * In 2014, Norton Healthcare was a National Fund for Workforce Solutions CareerSTAT Frontline Worker Champion. Since 2011, Norton Healthcare, through Workforce Development, has been a partner with the city of Louisville through a summer job and internship program known as the Mayor Summers Work Program, to give young adults an opportunity to be employed in our healthcare environment during the summer months. * The Student Nurse Apprenticeship program (SNAP) is a 12-to-18-month apprenticeship in which nursing students will work and engage in hands-on learning with an experienced mentor, in addition to becoming acclimated to Norton Healthcare. Top area student nurses with good grades, good references and a desire to be the best will gain the skills and the confidence to deliver quality patient care. Norton University provides learning opportunities to enhance the professional, educational, and personal development of all employees. Norton University's Value Proposition states "Norton University nurtures learning and relationships to inspire change that leads to exceptional experiences for both patients and employees." In 2017, Norton University held 457,270 learning events, an average of 23 trainings per employee. In 2017, 290,274 web-based training courses and 55,411 instructor-led courses were completed by leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work, College at Work programs and Career Coaching expose entry-level staff to healthcare careers and help them obtain a higher level position, GED or college degree. * Leadership development programs that support the development of leaders (Nursing, Physician Practices, Physician and System) across the continuum. * Organizational development activities that assist in creating a more effective and efficient workplace with highly engaged employees. Norton Faith and Health Ministries Norton Faith and Health Ministries works with churches and faith communities to weave health and faith together, promoting the intentional integration of faith, healing and wellness through the development of health ministries. FHM provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses minister to their churches. In 2017, the office mentored and served nearly 200 multi-denominational faith communities with active health ministry programs, and assisted many others with health and wellness efforts. * FHM nurtured relationships with faith communities through participation in events held by the Episcopal Diocese of Kentucky, the Kentucky Conference of United Methodist Church, Central District Baptist Association, African American Episcopal Church, and others. * In order to advance congregational health ministries, faith community nursing and other health-related programs, FHM reached nearly 40,000 contacts by distributing 22 electronic newsletters. At 77 faith community events, 7,000 people were provided health literacy education using educational tools loaned from FHM. At 89 events, 1,565 people were screened for asthma, blood glucose, blood pressure, body mass index and/or cholesterol, and often received counseling and referrals by faith community nurses. Eight formal educational and networking events were held reaching 356 individuals. * FHM conducted a comprehensive communications campaign to announce and educate employees and the general public about the department's name change from Office of Church and Health Ministries to Norton Faith and Health Ministries.
Form 990, Part III, Line 4a Program Service Accomplishment	Norton Heart Care Norton Heart Care provides the region's most comprehensive screening, education and prevention program and is committed to educating our community about heart health and risk factor management. In 2017: * Norton Women's Heart & Vascular Center offered its free Circle of Hearts program, a quarterly heart disease and prevention class that focuses on heart health education and other wellness issues of interest to women. The Circle of Hearts program had 153 attendees for classes. * Norton Women's Heart & Vascular Center attended 20 heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. More than 1,600 participants attended the events. * At Norton Women's and Norton Children's Hospital, nearly 100 women who had experienced pregnancy-related complications were visited by a registered nurse who provided heart health education, resource referrals and a baby blanket, including a Go Red for Women message. * Norton Women's Heart & Vascular Center offers the only WomenHeart Support group in Kentucky, and Norton Heart Care is the only hospital in Kentucky to be a WomenHeart National Hospital Alliance Member. WomenHeart is the national coalition for women living with cardiovascular disease and is the only patient-centered program offering support and education for women living with cardiovascular disease. Norton Heart Care supported two women heart survivors and sent them to the Mayo Clinic to be trained at the WomenHeart Symposium to provide support and education to our Norton Heart Care patients and to the women in our community living with cardiovascular disease. In 2017, the WomenHeart program provided: * The monthly WomenHeart Support Group is offered at the Marshall Women's Health and Education Center. It is led by the WomenHeart Champions and a nurse from the Women's Heart and Vascular Center, who provide emotional support as well as education on healthy nutrition, exercise, and stress management. * The WomenHeart Champions provide support and education to women preparing to undergo cardiac surgeries or procedures and also to women who were in the recovery phase of their cardiac surgery or procedure. * The WomenHeart Champions attended 16 community events, health fairs, and provide educational presentations to businesses, churches, women groups, and healthcare professionals, which had 1,851 participants. Norton Orthopaedic Care Norton Orthopaedic Care earned The Joint Commission's Gold Seal of Approval for knee and hip replacement. This recognition confirms Norton Orthopaedic Care provides a consistently high level of quality care, expert training on best practices, a team approach to patient care and a culture of excellence throughout Norton Healthcare hospitals and doctors' offices. * Norton Orthopaedic & Hand Center near the campus of Norton Brownsboro Hospital is a state-of-the-art facility with specialists of Norton Orthopaedic Care, Norton Sports Health and Norton Healthcare to provide a multidisciplinary approach to innovative orthopaedic care. The facility supports research, training and education. It also offers patients subspecialized trained orthopaedists, a Norton Immediate Care Center with a focus on orthopaedics, rehabilitation services, advanced sports training and primary care services with an emphasis on orthopaedics. Women's services * In 2017, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's and Children's Hospital provided the care and medical services for 7,712 deliveries. * Free childbirth education classes are provided at Norton Hospital and Norton Women's and Children's Hospital. Norton Children's Prevention & Wellness * Child passenger safety technicians from Norton Children's Hospital check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2017, 387 car seats were given to families in need through the community events, and hospital admissions. Additionally 21 special needs car seats were loaned to children with body cast and premature infants who would not fit in a conventional car seat. * Norton Children's Hospital's Bike Rodeo Program saw 15,100 students from grades three through five throughout Kentucky by providing 140 bike safety "rodeos." * Following interactive classroom lessons on pedestrian safety 450 elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by Norton Children's Hospital. The program is designed to reduce the number of pedestrian injuries. Five additional pedestrian safety programs were presented for 300 more students at Jefferson County Public Schools. * Norton Children's Hospital's "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * More than 3,000 Kindergarten students, teachers, chaperones and nursing students participated in the 34th annual Children & Hospitals Week event led by Norton Children's Hospital. The program was held at Louisville Slugger Field and supported by a Kohl's Cares grant. Children & Hospitals Week, held each year in March, is designed to teach safe decisions and behaviors and help lessen the fear and anxiety children may have about coming to a hospital. Kentucky Poison Control Center * Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2017, the center received nearly 50,000 calls and made nearly 37,000 follow-up calls to concerned families from all 120 counties in Kentucky. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 20,000 prevention education resources to physicians' offices, health departments and schools and more than 1,000 packets of materials to individuals who called the toll-free Poison Help Line, (800) 222-1222, available 24 hours a day, 7 days a week. Norton Neuroscience Institute Norton Neuroscience Institute is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. Norton Neuroscience Institute allows patients to be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists and other neurological-related specialists have joined the growing institute. These physicians and advanced level practitioners provide expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, ALS, brain tumors, headaches, concussions, spine care and many other neurological conditions. The following services also are available to our community as a result of Norton Healthcare's significant commitment to the best neurological care: * An endovascular neurosurgery team is available at two Norton Healthcare facilities, making advanced stroke, aneurysm and arteriovenous malformation (random brain hemorrhage or rupture) treatment possible for our patients. Neurosurgery teams are on call and cover all facilities for emergency situations. * A state-of-the art epilepsy center at Norton Brownsboro Hospital provides the region's most advanced epilepsy monitoring unit and is dedicated to providing accurate diagnoses and quality care for individuals living with seizures and epilepsy. As part of Norton Neuroscience Institute's multidisciplinary approach to epilepsy care, the Norton Brownsboro Hospital epilepsy monitoring unit is a specialized inpatient unit designed to evaluate and diagnose seizure disorders. Norton Brownsboro Hospital has achieved the prestigious advanced certification for Comprehensive Stroke Centers from The Joint Commission and the American Heart Association/American Stroke Association. The commission gives the certification to hospitals that are uniquely prepared with expertise and equipment to treat the most complex cases, leading to better outcomes. Combined with the primary stroke center designation for Norton Hospital, Norton Audubon Hospital and Norton Women's and Children's Hospital, Norton Healthcare's stroke care network is the area's largest. Norton Neuroscience Institute has expanded the treatment options in neurosurgery treatment for patients with brain tumors, lesions and epilepsy to offer less invasive surgical options. With the use of a robotic neurosurgery technology a robotic arm assists the neurosurgery in pinpointing a trajectory in the brain of where their treatment needs to be targeted. Taking that technology a step further, once the trajectory is set, the neurosurgeon can use image-guided laser technology to treat brain tumors and lesions in the brain. All of this is done through a small one-eighth inch incision.
Form 990, Part III, Line 4a Program Service Accomplishments	* A centralized Norton Neuroscience Institute Resource Center is available to patients, offering free education and support services. The resource center offers support services and resources to bridge the gap between managing a neurological condition and improving the quality of life. The center offers support groups, educational, therapeutic and exercise programs. The center may also assist with access to medical care and medical equipment and referrals to community and home health services. In addition, patients have access to National Institutes of Health clinical trials through the center. * The region's first rehabilitation program focused on treating patients with orthopedic, neurological and spine disorders has the only Lokomat system and the DIERS formetric scanner. Lokomat assists with walking movements for patients receiving therapy for paralysis or movement disorders and Norton Healthcare is the only facility in Louisville to offer this treatment. DIERS formetric scanner is used for spine and posture analysis. Norton Healthcare is the only healthcare system in the region to provide this state of the art technology. Community Medical Associates * Provided physicians and a chaplain who make house calls for elderly patients who have difficulty leaving home for medical care. * Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. Prevention and Wellness * In 2017, the Norton Healthcare Prevention & Wellness staff provided preventive screenings involving the Norton Healthcare Mobile Prevention Center in collaboration with various community partners. Over 2,600 women received mammograms and/or wellness exams, including cervical cancer screening, aboard the Mobile Prevention Center. Of them, approximately 6 percent had not been screened in the past five years. 11 individuals were diagnosed and treated for pre-invasive and invasive breast cancer. Of the almost 200 Mobile Prevention Center events, almost half of these locations were in underserved communities and over 70 percent of patients came from medically underserved areas. * Eligible patients received education on colon cancer screening, and if agreeable, were offered referral for colonoscopy or given an at home testing kit that they could mail to the lab, and receive their results. 84 people received at home kits, and 8 people were referred for colonoscopy. * Staff also provided over 12,000 cardiovascular screenings (blood pressure, BMI, glucose, cholesterol) for over 3675 other participants in multiple locations throughout Jefferson and surrounding counties, including Southern Indiana, in collaboration with many community partners. Each participant received education on healthy lifestyle choices such as diet and exercise. * Prevention and wellness conducted 12 Freedom from Smoking classes in 2017, including 2 that were offered in Spanish. Research * Our research benefits Norton Healthcare patients and develops results that will become generalizable to and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * Norton Healthcare Research Office partnered with Norton University to offer research education to all researchers in Metro Louisville and beyond. In 2017, programs were offered, and attendees included Norton Healthcare, KentuckyOne Health, University of Louisville Hospital, Floyd Memorial Hospital, Cincinnati Children's Hospital Medical Center, St. Vincent Health, University of Kentucky, University of Louisville and various community-based practices. Children's Hospital Foundation The Children's Hospital Foundation raises funds to support programs, equipment and facilities, research, advocacy and education for Norton Children's Hospital, Norton Women's and Norton Children's Hospital - and Norton Children's Medical Center. The Children's Hospital Foundation is motivated to ensure that children in the Louisville area have the medical care they need when they need it, while keeping kids as close to home as possible. Thanks to support from the community, Norton Children's Hospital has some of the most talented and dedicated pediatric specialists and clinical and caregiving teams in the country ready to care for children. This 265-bed hospital is the only full-service, free-standing pediatric hospital in Kentucky, level 1 pediatric trauma center in Kentucky, and the primary teaching facility for the University of Louisville School of Medicine Department of Pediatrics. In order to continue to exceed the community's need for specialized pediatric care and meet the ever-growing needs at Norton Children's Hospital, 2017 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric cancer, neurology and neurosurgery, Type I diabetes, trauma and emergency care to name a few. Workforce, research and facilities - serve to guide the fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy; pediatric pastoral care and bereavement programs; endowed research chairs; and specialty therapies, including child life, expressive and music therapies, continue to be areas of funding and priority for the Children's Hospital Foundation to ensure a truly "Just for Kids" experience for patients and families. The foundation continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The strength and value of the community's support for the hospital are visible through funding and support of many projects in 2017, including: * More than $13 million in investments granted to Norton Children's Hospital, to benefit dozens of areas of care. * The Children's Hospital Foundation Office of Prevention and Wellness at Norton Children's Hospital, which helps provide safety and outreach information aimed at keeping kids out of the hospital. * Funding for the Wendy Novak Diabetes Center at Norton Children's Hospital for workforce, expansion of technology and accreditation. * Construction of the new S. Randolph Scheen Family Conference Center. * Renovation of the outdoor therapeutic space for the Ackerly Child Psychiatry Unit * Remodeling of the adolescent and young adult patient rooms at the Addison Jo Blair Cancer Center. * Staff educational opportunities and advanced certifications that can lead to improved patient treatment. * Support from the Children's Hospital Foundation allows the pediatric specialists at Norton Children's Hospital to continue to respond to the unique medical needs of children from birth to age 18. It also helps the hospital work to keep children out of the hospital. Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare adult-service hospitals: Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital and Norton Women's and Norton Children's Hospital. The foundation raises funds each year to improve programs, equipment and facilities, research and education, enabling the hospitals to stay up-to-date with medical advances and technology, and maintaining the community's access to health care. Community support through the Norton Healthcare Foundation allows caregivers to continue making a difference for patients served by Norton Healthcare Inc. In 2017, the support helped the foundation provide funding to: * Norton Healthcare Foundation funds granted more than $4.3 million to benefit dozens of areas of care throughout the facilities. * Construction of a second floor meditation garden for our Norton Women's & Children's Hospital patients. * Support of Norton Cancer Institute initiatives that provide early detection screenings, education and clinical research. * Support pastoral care services for patients, their families and staff members at all Norton Healthcare adult-service facilities. * Provide baby-friendly hospital initiatives to support breastfeeding at Norton Women's and Children's Hospital. * Provide educational opportunities for the community and caregivers, such as the Gail Klein Garlove Lectureship series, with 166 attendees and Nixon Lectureship series with 345 attendees, which focus on topics related to cancer care, prevention and research. * Support nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. * Program support for Integrative Medicine initiatives for the Norton Neuroscience Institute. Philanthropy plays an increasingly important role at Norton Healthcare as caregivers strive to continuously improve the health of the community.
Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2017 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 532. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 130 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2017. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 942 VENDORS ON FORM 1096 FOR 2017.
Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED ONE FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION.
Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT.
Form 990, Part V, Line 2a COMMON PAYING AGENT FOR EMPLOYEES	NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 2,660EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 16,770 EMPLOYEES ON FORM W-3 FOR 2017.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. - Business relationship, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	At the September 27, 2018 Norton Healthcare, Inc. (Norton) Finance Committee meeting and at the October 18, 2018 Norton Board of Trustees meeting , the Forms 990 and supplemental schedules were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and supplemental schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the filing with the IRS. Norton is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.
Form 990, Part VI, Line 12c Conflict of interest policy	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Please see explanation provided for Form 990, Part VI, Line 15b.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHI) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), to provide comparability data for NHI's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. IHS consultants presented and discussed this comparability data in 2016 for the 2017 compensation review and met in 2017 for the 2018 compensation review with the committee of board leadership (now Executive Committee) of the Board of Trustees (Board) The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHI's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation.
Form 990, Part VI, Line 19 Required documents available to the public	FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments	Norton Healthcare, Inc. (NHI) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.) encourages and facilitates board member attendance at educational programs and conferences on subjects relevant to NHI. NHI'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, NHI provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2017.
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 52582196, Program Service Expense: 38062317, Management and General Expenses: 14519879, Fundraising Expenses: ; Other expenses - Total Expense: 652642, Program Service Expense: 504322, Management and General Expenses: 148320, Fundraising Expenses: ; Contract Labor - Total Expense: 552403, Program Service Expense: 371943, Management and General Expenses: 180460, Fundraising Expenses: ; Professional Fees - Total Expense: 684095, Program Service Expense: 684095, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -646287; SWAP MARK TO MARKET ADJUSTMENT - 465548; CHANGE IN MINIMUM PENSION LIABILITY - 1768713; CHANGE IN NET PERIODIC PENSION COST - -11925395;
Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance	In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2017. The other components of net periodic pension cost was $11.9 million for year ended December 31, 2017.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norton Hospitals Inc
R	$1,561,247,042	FMV
Norton Hospitals Inc
S	$1,762,212,690	FMV
Community Medical Associates Inc
R	$411,390,996	FMV
Community Medical Associates Inc
S	$317,127,446	FMV
Norton Properties Inc
R	$46,346,076	FMV
Norton Properties Inc
S	$40,608,050	FMV
The Children's Hospital Foundation Inc
R	$6,322,746	FMV
The Children's Hospital Foundation Inc
S	$5,257,446	FMV
Norton Healthcare Foundation Inc
R	$1,575,474	FMV
Norton Healthcare Foundation Inc
S	$929,501	FMV
Norton Enterprises Inc
R	$23,560,065	FMV
Norton Enterprises Inc
S	$19,751,417	FMV