NORTON HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201723179349302882
Schema version: 2016v3.0
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	2017-11-13T11:07:49-06:00	ReturnTs
Tax Period End	2016-12-31	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 HORWATH 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	2016-01-01	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	Michael W Gough	PersonNm
Person Title	TREASURER & CFO	PersonTitleTxt
Signature	2017-11-07	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	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$394,731,614	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	2142	TotalEmployeeCnt
Total Volunteers	3	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$803,490	PYContributionsGrantsAmt
CY Contributions Grants	$832,896	CYContributionsGrantsAmt
PY Program Service Revenue	$161,573,948	PYProgramServiceRevenueAmt
CY Program Service Revenue	$162,981,857	CYProgramServiceRevenueAmt
PY Investment Income	$45,328,375	PYInvestmentIncomeAmt
CY Investment Income	$27,139,114	CYInvestmentIncomeAmt
PY Other Revenue	$9,942,859	PYOtherRevenueAmt
CY Other Revenue	$8,446,642	CYOtherRevenueAmt
PY Total Revenue	$217,648,672	PYTotalRevenueAmt
CY Total Revenue	$199,400,509	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,579,718	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,293,714	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$135,214,532	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$143,082,879	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$109,495,914	PYOtherExpensesAmt
CY Other Expenses	$114,769,185	CYOtherExpensesAmt
PY Total Expenses	$246,290,164	PYTotalExpensesAmt
CY Total Expenses	$260,145,778	CYTotalExpensesAmt
PY Revenues Less Expenses	-$28,641,492	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$60,745,269	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,259,945,526	TotalAssetsBOYAmt
Total Assets EOY	$1,723,698,889	TotalAssetsEOYAmt
Total Liabilities BOY	$1,645,334,708	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,150,187,394	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$385,389,182	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$426,488,505	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	$210,530,216	ExpenseAmt
Grant	$2,293,714	GrantAmt
Revenue	$171,178,476	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHI) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2016 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	$210,530,216	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	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	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	554	IRPDocumentCnt
IRP Document W2 G	4	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2142	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	false	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	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (47 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
Stephen A Williams
CEO/Trustee	30.0	20.0	Yes (X)	Yes (X)	$2,140,771	$0	$85,700
Donald H Robinson
Chair	12.0	2.5	Yes (X)		$0	$0	$0
Gary L Stewart
Vice Chair & Chair Elect	4.0	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
Lee K Garlove
Trustee	1.0	3.5	Yes (X)		$1,600	$0	$0
Maria Gerwing Hampton
Trustee	4.0	2.5	Yes (X)		$1,600	$0	$0
Craig D Grant
Trustee	1.0	2.5	Yes (X)		$1,600	$0	$0
Louis Heuser
Trustee ( partial year)	1.0	2.5	Yes (X)		$0	$0	$0
Martha K Heyburn MD
Trustee	3.0	2.5	Yes (X)		$1,600	$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
Joseph J McGowan EdD
Trustee (partial year)	1.0	2.5	Yes (X)		$0	$0	$0
Maureen McGowan
Trustee	1.0	2.5	Yes (X)		$0	$0	$0
Edie Nixon
Trustee	4.0	2.5	Yes (X)		$1,600	$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	4.0	3.5	Yes (X)		$1,600	$0	$0
Dr Rita Hudson Shourds
Trustee	1.0	2.5	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
Honorary Chair Emeritus	1.0	3.5	Yes (X)		$1,600	$0	$0
Russell F Cox
President	30.0	20.0		Yes (X)	$1,332,366	$0	$381,368
Michael W Gough
Sr VP CFO/Treasurer	30.0	20.0		Yes (X)	$1,114,894	$0	$317,579
Robert B Azar
Sys VP Chief Legal Officer/Secretary	30.0	20.0		Yes (X)	$680,749	$0	$121,650
Steve Hester
Sr VP, CMO	50.0	0			$955,018	$0	$192,287	Yes (X)
Douglas Winkelhake
Division President Adult Services	50.0	0			$814,511	$0	$168,805	Yes (X)
Steve Ready
Sys VP CIO	50.0	0			$590,274	$0	$130,932	Yes (X)
Charles Bohn
SYS VP Chief HR Officer	50.0	0			$579,482	$0	$112,459	Yes (X)
Scott Watkins
Division VP COO	50.0	0			$577,576	$0	$124,586	Yes (X)
James Frazier
SYS VP Medical Affairs	50.0	0			$553,268	$0	$106,668	Yes (X)
Steve Heilman
Sys VP Ancillary Serv & CMIO	50.0	0			$541,264	$0	$147,666	Yes (X)
Tracy Williams
Sr VP, CNO	50.0	0			$534,867	$0	$105,796	Yes (X)
Mary Jo Bean
Sr VP Planning & Bus Analysis	50.0	0			$482,183	$0	$90,092	Yes (X)
Michael Esposito
Sys VP Chief Network Development Officer	50.0	0			$463,748	$0	$102,460	Yes (X)
Thomas Johnson
Sys VP PR-Chief Communication Officer	50.0	0			$445,495	$0	$418,078	Yes (X)
Adam Kempf
Sys VP Finance	50.0	0			$442,112	$0	$91,678	Yes (X)
Mary Lynn Meyer
Sr VP CDO	30.0	20.0			$200,981	$330,618	$111,888	Yes (X)
Jim Meyers
Sys VP Revenue Cycle	50.0	0			$379,681	$0	$90,372		Yes (X)
Maureen Capalbo
Sys VP Nursing Systems	50.0	0			$374,761	$0	$51,862		Yes (X)
Alfonso Cornish
Sys VP Learning & Org Dev	50.0	0			$371,125	$0	$44,388		Yes (X)
Dana Allen
Sys VP Chief Mktg & Communication Officer	50.0	0			$370,241	$0	$71,099		Yes (X)
Kathleen Exline
VP Perf Excel & Care Continium	50.0	0			$364,374	$0	$82,056		Yes (X)
Kenneth Wilson
SYS VP Clinical Effectiveness	0.0	0			$464,291	$0	$61,986			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,804,433	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$330,618	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,211,455	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	227	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	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
6455 Reliable Pkwy	Chicago	IL	60686	Professional Service	$5,954,675
Doe-Anderson Inc
620 W Main Street	Louisville	KY	40202	Professional Services	$2,262,105
Dinsmore & Shohl LLP
P O Box 639038	Cincinnati	OH	452639038	Legal services	$1,095,923
Brooksource
PO Box 55767	Indianapolis	IN	46205	Professional Services	$1,020,686
Press Ganey Associates Inc
PO Box 88335	Milwaukee	WI	40202	Professional Services	$950,951

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	92	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$832,896	RelatedOrganizationsAmt
Total Contributions	$832,896	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fees	900099	$157,479,679	$157,479,679
Clinical Research Trials	900099	$5,327,397	$5,327,397
Education Programs	900099	$174,781	$174,781

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	$162,981,857	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,354,123	TotalRevenueColumnAmt
Exclusion	$15,354,123	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,522,882	TotalRevenueColumnAmt
Exclusion	$1,522,882	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$244,955	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$244,955	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$244,955	TotalRevenueColumnAmt
Exclusion	$244,955	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$205,593,214	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$195,331,105	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,262,109	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,262,109	TotalRevenueColumnAmt
Exclusion	$10,262,109	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Credit Card Rebate	900099	$996,361	$996,361
Employee Emergency Fund	900099	$374,112	$374,112
net gain on debt extinguishment	900099	$5,644,176	$5,644,176

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,187,038	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,181,970	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,068	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,201,687	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$199,400,509	TotalRevenueColumnAmt
Related Or Exempt Func Income	$171,178,476	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$27,389,137	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	$2,163,714	TotalAmt
Program Services	$2,163,714	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	$13,236,881	TotalAmt
Program Services	$7,402,750	ProgramServicesAmt
Management And General	$5,834,131	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$38,718	TotalAmt
Program Services	$38,718	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,359,792	TotalAmt
Program Services	$91,592,605	ProgramServicesAmt
Management And General	$12,767,187	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,076,539	TotalAmt
Program Services	$4,702,955	ProgramServicesAmt
Management And General	$373,584	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,701,000	TotalAmt
Program Services	$10,921,072	ProgramServicesAmt
Management And General	$779,928	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,669,949	TotalAmt
Program Services	$7,538,755	ProgramServicesAmt
Management And General	$1,131,194	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,553,527	TotalAmt
Program Services	$2,272,639	ProgramServicesAmt
Management And General	$280,888	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$586,700	TotalAmt
Program Services	$234,680	ProgramServicesAmt
Management And General	$352,020	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$234,583	TotalAmt
Program Services	$93,833	ProgramServicesAmt
Management And General	$140,750	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,977,319	TotalAmt
Management And General	$2,977,319	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,453,693	TotalAmt
Program Services	$38,683,061	ProgramServicesAmt
Management And General	$4,770,632	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,923,974	TotalAmt
Program Services	$2,411,887	ProgramServicesAmt
Management And General	$512,087	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,861,143	TotalAmt
Program Services	$5,466,515	ProgramServicesAmt
Management And General	$1,394,628	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,395,366	TotalAmt
Program Services	$1,118,165	ProgramServicesAmt
Management And General	$277,201	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$33,818,802	TotalAmt
Management And General	$33,818,802	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,971,724	TotalAmt
Program Services	$21,773	ProgramServicesAmt
Management And General	$17,949,951	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,221,684	TotalAmt
Program Services	$16,220,422	ProgramServicesAmt
Management And General	$2,001,262	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Equipment rental & repair	$36,754,747	$34,356,652	$2,398,095
Recruitment	$861,334	$769,610	$91,724
Interest allocation	-$36,660,627		-$36,660,627
Insurance allocation	-$18,437,161	-$16,409,073	-$2,028,088

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,252,377	TotalAmt
Program Services	$799,483	ProgramServicesAmt
Management And General	$452,894	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$260,145,778	TotalAmt
Program Services	$210,530,216	ProgramServicesAmt
Management And General	$49,615,562	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$11,544,487	BOYAmt
EOY	-$826,266	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$276,468,067	BOYAmt
EOY	$161,629,132	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,561,162	BOYAmt
EOY	$10,709,708	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$6,276	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$662,313	BOYAmt
EOY	$656,187	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,778,351	BOYAmt
EOY	$25,350,419	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$428,196,762	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$335,579,826	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,582,673	BOYAmt
EOY	$92,616,936	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$625,315,227	BOYAmt
EOY	$1,063,546,599	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$218,619,416	BOYAmt
EOY	$338,934,391	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	$38,502,804	BOYAmt
EOY	$31,075,507	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,259,945,526	BOYAmt
EOY	$1,723,698,889	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$176,345,745	BOYAmt
EOY	$198,202,859	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$1,842,926	BOYAmt
EOY	$1,640,544	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$844,124,150	BOYAmt
EOY	$1,124,709,451	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$623,021,887	BOYAmt
EOY	$825,634,540	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,645,334,708	BOYAmt
EOY	$2,150,187,394	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$385,547,307	BOYAmt
EOY	-$426,650,440	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$158,125	BOYAmt
EOY	$161,935	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$385,389,182	BOYAmt
EOY	-$426,488,505	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,259,945,526	BOYAmt
EOY	$1,723,698,889	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$60,745,269	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,940,198	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$13,294,252	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)	$1,406,260,544	$0
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	false	$368,070,372	$0
NORTON HEALTHCARE FOUNDATION INC
310914919	7	false	$1,828,337	$0
THE CHILDREN'S HOSPITAL FND INC
616027530	7	false	$6,481,408	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$1,782,640,661	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$8,978	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$234,583	OtherActivitiesAmt
Total Lobbying Expenditures	$243,561	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 $114,583, and Rotunda Group LLC totaling $120,000. 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 $8,978	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	$50,220,808	OtherCostOrOtherBasisAmt
Depreciation	$39,269,655	DepreciationAmt
Book Value	$10,951,153	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$340,506,939	OtherCostOrOtherBasisAmt
Depreciation	$295,591,707	DepreciationAmt
Book Value	$44,915,232	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,343,208	OtherCostOrOtherBasisAmt
Depreciation	$718,464	DepreciationAmt
Book Value	$34,624,744	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,616,936	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$253,105,951
REAL ESTATE MASTER TRUST UNITS	$77,267,539
Private Equity Master Trust	$8,560,901

Field	Value	IRS element (for citing)
Total Book Value Securities	$338,934,391	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$606,768,997
SELF INSURANCE TRUST	$107,287,066
OTHER LIABILITIES	$41,170,433
INTEREST RATE SWAP LIABILITY
OTHER INSURANCE	$1,766,965
Pension	$56,416,128
Capital Lease
Deferred Income LT	$12,224,951

Field	Value	IRS element (for citing)
Total Liability	$825,634,540	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	$275,917,777	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$275,917,777	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$275,917,777	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 (73 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
BELLARMINE UNIVERSITY
2001 NEWBURG RD	LOUISVILLE	KY	40205	610482955	501(c)(3)	$1,032,500	General program support and support Nursing, sports medicine, healthcare analytics and student health services
Jefferson County Public Schools
546 SOUTH FIRST ST	LOUISVILLE	KY	40202	616001316	Jefferson Co	$292,500	Program support to ensure that trainers and sports mediciane experts are available in the county and support of baseline concussion testing by providing specilized football helmets.
UNIVERSITY OF KENTUCKY
800 ROSE ST C1	LEXINGTON	KY	40536	616001218	state of KY	$210,000	general program support of university and Pharmacy school
NAFC School Corp
POBox 1087	NEW ALBANY	IN	471511087	356005953	501(c)(3)	$117,440	Support Community project intended to protect, diagnose and treat student athletes from concussions and other sports related injuries
Habitat for Humanity
1620 BANK ST	LOUISVILLE	KY	40203	581735528	501(c)(3)	$90,000	support home building for those in need
METRO UNITED WAY OF KENTUCKY
3949 ZONETON RD	SHEPHERDSVILLE	KY	40165	610444680	501(c)(3)	$55,000	support health and human services
LEADERSHIP LOUISVILLE FOUNDATION
732 W MAIN ST	LOUISVILLE	KY	40202	310958491	501(c)(3)	$52,300	general program support for educating leaders in community
Catholic Education Foundation Inc
401 W Main St	LOUISVILLE	KY	40202	611294640	501(c)(3)	$45,000	general event & program support
AMERICAN HEART ASSOCIATION
PO BOX 841750	DALLAS	TX	752841750	135613797	501(c)(3)	$40,000	support heart health awareness
Family Community Clinic Inc
1406 E Washington St	LOUISVILLE	KY	40206	272994215	501(c)(3)	$40,000	Meet the healthcare needs of uninsured patients in the Louisville Community
FUND FOR THE ARTS
623 W MAIN ST	LOUISVILLE	KY	40202	610479626	501(c)(3)	$38,000	General program support
WHAS Crusade for Children
520 W CHESTNUT ST	LOUISVILLE	KY	402022235	237075524	501(c)(3)	$35,000	promote support for special needs children
ARTHRITIS FOUNDATION KY CHAPTER
2908 Brownsboro Rd	LOUISVILLE	KY	40206	610492349	501(c)(3)	$30,000	Program support to assist people with arthritis and related diseases
LouisvilleJefferson Co Metro
611 WEST JEFFERSON ST	LOUISVILLE	KY	40202	320049006	Jefferson Co	$30,000	general program support
JUNIOR ACHIEVEMENT
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	40203	610476694	501(c)(3)	$27,600	General program support
KENTUCKY PHYSICIANS HEALTH FOUNDATION
9000 WESSEX PLACE STE 305	LOUISVILLE	KY	40222	611242062	501(c)(3)	$21,500	Supporting healthcare professionals
CYSTIC FIBROSIS FOUNDATION
1941 Bishop Ln	LOUISVILLE	KY	40218	131930701	501(c)(3)	$20,500	Cystic Fibrosis patient support
COLON CANCER PREVENTION PROJECT
PO BOX 4039	LOUISVILLE	KY	40204	201510713	501(c)(3)	$17,500	Support for colon cancer awareness initiatives
YMCA OF GREATER LOUISVILLE
545 SOUTH SECOND ST	LOUISVILLE	KY	40202	610444843	501(c)(3)	$16,695	support youth development & healthy living
AMERICAN CANCER SOCIETY
5250 VOGEL RD STE A	EVANSVILLE	IN	47715	131788491	501(c)(3)	$16,500	Supporting people with cancer by helping them get well, finding cures
Integrating Woman Leaders Inc
47 W 96TH ST	INDIANAPOLIS	IN	46260	272546534	501(c)(3)	$15,000	Supporting advancement of women into higher levels of leadership
KENTUCKY LIFT INC
614 W MAIN ST STE 6000	LOUISVILLE	KY	40202	464048816	501(c)(4)	$15,000	Support provisions of economic development and civic betterment
SUPPLIES OVER SEAS
1500 ARLINGTON AVE	LOUISVILLE	KY	40206	272624272	501(c)(3)	$15,000	support donations of supplies to needy countries
COMMUNITY MEDICAL ASSOCIATES INC
224 E BROADWAY	LOUISVILLE	KY	40202	611276316	501(c)(3)	$12,943	Support of a nurse practitioner for the Bellarmine Student Health Clinic	ACCOUNTING
UNIVERSITY OF LOUISVILLE
401 CHAMPIONS WAY	SIMPSONVILLE	KY	40067	311106941	115(1)	$14,950	General program support
INDIA COMMUNITY FDTN OF LOUISVILLE
12505 VALLEY PINE DR	LOUISVILLE	KY	40299	610989811	501(c)(3)	$14,000	Support promotion of cultural and educational knowledge about Telugu people
A WOMAN'S CHOICE RESOURCE CENTER
101 WEST MARKET	LOUISVILLE	KY	40202	611142823	501(c)(3)	$12,500	Support for pregnancy center
BRAIN INJURY ALLIANCE OF KY
7321 NEW LAGRANGE RD STE 100	LOUISVILLE	KY	40222	611128496	501(c)(3)	$12,500	Outreach, education and support for patients with brain injuries
CENTER FOR WOMEN AND FAMILIES
PO BX 2048	LOUISVILLE	KY	402012048	610444846	501(c)(3)	$11,000	support services for victims of domestic abuse
AMERICAN DIABETES ASSOCIATION
PO BOX 930850	ATLANTA	GA	311930850	131623888	501(c)(3)	$10,000	Program support for African American outreach re: diabetes education, prevention
CHRIST IN YOUTH INC
2201 N MAIN	JOPLIN	MO	64801	431303328	501(c)(3)	$10,000	employee match- general program support
HOSPARUS
3539 EPHRAIM MCDOWELL DR	LOUISVILLE	KY	40205	610921718	501(c)(3)	$10,000	Pediatric bereavement program
KENTUCKIANS FOR PROGRESS INC
6060 DUTCHMANS LN STE 110	LOUISVILLE	KY	40205	274218549	501(c)(3)	$10,000	Support the development and promotion of the social and economic welfare of KY area
LEUKEMIA AND LYMPHOMA SOCIETY
301 E MAIN SUITE 100	LOUISVILLE	KY	40202	135655916	501(c)(3)	$10,000	supporting mission to cure leukemia, lymphoma, hodgkin's disease and myeloma, improve patient & family quality of life
LOUISVILLE MEDICAL LEGAL
100 DISCOVERY WAY	ACTON	MA	01720	352079715	501(c)(3)	$10,000	general program support
RONALD MCDONALD HOUSE
550 S 1ST ST	LOUISVILLE	KY	40202	311053467	501(c)(3)	$10,000	support home assistance for families in need
WELLSPRING SPECIAL EVENT
POBOX 1927	LOUISVILLE	KY	402011927	311020023	501(c)(3)	$10,000	Supporting adults with severe and persistent mental illness
Young Professionals
657 S Hurstbourne Pkwy	LOUISVILLE	KY	40222	450483455	501(c)(3)	$10,000	provides leadership development, educational opportunities and philanthropic support to Louisville's Young Professionals for the benefit of the local community
EPILEPSY FOUNDATION KENTUCKIANA
982 EASTERN PARKWAY	LOUISVILLE	KY	402171566	611314540	501(c)(3)	$9,900	Epilepsy support groups and outreach
LEADERSHIP SOUTHERN INDIANA
8204 HWY 311	SELLERSBURG	IN	47172	351644080	501(c)(3)	$9,000	general program support for educating leaders in community
NEIGHBORHOOD HOUSE
201 N 25TH ST	LOUISVILLE	KY	40212	610445842	501(c)(3)	$9,000	provide opportunities for individuals to enhance quality of heir lives
THE HEALING PLACE
1020 W MARKET ST	LOUISVILLE	KY	40202	611164775	501(c)(3)	$8,000	promotes social support and medical assistance to the homeless
KOMEN KENTUCKY
1201 STORY AVE STE 205	LOUISVILLE	KY	40206	752855046	501(c)(3)	$7,500	support breast cancer awareness
MARCH OF DIMES FOUNDATION
P O BOX 932852	ATLANTA	GA	311932852	131846366	501(c)(3)	$7,500	premature birth support
SHIVELY AREA MINISTRIES
4415 DIXIE HWY	LOUISVILLE	KY	40216	611134579	501(c)(3)	$7,500	general program support
American Lung Association of the Midland States
4100 CHURCHMAN AVE	LOUISVILLE	KY	40215	314379531	501(c)(3)	$7,000	Support mission of preventing lung disease and improving lung health
KY CHAMBER OF COMMERCE
464 CHENAULT AVE	FRANKFORT	KY	40601	610405718	501(c)(3)	$7,000	Support prosperous business climate in Commonwelath of KY
KENTUCKY DERBY MUSEUM
704 CENTRAL AVE	LOUISVILLE	KY	40208	311023459	501(c)(3)	$6,400	Support the endowment and safeguards the future of the KY Derby Museum
REVOLUTION DEVELOPMENT CYCLING INC
1806 GRESHAM RD	LOUISVILLE	KY	40205	812907077	501(c)(3)	$6,000	supporting healthy lifestyles through bicycle riding
PARKINSON'S SUPPORT CENTER OF KENTUCKIANA
315 TOWNEPARK CIR STE 100	LOUISVILLE	KY	40243	611367576	501(c)(3)	$5,800	promote parkinson support
FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLE	LOUISVILLE	KY	40208	611285124	501(c)(3)	$5,500	support education initiatives
ASSOCIATION OF PROFESSIONAL CHAPLIANS
2800 W HIGGINS RD STE 295	HOFFMAN EST	IL	601697221	363762667	501(c)(3)	$5,000	support pastoral education
Be Their Diffence Inc
17513 POPE DALE RD	LOUISVILLE	KY	40245	812316399	501(C)(3)	$5,000	General program support
BRIDGEHAVEN
P O BOX 950270	LOUISVILLE	KY	402950270	610548949	501(c)(3)	$5,000	general programs support
CENTER FOR INTERFAITH RELATION
415 W MULHAMMED ALI BLVD	LOUISVILLE	KY	40202	611149619	501(c)(3)	$5,000	General Program support
CEREBRAL PALSY KIDS CENTER
982 EASTERN PKWY	LOUISVILLE	KY	40217	610492378	501(c)(3)	$5,000	Support for children with cerebral palsy
CHRISTIAN ACADEMY OF LOUISVILLE
700 S ENGLISH STATION RD	LOUISVILLE	KY	402453912	610907309	501(c)(3)	$5,000	General program support
CLOUT
C/O FR JOE GRAFFIS	LOUISVILLE	KY	40203	611202173	501(c)(3)	$5,000	Program support of interfaith relations and social justice
FAMILY & CHILDRENS COUNSELING
525 ZANE ST	LOUISVILLE	KY	40203	610549561	501(c)(3)	$5,000	general program support
FRIEND FOR LIFE
4003 KRESGE WAY STE 100	LOUISVILLE	KY	40207	611139410	501(c)(3)	$5,000	Program support for peer-to-peer cancer patient counseling/relationships
JM OUTDOORS LLC
131 ST MATTHEWS AVE	LOUISVILLE	KY	40207	331178847		$5,000	supporting active lifestyle through bycicle riding
KENTUCKIANA HEALTH COLLABORATIVE
1930 BISHOP LN STE 1023	LOUISVILLE	KY	40218	450700087	501(c)(3)	$5,000	Program support of Healthcare Value- lowering costs & improving outcomes
KENTUCKY PEDIATRIC SOCIETY
420 CAPITAL AVE	FRANKFORT	KY	40601	611125554	501(c)(3)	$5,000	Support for continuing medical education for KY pediatric physicians
KIDS CANCER ALLIANCE INC
607 W MAIN ST STE 200	LOUISVILLE	KY	40202	611256743	501(c)(3)	$5,000	supporting children battling cancer
LEADERSHIP KENTUCKY FOUNDATION
464 CHENAULT RD	FRANKFORT	KY	406019260	311096215	501(c)(3)	$5,000	General donation to sustain LKY programs
MORTON CENTER
1028 BARRETT AVE	LOUISVILLE	KY	402041667	311068020	501(c)(3)	$5,000	Supporting mission to improve lives of families and individuals who are affected by alcohol and chemical dependencies
NATIONAL KIDNEY FND OF KY
8920 STONE GREEN WAY 100	LOUISVILLE	KY	402204072	610673518	501(c)(3)	$5,000	kidney diesease awareness
NEW ALBANYFLOYD CO HABITAT
711 E 8TH ST	NEW ALBANY	IN	47150	351817055	501(c)(3)	$5,000	Funding for a home build project	POBOX 1814
OVARIAN AWARENESS OF KENTUCKY
2300 HURSTBOURNE VILLAGE DRIVE	LOUISVILLE	KY	40299	611393292	501(c)(3)	$5,000	Support education and awarness of ovarian cancer and provide support women with ovarian cancer
PARK DUVALLE COMMUNITY
3015 WILSON AVE	LOUISVILLE	KY	40211	610666209	501(c)(3)	$5,000	general program support
PRP ALUMNI ASSOCIATION
PO BOX 58051	LOUISVILLE	KY	40268	320087730	501(c)(3)	$5,000	general education support
THE ALS ASSOCIATION KY CHAPTER
8640 HAINES DR STE F	FLORENCE	KY	41017	943124729	501(c)(3)	$5,000	Support for ALS patient care services program
UNIVERSITY OF LOUISVILLE
500 S PRESTON ST	LOUISVILLE	KY	40292	611014882	Section 115	$5,000	Supporting community education	INSTRUCTIONAL BLDG RM 311

Field	Value	IRS element (for citing)
Total501c3 Org	70	Total501c3OrgCnt
Total Other Org	3	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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
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
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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 (23 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
CEO/Trustee	$1,100,643	$0	$648,812	$0	$391,317	$0	$58,375	$0	$27,325	$0	$2,226,472	$0	$156,533	$0
Russell F Cox
President	$775,652	$0	$300,166	$0	$256,549	$0	$350,179	$0	$31,188	$0	$1,713,734	$0	$105,296	$0
Michael W Gough
Sr VP CFO/Treasurer	$637,892	$0	$253,405	$0	$223,597	$0	$294,872	$0	$22,707	$0	$1,432,473	$0	$88,892	$0
Robert B Azar
Sys VP Chief Legal Officer/Secretary	$417,886	$0	$167,415	$0	$95,448	$0	$109,086	$0	$12,564	$0	$802,399	$0	$55,868	$0
Kenneth Wilson
SYS VP Clinical Effectiveness	$303,009	$0	$84,633	$0	$76,649	$0	$43,224	$0	$18,762	$0	$526,277	$0	$9,854	$0
Steve Hester
Sr VP, CMO	$601,610	$0	$234,175	$0	$119,234	$0	$163,395	$0	$28,892	$0	$1,147,305	$0	$79,572	$0
Douglas Winkelhake
Division President Adult Services	$540,881	$0	$161,643	$0	$111,987	$0	$143,985	$0	$24,820	$0	$983,316	$0	$68,812	$0
Steve Ready
Sys VP CIO	$413,356	$0	$101,933	$0	$74,985	$0	$104,933	$0	$25,999	$0	$721,206	$0	$41,984	$0
Charles Bohn
SYS VP Chief HR Officer	$368,706	$0	$115,647	$0	$95,130	$0	$86,669	$0	$25,790	$0	$691,942	$0	$49,232	$0
Scott Watkins
Division VP COO	$393,452	$0	$106,682	$0	$77,442	$0	$97,280	$0	$27,307	$0	$702,163	$0	$44,488	$0
James Frazier
SYS VP Medical Affairs	$375,137	$0	$101,655	$0	$76,476	$0	$79,691	$0	$26,977	$0	$659,936	$0	$43,864	$0
Steve Heilman
Sys VP Ancillary Serv & CMIO	$366,034	$0	$99,574	$0	$75,656	$0	$120,416	$0	$27,251	$0	$688,930	$0	$42,648	$0
Tracy Williams
Sr VP, CNO	$337,624	$0	$109,066	$0	$88,177	$0	$87,603	$0	$18,193	$0	$640,663	$0	$46,432	$0
Mary Jo Bean
Sr VP Planning & Bus Analysis	$282,183	$0	$66,130	$0	$133,871	$0	$73,463	$0	$16,630	$0	$572,275	$0	$66,177	$0
Michael Esposito
Sys VP Chief Network Development Officer	$307,342	$0	$86,780	$0	$69,627	$0	$77,842	$0	$24,618	$0	$566,208	$0	$35,608	$0
Thomas Johnson
Sys VP PR-Chief Communication Officer	$247,988	$0	$71,917	$0	$125,590	$0	$393,307	$0	$24,772	$0	$863,574	$0	$60,832	$0
Adam Kempf
Sys VP Finance	$299,595	$0	$83,429	$0	$59,088	$0	$73,222	$0	$18,456	$0	$533,790	$0	$0	$0
Mary Lynn Meyer
Sr VP CDO	$200,981	$135,900	$0	$127,393	$0	$67,325	$0	$94,334	$0	$17,554	$200,981	$442,506	$0	$44,860
Jim Meyers
Sys VP Revenue Cycle	$266,830	$0	$70,338	$0	$42,512	$0	$64,158	$0	$26,214	$0	$470,052	$0	$0	$0
Maureen Capalbo
Sys VP Nursing Systems	$246,615	$0	$68,151	$0	$59,995	$0	$38,716	$0	$13,146	$0	$426,623	$0	$20,389	$0
Alfonso Cornish
Sys VP Learning & Org Dev	$224,099	$0	$62,864	$0	$84,162	$0	$33,825	$0	$10,563	$0	$415,512	$0	$32,441	$0
Dana Allen
Sys VP Chief Mktg & Communication Officer	$246,419	$0	$65,870	$0	$57,953	$0	$53,761	$0	$17,338	$0	$441,340	$0	$29,252	$0
Kathleen Exline
VP Perf Excel & Care Continium	$264,254	$0	$57,349	$0	$42,770	$0	$52,372	$0	$29,684	$0	$446,429	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INTERESTED PERSONS LISTED BELOW AT TIME OF PAYMENT. PAYMENTS ARE IN ACCORDANCE WITH EXISTING COMPENSATION POLICY. GROSS-UP PAYMENTS SHALL BE MADE ONLY WHEN SPECIFIED IN AN EMPLOYEE'S EMPLOYMENT CONTRACT, OR AS APPROVED IN WRITING BY THE PRESIDENT AND CEO OF NORTON HEALTHCARE, EXECUTIVE VICE PRESIDENT OR CFO. DURING 2016, GROSS-UP PAYMENTS WERE PROCESSED AS OUTLINED IN THE EMPLOYMENT CONTRACT FOR THE CEO. SEE NARRATIVE PROVIDED IN SCHEDULE O, REFERENCING PART VI, LINE 15, WHICH DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. DISABILITY COVERAGE (AND ASSOCIATED GROSS-UP) FOR MR. WILLIAMS - DURING 2016 NET DISABILITY COVERAGE PREMIUMS TOTALED $18,087, AND THE ASSOCIATED GROSS-UP OF SUCH PREMIUMS TOTALED $9,654. THUS, THE TOTAL OF THESE AMOUNTS - $27,741 - WAS INCLUDED IN THE TAXABLE COMPENSATION OF MR. WILLIAMS IN 2016.
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 2016: Stephen A. Williams -$32,427 Russell F. Cox - 59,434 Michael G. Gough - 52,208 Robert B. Azar - 17,500 Tracy Williams - 17,500 Steve Hester - 17,500 Scott Watkins - 10,000 Michael Esposito - 10,000 Charles Bohn - 17,500 Steve Ready - 10,000 James Frazier - 10,000 Steve Heilman - 10,000 Kenneth Wilson - 10,000 Douglas Winklehake - 17,500 Dana Allen - 10,000 Thomas Johnson - 10,000 Mary Jo Bean - 10,769 Adam Kempf - 10,000 Kathleen Exline - 10,000 Jim Meyers - 10,000
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 Stephen A. Williams - $ 37,614 Russell F. Cox - 184,624 Michael W. Gough - 151,419 Robert Azar - 89,124 Mary Lynn Meyer - 70,315 Dana Allen - 37,508 Mary Jo Bean - 49,507 Charles Bohn - 70,769 Maureen Capalbo - 15,972 Alfonso Cornish - 14,287 Michael Esposito - 53,673 Kathleen Exline - 36,126 James Frazier - 63,606 Steven Heilman - 61,727 Steven Hester - 140,441 Thomas Johnson - 18,452 Adam Kempf - 51,108 Jim Meyers - 41,951 Steve Ready - 79,315 Scott Watkins - 73,169 Tracy Williams - 67,807 Kenneth Wilson - 23,108 Douglas Winkelhake - 119,512 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2016 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Stephen A. Williams - $ 269,688 Russell F. Cox - 110,639 Michael W. Gough - 91,441 Robert Azar - 56,519 Mary Lynn Meyer - 44,860 Dana Allen - 28,645 Mary Jo Bean - 118,493 Charles Bohn - 48,561 Maureen Capalbo - 43,438 Alfonso Cornish - 60,049 Michael Esposito - 35,096 Kathleen Exline - 26,400 James Frazier - 44,006 Steven Heilman - 43,739 Steven Hester - 78,678 Thomas Johnson - 86,388 Adam Kempf - 28,948 Jim Meyers - 29,152 Steve Ready - 40,961 Scott Watkins - 45,385 Tracy Williams - 46,432 Kenneth Wilson - 39,416 Douglas Winkelhake - 72,364
Schedule J, Part I, Line 7 Non-fixed payments	In 2016, 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	$10,730,000	$0	$23,775,000	$0	$0	$0	$150,000	$0	$0	$0	$23,625,000	$0		Yes (true)	false	Yes (true)	Yes (true)
C	$12,100,000	$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)	0.0239	0.0075	0.0314	false	false	Yes (true)
B									0.0
C									0.0
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0177	0.0075	0.0252	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		false	false	false	false	Yes (true)	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 (12 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 and 2016 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 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 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	$0	$0	$613,383,944	$0	$0	$0	$0	$0	$4,276,705	$72,386,096	$308,563,977	$228,157,166	Yes (true)	false	false	Yes (true)
B	$10,920,000		$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)	0.0178	0.0075	0.0253	false	false	Yes (true)
B	false	false	false		false				0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	Norton Healthcare, Inc. highly compensated employee	RelationshipWithOrgTxt
Loan Purpose	Norton Healthcare, Inc Scholar Program (Disclosure continued below)	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$6,276	OriginalPrincipalAmt
Balance Due	$6,276	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$6,276	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Family member of Adam Kempf, Key Employee	RelationshipDescriptionTxt
Transaction	$38,718	TransactionAmt
Transaction	Compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II, Column (a) Purpose of Loan	FormAndLineReferenceDesc
Explanation	NORTON HEALTHCARE SCHOLARS PROGRAM IS A STUDENT LOAN PROGRAM THAT PROVIDES EDUCATIONAL FUNDING TO STUDENTS INTERESTED IN PURSUING DESIGNATED HEALTHCARE CAREERS. IT IS AN AFFILIATION BETWEEN NORTON HEALTHCARE AND OVER 100 COLLEGES AND UNIVERSITIES NATIONALLY. THIS PROGRAM WAS STARTED BY NORTON HEALTHCARE AS A RESULT OF THE HEALTHCARE WORKER SHORTAGE AND WAS BEGUN AS A WORKFORCE DEVELOPMENT INITIATIVE TO ENSURE THE COMMUNITY HAS ENOUGH HEALTHCARE WORKERS. UPON GRADUATION, NORTON HEALTHCARE SCHOLARS BEGIN CAREERS WITH NORTON HEALTHCARE AND ARE ELIGIBLE TO HAVE THEIR LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS 293 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 2,572 GRADUATES AND 2,061 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2016, 246 APPLICANTS WERE GRANTED ENROLLMENT INTO THE NORTON HEALTHCARE SCHOLARS PROGRAM. SCHOLARS WHO FAIL TO GRADUATE OR FULFILL THEIR COMMITMENT WITH NORTON HEALTHCARE ARE REQUIRED TO REPAY THE LOAN AT THE TIME OF WITHDRAWAL FROM THE PROGRAM	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a Program Service Accomplishment	(Continued from Part III) In 2016, NHI, through its affiliate, Community Medical Associates, Inc., encountered approximately 1.8 million visits. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 68,189 inpatients, 508,353 outpatients, and 246,963 emergency room visits. In addition Norton Healthcare hospitals' operating rooms cared for 20,391 inpatient surgical patients and 35,415 outpatient surgical patients. Additionally, 7,932 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 2016, under its charity care program, NHI provided free care to 22,707 patients, at a cost of $9.3 million. Also, NHI grants patients a discount from billed charges to any individuals that have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 14,603 patients were provided care at discounted rates. Other contributions to the community were charity care and the unpaid cost of Medicaid services of $97.2 million, community cancer initiatives were $3.7 million, the Kentucky Poison Control Center was $1.0 million, and the Child Guidance and advocacy program was $388 thousand. As NHI representatives, our employees donated 86,552 hours of community service, a benefit valued at more than $1.4 million. In addition, many employees self-reported personal volunteer activities, which totaled more than 6,000 hours of service. Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2016 calendar year, 564 residents completed clinical rotations in 45 specialties at Norton Healthcare facilities. Residency programs are part of the $35.0 million in educational support and clinical funding provided to the school. Contributions to the Community * Norton Healthcare employees and physicians gave more than $988,000 to the 2016 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 100 Norton Healthcare employees "Raised the Roof" on a Habitat for Humanity house on Brentwood Avenue in Louisville, Ky. This is the ninth Habitat home Norton Healthcare employees have built. * In 2016, more than 1,000 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 357 employees and their 813 children by providing for their families at Christmas. * More than 41,700 pounds of usable surplus medical supplies valued at more than $668,000 and $92,000 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. In 2016, Workforce Development financially supported more than 800 students with nearly $6 million in educational assistance programs. * Workforce Development Career Center served over 1,350 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 2,572 graduates and 2,061 of these graduates have continued their careers with Norton Healthcare. * Norton Healthcare, through Workforce Development, continues to 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 relations to inspire change that leads to exceptional experiences for both patients and employees." In 2016, Norton University held 300,275 learning events, an average of 20 trainings per employee. In 2016, 139,372 web-based training courses and 62,769 instructor-led courses were completed by leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work and College at Work programs 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 (FHM) works with churches and faith communities to weave health and faith together, promoting the intentional integration of faith, healing and wellness through the development of health ministries. FHM provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses minister to their churches. In 2016, 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 by the Mid-Kentucky Presbytery, Lutheran Church, Central District Baptist Association, African American Episcopal Church Conference and the Episcopal Diocese of Kentucky Annual Convention, and consulted with United Methodist clergy regarding the development of a mobile medical unit. * In order to advance congregational health ministries, faith community nursing and other health-related programs, FHM reached more than 40,850 contacts by distributing 22 electronic informational newsletters. At 74 faith community events, 5,780 people were provided health literacy education using educational tools loaned from FHM. At 176 events, 1,375 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. Twelve formal educational and networking events were held reaching 331 individuals. * Promoting awareness of Norton Healthcare's faith heritage and mission, 21,000 were reached by three editions of our seasonal printed newsletters, Health Ministries Connection. * Four faith community nurses earned a new certification available through the American Nurses Credentialing Center (ANCC). Through a Norton Healthcare Foundation grant of $4,650.00, certification fees were covered. Mentored closely by FHM, all four earned the faith community nurse certification. Through Norton Faith and Health Ministries, a total of nine nurses have earned their RN-BC.
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 2016: * 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, also offered Yoga and Tai Chi classes. * Norton Women's Heart & Vascular Center attended heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. * At Norton Women's and Norton Children's Hospital, 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 2016, 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 attend community events, health fairs, and provide educational presentations to businesses, churches, women groups, and healthcare professionals. 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 2016, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's and Children's Hospital provided the care and medical services for 7,932 deliveries. * Free childbirth education classes are provided at Norton Hospital and Norton Women's and Children's Hospital. Office of Child Advocacy * Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2016, the center received more than 50,000 calls and made nearly 37,000 follow-up calls to concerned families from all 120 counties in Kentucky. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 30,000 prevention education resources to physicians' offices, health departments and schools and more than 1,400 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. * 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. * Norton Children's Hospital's Bike Rodeo Program saw students from grades three through five throughout Kentucky and provided bike safety "rodeos." * Following interactive classroom lessons on pedestrian safety elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by Norton Children's Hospital. The program is designed to reduce the number of pedestrian injuries. * Norton Children's Hospital's "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * Kindergarten students, teachers, chaperones and nursing students participated in the 33rd 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. 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 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 incision about the size of a spaghetti noodle. It is more comfortable for the patient and reduces the recovery time. * 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.
Form 990, Part III, Line 4a Program Service Accomplishments	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 2016, the Norton Healthcare Prevention & Wellness staff provided cancer screenings and/or cardiovascular screenings involving the Norton Healthcare Mobile Prevention Center. Approximately 2400 women received mammograms and/or Pap smears aboard the Mobile Prevention Center. Of them, approximately 22 percent had not been screened in the past five years. 15 individuals were diagnosed and treated for pre-invasive and invasive breast cancer. Approximately 52% percent of these locations were in underserved communities and 64 percent of patients came from medically underserved areas. * Screenings were performed for high blood pressure, diabetes, high cholesterol and osteoporosis. In addition, our staff provided education on smoking cessation, diet and exercise 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 Office of Research Administration partnered with Norton University to offer research education to all researchers in Metro Louisville and beyond. In 2016, se 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, 2016 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. While the foundation's "Just for Kids" campaign concluded in 2011, the three general areas of development from the campaign - workforce, research and facilities - continue to guide 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 2016, including: * Nearly $9 million in investments granted to Norton Children's Hospital, to benefit dozens of areas of care. * The Children's Hospital Foundation Office of Child Advocacy of 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. * Remodeling of a Teen Room at the Addison Jo Blair Cancer Center. * Research for a Pediatric Immunotherapy research program, including the development of a chemo-immunotherapy approach for relapsed Neuroblastoma. * Expansion of neonatal intensive care unit. * Purchase of a pediatric echocardiography machine. * Modernization and safety upgrades to heliport. * 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 2016, that support helped the foundation provide funding to: * Norton Healthcare Foundation funds granted more than $4 million to benefit dozens of areas of care throughout the facilities. * Purchase of a NeuroBlate Laser for Norton Cancer Institute. * Purchase of equipment for Dr. Cressman Critical Care at Norton Women's & Children's Hospital. * Hire a Fellowship Director for Norton Leatherman Spine Center * Support pastoral care services for patients, their families and staff members at all Norton Healthcare adult-service facilities. * 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.
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 2016 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 554. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 92 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2016. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 996 VENDORS ON FORM 1096 FOR 2016.
Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED THREE FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION AND ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE FOUNDATION, INC.
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 2,142 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 15,729 EMPLOYEES ON FORM W-3 FOR 2016.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. - Business relationship, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	At the October 5, 2017 Norton Healthcare, Inc. (Norton) Finance Committee meeting and at the October 26, 2017 Norton Board of Trustees meeting , the 990s were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the 990s were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the fiing 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 2015 for the 2016 compensation review and met in 2016 for the 2017 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 2016.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Employee Fitness Center - Total Revenue: 1187038, Related or Exempt Function Revenue: 1181970, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5068; Miscellaneous income - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 41534448, Program Service Expense: 37041482, Management and General Expenses: 4492966, Fundraising Expenses: ; Other expenses - Total Expense: 741681, Program Service Expense: 607907, Management and General Expenses: 133774, Fundraising Expenses: ; Contract Labor - Total Expense: 550135, Program Service Expense: 406243, Management and General Expenses: 143892, Fundraising Expenses: ; Professional Fees - Total Expense: 627429, Program Service Expense: 627429, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -460420; SWAP MARK TO MARKET ADJUSTMENT - -10288898; CHANGE IN MINIMUM PENSION LIABILITY - -3624998; NCAC Income/Expense - 1080064;

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)	9	NA	Yes (true)
NORTON PROPERTIES INC
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611028724	MAINTAINS OFFICE AND PARKING FACILITIES	KY	501(c)(3)	Type I	NA	Yes (true)
THE CHILDREN'S HOSPITAL FOUNDATION INC
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	616027530	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NA	Yes (true)
NORTON HEALTHCARE FOUNDATION INC
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	310914919	GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES	KY	501(c)(3)	7	NA	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$35,213,899	ShareOfTotalIncomeAmt
Share Of EOY Assets	$40,273,865	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norton Hospitals Inc
R	$1,406,260,544	FMV
Norton Hospitals Inc
S	$1,650,045,093	FMV
Community Medical Associates Inc
R	$368,070,372	FMV
Community Medical Associates Inc
S	$305,732,222	FMV
Norton Properties Inc
R	$52,550,490	FMV
Norton Properties Inc
S	$48,305,595	FMV
The Children's Hospital Foundation Inc
R	$6,481,408	FMV
The Children's Hospital Foundation Inc
S	$6,341,288	FMV
Norton Healthcare Foundation Inc
R	$1,828,337	FMV
Norton Healthcare Foundation Inc
S	$2,390,598	FMV
Norton Enterprises Inc
R	$8,448,400	FMV
Norton Enterprises Inc
S	$16,543,948	FMV