2025-11-06T15:15:00+00:00 2024-12-31 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-01-01 611028725 Norton Healthcare Inc NORT 5026298249 ACCOUNTING 224 E BROADWAY 5TH FLOOR Louisville KY 402022025 Adam Kempf Senior VP & CFAO 2025-11-06 true RACHEL SPURLOCK P00520729 5023263996 2025-11-06 2024 2025-03-06 01:10:19Z RUSSELL F COX 4967 US HIGHWAY 42 SUITE 100 Louisville KY 40222 1220571600 false X WWW.NORTONHEALTHCARE.COM X 1983 KY 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. 18 17 5716 1 -694276 252562 11642911 4670810 545625743 592291987 53769555 112410264 -3936117 49992565 607102092 759365626 2443803 51377832 0 270691164 322980399 0 0 306984619 360111716 580119586 734469947 26982506 24895679 2403379569 2604396769 2195789381 2331085105 207590188 273311664 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. false false 620065679 51377832 755389092 Norton Healthcare Inc. is a not-for-profit corporation serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system has six Louisville-based hospitals and three hospitals in Southern Indiana. Norton Healthcare expanded services in 2024 with the addition of Norton West Louisville Hospital. This new hospital adds to the recent additions of Norton King's Daughters Health in 2022 and Norton Clark Hospital and Norton Scott Hospital in 2023. Norton West Louisville Hospital opened in November 2024. The hospital offers comprehensive services, including adult and pediatric primary care physician offices, emergency department services, inpatient services and outpatient functions. Imaging services, including X-rays and CT scans, are available, along with specialty services such as women's health, cardiology, neurology and endocrinology. Some physician offices offer evening hours as well. (Continued on Schedule O) 620065679 true true false true false false false false false false true true false false true false false true false false true false false false false false false true true true true false false false false false false false false true false false false false false true true true true false false true X 1659 3 true 5716 true true true false false false false false false false false false true false X 18 17 true false false false false false false true true false false false true true true true true true true true true true KY X X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5th Fl LOUISVILLE KY 402022025 Russell F Cox President & CEO/Trustee 30.0 20.0 X X 3633654 0 482184 Barry Pennybaker Trustee 1.0 3.5 X 2000 0 0 Craig D Grant Vice Chair 2.0 3.5 X 2000 0 0 Donald H Robinson Trustee 4.0 3.5 X 0 0 0 Edie Nixon Chair 13.0 3.5 X 2000 0 0 G Hunt Rounsavall Sr Trustee 4.0 3.5 X 2000 0 0 Gail Lyttle Trustee 1.0 3.5 X 2000 0 0 Gary L Stewart Trustee 4.0 3.5 X 2000 0 0 Gregory E Mayes Trustee 3.0 3.5 X 2000 0 0 James L Sublett MD Trustee (PARTIAL YEAR) 1.0 3.5 X 2000 0 0 Joe Craig Trustee 1.0 4.5 X 0 2000 0 Judge Denise Clayton Trustee 1.0 3.5 X 2000 0 0 Lee K Garlove Trustee 1.0 3.5 X 2000 0 0 Maria Hampton Trustee 1.0 3.5 X 2000 0 0 Maria L Bouvette Trustee 1.0 3.5 X 2000 0 0 Martha K Heyburn MD Trustee 1.0 3.5 X 2000 0 0 Richard R Ivey Trustee 1.0 3.5 X 2000 0 0 Ronald Lehocky MD Trustee 3.0 3.5 X 2000 0 0 Sue Davis EdD RN Trustee 3.0 3.5 X 2000 0 0 Adam Kempf Sr VP & CFAO 30.0 20.0 X 1418297 0 241646 Michael W Gough Exec VP and COO (partial year) 30.0 20.0 X 3200723 0 16296 Robert B Azar Sr VP Chief Legal Officer/Secretary 30.0 20.0 X 1125537 0 176992 Charlotte Ipsan Senior VP & Chief Hospital Officer 21.0 29.0 X 1044527 0 185407 Douglas Winkelhake Sys VP Norton Neurology Institute tho 50.0 0 X 942990 0 170319 James Frazier MD Sys VP & Chief Medical Office 50.0 0 X 864617 0 152220 Jim Meyers Sys VP, Revenue Cycle 50.0 0 X 610820 0 120479 John Hammond Senior VP & Chief Human Resources Officer 50.0 0 X 719020 0 149007 Kimberly Tharp-Barrie Sr VP, CNO 50.0 0 X 801010 0 149505 Laura Chandler SRVP Administration & Governance and Chief of Staff 50.0 0 X 494326 0 1075 Mark Kircher Division VP, Finance 50.0 0 X 538726 0 103368 Mary Lynn Meyer Sr VP WCCP/ CDO 32.0 18.0 X 536938 254712 128645 Renee Murphy Sr VP, Chief Marketing & Communications Officer 50.0 0 X 707522 0 119308 Scott Watkins Senior VP & Chief Integration and Performance Officer 49.0 1.0 X 851210 0 180750 Shelley Gast Senior VP & Chief Revenue Officer 50.0 0 X 631613 0 106182 Steve Ready Sr VP & CIO 50.0 0 X 1083319 0 213455 Steven Heilman MD Sys VP & Chief Medical Information Officer 50.0 0 X 801186 0 144189 Steven Hester MD Senior VP & Chief Clinical and Strategy Office 50.0 0 X 1641761 0 307880 Tammy McClanahan SYS VP Cancer & Hospital Outpatient Service Line 50.0 0 X 490139 0 105610 Vanessa Garrett SYS VP Chief Audit, Compliance & Privacy Officer 50.0 0 X 485902 0 101476 Andrew McCarthy Sys VP, Facilities Management 50.0 0 X 590016 0 107655 Helena Schulz Sys VP, Treasurer 50.0 0 X 500763 0 99024 Mark McDonald Sys VP Pediatric Medical Affairs 50.0 0 X 624887 0 3681 Mark Moussette Sys VP, Chief Technology Officer 50.0 0 X 505162 0 99264 Stephen Wyatt MD Chief Research Executive 50.0 0 X 598075 0 33911 25474740 256712 3699528 924 true true false Impact Advisors LLC PO Box 735842 Chicago IL 60673 Consulting 11468632 Technical Youth LLC PO Box 201265 Dallas TX 75320 Consulting 9318191 Firstsource Solutions USA LLC 10400 Linn Station Rd Suite 100 Louisville KY 40223 Patient Financial Services 7848273 The CSI Companies Inc PO Box 890841 Charlotte NC 282890841 Consulting 7725448 Allegis Group Holdings Inc PO Box 198568 Atlanta GA 303848568 Contract Labor 6290311 113 4670810 4670810 Management fees 900099 494751799 494751799 Net Patient Revenue 621999 77472124 77472124 Clinical Research Trials 541715 19864266 19864266 Education Programs 624190 203798 203798 0 0 0 0 592291987 89502552 90515950 -1013398 4642390 4642390 0 0 479471296 461205974 18265322 0 18265322 18265322 0 Insurance Reimbursement 621999 7500000 7500000 FEMA Reimbursement 921190 31006077 31006077 FICA Reimbursement 921190 6025646 6025646 5460842 5141720 319122 0 49992565 759365626 755389092 -694276 0 X 51166237 51166237 211595 211595 25833050 13453657 12379393 0 1221174 1037998 183176 236080289 202547219 33533070 12441878 10575596 1866282 29087589 24724451 4363138 18316419 15568956 2747463 5288773 4495457 793316 909996 773496 136500 132000 112200 19800 7228097 7228097 104181232 88554047 15627185 0 6110545 5193963 916582 5695595 4841256 854339 10869468 9239048 1630420 989846 841369 148477 42443088 36076625 6366463 26371030 22415375 3955655 14906229 12669295 2236934 Equipment Rental and Repair 94773427 80557413 14216014 Pharmacy Drugs 71935978 61145581 10790397 Sponsorship 2578688 2160146 418542 Bad Debt 1275979 1084582 191397 -35578255 -36607980 1029725 0 734469947 620065679 114404268 0 181090199 34508695 60991240 162822344 0 0 45027129 62933335 0 0 0 0 5423861 6625970 76587219 88514822 390485662 290304332 108882982 100181330 1218987918 1402548141 623750070 629565881 21775973 21775973 60862978 94920278 2403379569 2604396769 268537578 323720421 8391701 6510566 1584870046 1534891636 0 0 333990056 465962482 2195789381 2331085105 X 198579847 264770907 9010341 8540757 207590188 273311664 2403379569 2604396769 X 24895679 35810688 0 5015109 X false true true true true X X 6 NORTON HOSPITALS INC 610703799 3 true 0 2875517394 COMMUNITY MEDICAL ASSOCIATES INC 611276316 9 false 0 661606058 NORTON HEALTHCARE FOUNDATION INC 310914919 7 false 0 923212 THE CHILDREN'S HOSPITAL FOUNDATION INC 616027530 7 false 0 26321925 Norton Healthcare - Indiana Inc 850513259 3 false 0 95445923 NORTON KING'S DAUGHTERS' HEALTH INC 350895832 3 false 0 24985992 6 0 3684800504 false false false false false true false false false false false false false false false false Schedule A, Part I, Line 12g(vi) Type of other support Other support includes administration overhead and direct support of operations for all supported organizations. Schedule A, Part IV, Section A, Line 1 Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc. and the other four 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 organization that are operated to promote the general health of the community in conjunction with Norton Hospitals. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Norton Hospitals, Inc. is named as supported organizations in the Articles of Incorporation of Norton Healthcare, Inc., and the other five supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals. Schedule A, Part IV, Section C, Line 1 Majority director detail As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same President/Chief Executive Officer, Chief Legal Officer, Executive Vice President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 132000 132000 false Schedule C, Part II-B, Line 1 Description of the activities reported on lines 1A through 1i Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Rotunda Group LLC totaling $132,000. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Employees and contractors of Norton Healthcare, Inc. are engaged at the state level to lobby the Executive and Legislative branch of Kentucky and Indiana state government 2524221 2524221 37491171 1038072 36453099 347380032 289266260 58113772 3090238 3090238 100181330 Closely-held equity interests Financial derivatives ALTERNATIVE INVESTMENTS MASTER TRUST UNITS 358251720 F REAL ESTATE MASTER TRUST UNITS 108731682 F Private Equity Master Trust 162582479 F 629565881 Federal Income Taxes PAYABLE TO AFFILIATES 205819546 SELF INSURANCE TRUST 99813050 OTHER LIABILITIES 29515269 OTHER INSURANCE 3311049 Pension 38983935 457(b) plan liabilities 88519633 465962482 0 0 0 0 0 0 0 0 0 0 0 0 Central America and the Caribbean 0 0 Investments 401643503 Europe (Including Iceland and Greenland) 0 0 Investments 48815329 0 0 0 0 0 0 450458832 0 450458832 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual true Norton WLH Real Estate Inc 224 E Broadway Suite 500 Louisville KY 40202 331241700 501(c)(3) 49111429 49111429 FMV Building HOSPITAL BUILDING JEFFERSON PUBLIC SCHOOL PO BOX 34020 LOUISVILLE KY 40232 616001316 GOV 510000 Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing. UNIVERSITY OF KENTUCKYPHARM 800 ROSE ST RM H213 LEXINGTON KY 40508 616001218 GOV 200000 Support University Pharmacy college programs and support UK leadership program for annual graduate student scholarship Bellarmine University 2001 NEWBURG RD LOUISVILLE KY 40205 610482955 501(c)(3) 150000 General program support for student education Hanover College 517 BALL DR HANOVER IN 47243 350868096 501(c)(3) 75000 Clinical services and financial support of Sports Med LEADERSHIP LOUISVILLE FOUNDATION 707 W MAIN ST LOUISVILLE KY 40202 310958491 501(c)(3) 57350 Support for leadership development program Christian Academy of Lou 700 SOUTH ENGLISH STATION RD LOUISVILLE KY 40245 610907309 501(c)(3) 55000 Athletic training services NCSL-NATL Conference State Legislation 7700 E FIRST PL DENVER CO 80230 840772595 GOV 50000 NCSL Legislative Summit Louisville, Kentucky 2024 Habitat for Humanity 1620 BANK ST LOUISVILLE KY 40203 581735528 501(c)(3) 50000 Funding for a home build project METRO UNITED WAY OF KENTUCKY DEPT 52860 PO BOX 950148 LOUISVILLE KY 40295 610444680 501(c)(3) 50000 Support the engagement of the community to give, advocate and volunteer Christian Academy of IND 1000 ACADEMY DR NEW ALBANY IN 47150 061686237 501(c)(3) 45000 Athletic training services Louisville Chamber of Commerce 101 SOUTH 5th STREET LOUISVILLE KY 40202 610434089 501(c)(6) 41500 2024 GLIDE & Capitol Connection Sponsorships Catholic Education Foundation 401 West main Street Suite 806 Louisville KY 40202 611294640 501(c)(3) 37000 Supporting the growth and vitality of Catholic parishes and schools in the Archdiocese of Louisville, Kentucky WHAS CRUSADE FOR CHILDREN INC 520 W CHESTNUT ST LOUISVILLE KY 40202 237075524 501(c)(3) 35000 Supporting children in community Community Medical Associates Inc 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611276316 501(C)(3) 34058 Support of a nurse practitioner for the Bellarmine student health clinic and support local public schools for telemedicine services FUND FOR THE ARTS 623 W MAIN ST LOUISVILLE KY 40202 610479626 501(c)(3) 32500 Supporting the arts Mercy Academy 5801 FEGENBUSH LN LOUISVILLE KY 40228 611116388 501(c)(3) 30000 Athletic training services Sacred Heart Schools 3115 LEXINGTON RD LOUISVILLE KY 40206 611181710 501(c)(3) 30000 Athletic training services KY Country Day 4100 SPRING DRIVE LOUISVILLE KY 40205 610731998 501(c)(3) 30000 Athletic training services ASSUMPTION HIGH SCHOOL 2170 TYLER LN LOUISVILLE KY 40205 611133759 501(c)(3) 30000 Athletic training services Louisville Downtown Partnership 315 GUTHRIE ST STE 300 LOUISVILLE KY 40202 310992627 501(c)(3) 30000 Supporting Safety, cleanlinee and safety programs for the Downtown Louisville area redevelopment and planning for downtown district One Southern Indiana 4100 CHARLESTOWN RD NEW ALBANY IN 47150 204176026 501(c)(6) 30000 Economic Development Support INDIANA UNIVERSITY 4201 GRANTLINE RD NEW ALBANY IN 47150 356001673 GOV 30000 Athletic training services GREATER LOUISVILLE SPORTS COMM 401 W MAIN ST STE 2200 LOUISVILLE KY 40202 611365860 501(c)(3) 25000 Title Sponsorship 2023 Norton Sports Health 4Miler BIG BROTHERS BIG SISTERS OF KENTUCKIANA 1519 GARDINER LN STE B LOUISVILLE KY 40218 616057856 501(c)(3) 22500 Support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors KENTUCKY PHYSICIANS HLTH FOUND 9000 WESSEX PL STE 305 LOUISVILLE KY 40222 611242062 501(c)(3) 22000 Support identification, evaluation, treatment reentry and advocacy for professionals and students attending medical school. THE COMM FDTN OF LOUISVILLE IN 325 W MAIN ST 1110 LOUISVILLE KY 40202 310997017 501(c)(3) 20000 Mobilizing people, networks, and capital to spark change in and beyond Louisville American Cancer Society PO BOX 681405 INDIANAPOLIS IN 46268 131788491 501(c)(3) 19500 Support elimination of cancer Alliance of Cummunity Hospices & Pallative Care 6200 DUTCHMANS LN STE 102 LOUISVILLE KY 40205 610921718 501(c)(3) 17500 Kourageous Kids/DWOSIS Sponsorship Friend for Life Cancer support 4003 Kresge Way LOUISVILLE KY 40207 611139410 501(c)(3) 15000 Supporting emotional support for people facing cancer The Healing Place 1020 W MARKET ST LOUISVILLE KY 40202 611164775 501(c)(3) 15000 Support services to men and women in detoxification and shelter programs. JUNIOR ACHIEVEMENT 1401 W MUHAMMAD ALI BLVD LOUISVILLE KY 40203 610476694 501(c)(3) 11700 Sponsorship and Dues empowers today's youth to succeed through k-12 programming, including work readiness, entrepreneurship, and financial literacy. AMERICAN LUNG ASSOCIATION 10168 LINN STATION RD STE 100 LOUISVILLE KY 40223 131632521 501(c)(3) 10000 Improving lung health and preventing lung disease through education, advocacy and research TELUGU ASSOC of KY 18725 WEATHERFORD CIR LOUISVILLE KY 40245 030528530 501(c)(3) 10000 Support of telugu people in the community MOLO Village CDC PO BOX 2846 LOUISVILLE KY 40201 275347893 501(c)(3) 10000 Support culture and youth, in Louisville's Russell neighborhood. Brain Injury Alliance of KY 7321 NEW LAGRANGE RD STE 100 LOUISVILLE KY 40222 611128496 501(c)(3) 10000 Support critical initiatives aimed at outreach, prevention, education, and continued care for individuals affected by traumatic brain injuries SPINA BIFIDA ASSOCIATION OF KY 982 EASTERN PKWY BOX 18 LOUISVILLE KY 40217 311081176 501(c)(3) 10000 Direct Program Support pediatric programs to help individuals with spina bifida National Multiple Sclerosis 1201 STORY AVE STE 200 LOUISVILLE KY 40206 135661935 501(c)(3) 10000 Support education and resources related to multiple sclerosis Neighborhood House 201 N 25TH ST LOUISVILLE KY 40212 610445842 501(c)(3) 10000 Support children and families Young Adult Development 800 S PRESTON ST LOUISVILLE KY 40203 611374470 501(c)(3) 10000 Support offering education, job, training and leadership programs to low-income youth and young adults KENTUCKY DANCE COUNCIL INC 315 E MAIN ST LOUISVILLE KY 40202 616033779 501(c)(3) 10000 Louisville Ballet supporting arts Hildegard House PO BOX 5613 LOUISVILLE KY 40255 465555742 501(c)(3) 10000 Support end of life care for individuals without housing. Leukemia and Lymphoma Society 1201 15th Street N W Suite 410 Washington DC 20005 135644916 501(c)(3) 10000 Support to change lives with better blood cancer treatment, access, and care MARCH OF DIMES FOUNDATION DONATIONS PROCESSING CENTER Atlanta GA 30305 131846366 501(c)(3) 9000 Outreach, education and support for families with premature babies JDRF Int PO BOX 6810 HAGERSTOWN MD 21741 231907729 501(c)(3) 9000 Pearl Sponsorhsip GILDA'S CLUB KENTUCKIANA 2440 GRINSTEAD DR LOUISVILLE KY 40204 201635170 501(c)(3) 9000 Supporting uplifting and strengthening people impacted by cancer by providing support, fostering compassionate communities, and breaking down barriers to care. AMERICAN RED CROSS 520 E CHESTNUT LOUISVILLE KY 40202 530196605 501(c)(3) 8000 Supporting lifesaving mission and raising funds to support programs and services KY Pride Foundation PO BOX 32216 LOUISVILLE KY 40232 262217567 501(c)(3) 8000 Support inclusion and unity for all Amplify 819 E market Street Suite 201 Louisville KY 40206 834402051 501(c)(3) 8000 Derby Pitch Event Shively Area Ministries 4415 DIXIE HWY LOUISVILLE KY 40216 611134579 501(c)(3) 7500 Program support funding medical and housing emergency assistance Epilepsy Foundation KY 982 EASTERN PARKWAY LOUISVILLE KY 40217 611314540 501(c)(3) 7500 Support individuals and their loved ones/caregivers affected by epilespy CHOOSE WELL COMMUNITIES INC PO Box 2906 LOUISVILLE KY 40201 472822055 501(c)(3) 7500 Direct support to families navigating fragmented health and social services systems KY & Southern IN Stroke Assoc 3425 STONY SPRING CIR 102 LOUISVILLE KY 40220 611335267 501(c)(3) 7200 Support the prevention of stroke through education and awareness National Kidney FND of KY 12468 LAGRANGE RD 207 LOUISVILLE KY 40245 610673518 501(c)(3) 7000 Supporting americans with kidney disease SOS International 1500 ARLINGTON AVE LOUISVILLE KY 40206 272624272 501(c)(3) 6700 Support partners with hospitals and other medical institutions to recover surplus medical supplies Cerebral Palsy Kids Center 982 Eastern parkway Louisville KY 40217 610492378 501(c)(3) 6700 Program Support to improve and innovate, providing most appropriate and current therapeautic interventions Kids Cancer Alliance PO BOX 24337 LOUISVILLE KY 40224 611256743 501(c)(3) 6700 Support pediatric cancer patients UP for Women and Children 425 2nd St LOUISVILLE KY 40202 823049204 501(c)(3) 6700 Community Initiatives helping women and children experiencing homelessness CENTER FOR WOMEN AND FAMILIES PO BOX 2048 LOUISVILLE KY 40201 610444846 501(c)(3) 6500 Supporting survivors of intimate partner and sexual assualt LEADERSHIP SOUTHERN INDIANA 8204 HWY 311 SELLERSBURG IN 47172 351644080 501(c)(3) 6200 Support for leadership development program Cystic Fibrosis Foundation 4550 Montgomery Ave Suite 1100N BETHESDA MD 20814 131930701 501(c)(3) 5700 Supporting patients and families affected by cystic fibrosis Leadership of Kentuckiana 464 CHENAULT RD FRANKFORT KY 40601 311096215 501(c)(3) 5700 General donation to sustain LKY programs St Elizabeth Catholic Charities 702 E Market St NEW ALBANY IN 47150 351827682 501(c)(3) 5600 General education support 61 2 Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances 93 211595 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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. X true true X X X X true true false false false false false true false Russell F Cox President & CEO/Trustee 1857038 0 953295 0 823321 0 449244 0 32940 0 4115838 0 124221 0 Robert B Azar Sr VP Chief Legal Officer/Secretary 692567 0 303986 0 128984 0 162205 0 14787 0 1302529 0 0 0 Michael W Gough Exec VP and COO (partial year) 719698 0 554516 0 1926509 0 0 0 16296 0 3217019 0 1734253 0 Adam Kempf Sr VP & CFAO 925300 0 363283 0 129714 0 212195 0 29451 0 1659943 0 0 0 Laura Chandler SRVP Administration & Governance and Chief of Staff 310857 0 133593 0 49876 0 0 0 1075 0 495401 0 0 0 James Frazier MD Sys VP & Chief Medical Office 593096 0 188669 0 82852 0 120753 0 31467 0 1016837 0 0 0 Vanessa Garrett SYS VP Chief Audit, Compliance & Privacy Officer 401771 0 33753 0 50378 0 75775 0 25701 0 587378 0 0 0 Shelley Gast Senior VP & Chief Revenue Officer 448997 0 122318 0 60298 0 85967 0 20215 0 737795 0 0 0 John Hammond Senior VP & Chief Human Resources Officer 496738 0 197872 0 24410 0 112599 0 36408 0 868027 0 0 0 Steven Heilman MD Sys VP & Chief Medical Information Officer 480459 0 227609 0 93118 0 113028 0 31161 0 945375 0 0 0 Steven Hester MD Senior VP & Chief Clinical and Strategy Office 1049339 0 444885 0 147537 0 276350 0 31530 0 1949641 0 0 0 Charlotte Ipsan Senior VP & Chief Hospital Officer 582608 0 236341 0 225578 0 156081 0 29326 0 1229934 0 0 0 Mark Kircher Division VP, Finance 361847 0 98356 0 78523 0 78725 0 24643 0 642094 0 6826 0 Tammy McClanahan SYS VP Cancer & Hospital Outpatient Service Line 328400 0 108163 0 53576 0 88840 0 16770 0 595749 0 0 0 Mary Lynn Meyer Sr VP WCCP/ CDO 271969 221314 214873 0 50096 33398 51061 76592 397 595 588396 331899 0 0 Jim Meyers Sys VP, Revenue Cycle 419438 0 129720 0 61662 0 90554 0 29925 0 731299 0 0 0 Renee Murphy Sr VP, Chief Marketing & Communications Officer 467364 0 180736 0 59422 0 92292 0 27016 0 826830 0 0 0 Steve Ready Sr VP & CIO 674661 0 300209 0 108449 0 183116 0 30339 0 1296774 0 0 0 Kimberly Tharp-Barrie Sr VP, CNO 498819 0 206220 0 95971 0 124592 0 24913 0 950515 0 0 0 Scott Watkins Senior VP & Chief Integration and Performance Officer 520111 0 231965 0 99134 0 149446 0 31304 0 1031960 0 0 0 Douglas Winkelhake Sys VP Norton Neurology Institute tho 522890 0 294415 0 125685 0 142678 0 27641 0 1113309 0 0 0 Andrew McCarthy Sys VP, Facilities Management 420688 0 111907 0 57421 0 78285 0 29370 0 697671 0 0 0 Mark McDonald Sys VP Pediatric Medical Affairs 495289 0 112465 0 17133 0 0 0 3681 0 628568 0 0 0 Mark Moussette Sys VP, Chief Technology Officer 343278 0 105653 0 56231 0 71776 0 27488 0 604426 0 0 0 Helena Schulz Sys VP, Treasurer 334678 0 111166 0 54919 0 78424 0 20600 0 599787 0 0 0 Stephen Wyatt MD Chief Research Executive 474544 0 106884 0 16647 0 29102 0 4809 0 631986 0 11313 0 Schedule J, Part I, Line 1a Discretionary spending account DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, Inc. 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 2024: Russell F. Cox Michael G. Gough Steven Hester Adam Kempf Robert B. Azar Steve Ready Charlotte Ipsan Douglas Winkelhake Scott Watkins James Frazier Mary Lynn Meyer Kimberl Tharp-Barrie Steve Heilman John Hammond Renee Murphy Shelly Gast Jim Meyers Andrew McCarthy Mark Kircher Mark McDonald Mark Moussette Helena Schulz Tammy McClanahan Vanessa Garrett Laura Chandler Schedule J, Part I, Line 4a Severance or change-of-control payment Severance payment was received during 2024 for Former Key Employee, Gladys Abarca-Lopez in the amount of $225,464. Other compensation included in Schedule J Column B(iii) Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $410,065 Michael W. Gough - $219,544 Steven Hester - $241,348 Adam Kempf - $187,984 Robert Azar - $136,740 Steve Ready - $146,558 Charlotte Ipsan - $121,249 Douglas Winkelhake - $100,351 Scott Watkins - $107,813 James Frazier - $99,013 Mary Lynn Meyer - $91,801 Kimberly Tharp-Barrie - $92,733 Steven Heilman - $91,282 John Hammond - $92,682 Renee Murphy - $75,042 Shelly Gast - $63,669 Jim Meyers - $64,571 Andrew McCarthy - $57,585 Mark Kircher - $52,080 Stephen Wyatt - $11,852 Mark Moussette - $48,179 Helena Schulz - $47,698 Tammy McClanahan - $48,197 Vanessa Garrett - $55,075 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2024 AND CAN BE COMPRISED OF CURRENT AND OR PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $251,451 Michael W. Gough - $206,074 Steven Hester - $122,835 Adam Kempf - $107,772 Robert Azar - $96,040 Steve Ready - $87,707 Charlotte Ipsan - $195,331 Douglas Winkelhake - $104,965 Scott Watkins - $74,635 James Frazier - $66,369 Mary Lynn Meyer - $57,633 Kimberly Tharp-Barrie - $68,604 Steven Heilman - $72,668 Renee Murphy - $42,215 Shelly Gast - $43,580 Jim Meyers - $46,489 Andrew McCarthy - $39,966 Mark Kircher - $44,078 Mark Moussette - $42,667 Helena Schulz - $41,310 Tammy McClanahan - $36,944 Vanessa Garrett - $35,567 Laura Chandler - $30,971 Gladys Abarca-Lopez - $92,640 Schedule J, Part I, Line 7 Non-fixed payments In 2024, Norton Healthcare, Inc. (NHC) had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval. A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAL8 2011-08-10 75000000 SEE SUPPLEMENTAL INFORMATION false false false B LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAW4 2013-09-26 200000887 SEE SUPPLEMENTAL INFORMATION false false false C LouisvilleJefferson County Metro Government 320049006 54659LBV5 2016-08-11 612775838 SEE SUPPLEMENTAL INFORMATION false false false D LouisvilleJefferson County Metro Government 320049006 54659LCE2 2020-03-10 478988828 SEE SUPPLEMENTAL INFORMATION false false false A 12030000 0 75000300 0 0 0 953000 2000 0 74045259 41 0 2011 false false true true B 154580000 0 200060571 0 0 0 0 0 31048 200029523 0 0 2014 false false true true C 45285000 0 616547762 0 2490756 0 0 0 4580985 300912044 308563977 0 2019 true false true true D 125000000 0 479492394 0 0 0 0 0 35022965 444469429 2023 false false true true A false true true true true true 0.0211 0.0 0.0211 false false 0 false true B false true true true true true 0.0087 0.0 0.0087 false false 0 false true C false true true true true true 0.0076 0.0 0.0076 false false 0 false true D false true true true true true 0.0091 0.0 0.0091 false false 0 false true A false false false true true false 0 false false false NONE 0 false false true B false false false true true false 0 false false false NONE 0 false false true C false false false true false false 0 false false false 0 false false true D false true false false false false 0 false false false 0 false false true A true B true C true D true Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - ISSUER NAME ROW A: 2011AB BOND ISSUES - 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) DESCRIPTION OF PURPOSE - ISSUER NAME ROW B: 2013AC BOND ISSUES - 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 I, Column (f) DESCRIPTION OF PURPOSE - ISSUER NAME ROW C: 2016A BOND ISSUE - 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) DESCRIPTION OF PURPOSE - ISSUER NAME ROW D: 2020ABCD BOND ISSUES - TO PAY OR REIMBURSE THE CORPORATION FOR THE COST OF (i) various projects consisting of the construction, planning, renovation, expansion, equipping and acquiring patient care related projects and/or equipment related to the Corporation including but not limited to, the expansion of Norton Brownsboro Hospital, the purchase of a pediatric medical office building in Louisville, Kentucky, master plan improvements at the downtown campus, renovations and improvements at the System's campuses and improvements supporting various service lines. (ii) to fund interest on all or a portion of the Bonds during the construction of the New Money Project Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - ISSUER NAME ROW A2: 2022 BOND ISSUE - The Bonds are being issued to (i) acquire an acute care hospital and a community and medical arts center located in Madison, Indiana (the "Project") via the refinancing of all of the Indiana Finance Authority Hospital Revenue Bonds, Series 2010 (The King's Daughters' Hospital and Health Services) (the "Refinanced Bonds"), which were used for the purpose of financing costs of the acquisition, construction, renovation and equipping of the Project on behalf of Norton-King's Daughters' Health, Inc. (Formerly, The Bethany Circle of King's Daughters' of Madison, Indiana, Inc.), a nonprofit corporation organized under the laws of the State of Indiana ("KDH"), and (ii) pay certain expenses incurred in connection with the issuance of the Bonds by the Issuer. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - ISSUER NAME ROW B2: 2023AB BOND ISSUES: The Bonds are being issued to (i) refund on a current basis all of the Issuer's Health System Revenue Bonds, Series 2013A (Norton Healthcare, Inc.) (the "Series 2013A Bonds"), currently outstanding in the aggregate principal amount of $154,580,000, (ii) refund on a current basis all of the Issuer's Health System Revenue Bonds (Norton Healthcare, Inc.), Series 2020B (the "Series 2020B Bonds together with the Series 2013A Bonds, the "Prior Bonds"), currently outstanding in the aggregate principal amount of $125,000,000, and (iii) pay certain costs of issuing the Bonds. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE - ISSUER NAME ROW C2: 2023CD BOND ISSUES: being used to pay or reimburse the Obligated Group Members and/or their Affiliates for the costs of the acquisition, construction, improvement, renovation and equipping of hospital and other health care and support facilities owned and/or operated by the Obligated Group Members and their affiliates, including but not limited to, the construction of the Norton West Louisville Hospital, the purchase or renovation of medical office and administrative buildings, the costs of information technology software integration, renovations and expansions of the System's Louisville area ambulatory care sites, and the purchase of certain hospital equipment. Schedule K, Part II, Line 1 AMOUNT OF BONDS RETIRED COLUMN B2: 2023A BOND ISSUE - WITH THE ISSUANCE OF THE 2023A BOND ISSUANCE THE 2013A BONDS WERE REFUNDED IN FULL FOR AN ORIGINAL ISSUANCE PRICE OF $154,580,000 Schedule K, Part II, Line 1 AMOUNT OF BONDS RETIRED COLUMN C2: 2023B 2ND BOND ISSUE - WITH THE ISSUANCE OF THE 2023B BOND ISSUANCE THE 2020B THREE YEAR PUT BONDS WERE REFUNDED FOR AN ORIGINAL ISSUANCE PRICE OF $125,000,000 Schedule K, Part IV, Line 2c ARBITRAGE REBATE COLUMN D: 2020ACD BOND ISSUES: NEXT REBATE CALCULATION NOT DUE UNTIL 2025. Schedule K, Part IV, Line 2c ARBITRAGE REBATE COLUMN A2: 2022 BOND ISSUE: NEXT REBATE CALCULATION NOT DUE UNTIL 2027. Schedule K, Part IV, Line 2c ARBITRAGE REBATE COLUMN B2: 2023AB BOND ISSUES: NEXT REBATE CALCULATION NOT DUE UNTIL 2028. Schedule K, Part IV, Line 2c ARBITRAGE REBATE COLUMN C2: 2023CD BOND ISSUES. NEXT REBATE CALCULATION NOT DUE UNTIL 2028. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN A: 2011AB BOND ISSUES - 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. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN B: 2013AC BOND ISSUES - 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. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN C: 2016A BOND ISSUE - 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 II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN D: 2020ABCD BOND ISSUES - DIFFERENCE BETWEEN SERIES 2020 ISSUE PRICE (ISSUE DATE 3/10/20) AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN A2: 2022 BOND ISSUE - DIFFERENCE BETWEEN SERIES 2022 ISSUE PRICE (ISSUE DATE 3/3/22) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 DOES NOT EQUAL ISSUANCE COSTS FROM PROCEEDS PART II, LINE 7, PLUS CAPITAL EXPENDITURES FROM PROCEEDS, PART II, LINE 10 BECAUSE OTHER SPENT PROCEEDS, PART II, LINE 11 WERE USED TO REFINANCE ALL OF THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2010 (THE KING'S DAUGHTERS' HOSPITAL AND HEALTH SERVICES) (THE "REFINANCED BONDS") IN PART II, LINE 11. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN B2: 2023AB BOND ISSUES - DIFFERENCE BETWEEN SERIES 2023A/B ISSUE PRICE (ISSUE DATE 8/3/23) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE COLUMN C2: 2023CD BOND ISSUES - DIFFERENCE BETWEEN SERIES 2023CD ISSUE PRICE (ISSUE DATE 8/3/23) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN B: 2013AC BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2013AC 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 II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN C: 2016A BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2016A 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 II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D: 2020ABCD BOND ISSUES - ALL ISSUANCE COSTS FOR THE 2020ABCD 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 3 IS BOND ISSUE VARIABLE RATE ISSUE COLUMN A: 2011AB BOND ISSUES. BOTH ISSUES ARE VARIABLE RATE ISSUANCES. Schedule K, Part IV, Line 3 IS BOND ISSUE VARIABLE RATE ISSUE COLUMN B: 2013AC BOND ISSUES - 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 IV, Line 3 IS BOND ISSUE VARIABLE RATE ISSUE COLUMN D: 2020ABCD 2020A BOND ISSUE IS FIXED RATE DEBT AND 2020BCD BOND ISSUES ARE PUT BONDS. Schedule K, Part IV, Line 3 IS BOND ISSUE VARIABLE RATE ISSUE COLUMN C2: 2023CD BOND ISSUES. BOTH ISSUES ARE VARIABLE RATE ISSUANCES. 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 08/10/2021 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 09/26/2023 Schedule K, Part IV, Line 2c COLUMN C Issuer name: Louisville/Jefferson County Metro Government The calculation for computing no rebate due was performed on 08/10/2021 A Indiana Finance Authority 351602316 000000000 2022-03-03 82810000 SEE SUPPLEMENTAL INFORMATION false false false B LouisvilleJefferson County Metro Government 320049006 54659LDB7 2023-08-03 285869774 SEE SUPPLEMENTAL INFORMATION false false false C LouisvilleJefferson County Metro Government 320049006 54659LDE1 2023-08-03 166135000 SEE SUPPLEMENTAL INFORMATION false false false A 15105000 0 82810000 0 0 0 586527 0 0 0 82223473 0 2022 true false true true B 1160000 0 288522284 0 0 0 1293779 0 1358731 0 285869774 0 true false true true C 0 0 169494905 0 0 0 307548 0 0 138385680 0 30801677 false false false true A false true true true true true 0.0 0.0 0.0 false false 0 false true B false true true true true true 0.0 0.0 0.0 false false 0 false true C false true true true true true 0.0125 0.0 0.0125 false false 0 false true A false true false false false false 0 false false false 0 false false true B false true false false false false 0 false false true PROVIDER FOR GUARANTEED INVESTMENT CONTRACT (GIC)- COLUMN B 2023AB BOND ISS UANCES The Toronto-Dominion Bank 12.4167 true false true C false true false false true false 0 false false false 0 false false true A true B true C true Cindy DiGenova Family member of Shelley Gast, Key Employee 187677 Compensation false Kaycee Nickell Family member of Kimberly Tharp-Barrie, Key Employee 185896 Compensation false Erin Frazier Family member of James Frazier, Key Employee 179838 Compensation false Tiffany Rieser Heilman Family member of Steve Heilman, Key Employee 148255 Compensation false Brandon Freiberger Family member of Charlotte Ipsan, Key Employee 103423 Compensation false Jessica Lloyd Family member of Adam Kempf, Officer 92828 Compensation false Jeffrey Nickell Family member of Kimberly Tharp-Barrie, Key Employee 92509 Compensation false Henry Winkelhake Family member of Doug Winkelhake, Key Employee 73506 Compensation false Delaney Vittitoe Family member of Tammy McClanahan, Key Employee 73250 Compensation false Craig Kircher family member of Mark Kircher, Key Employee 58030 Compensation false Justin Garrett Family member of Vanessa Garrett, Key Employee 25962 Compensation false Form 990, Part III, Line 4a Program Service Accomplishment #2 In 2024, Norton Healthcare, through its affiliates, Norton Hospitals Inc. and Norton Healthcare - Indiana Inc., had a total of 2,254 licensed beds: Norton Audubon Hospital, 432 beds; Norton Brownsboro Hospital, 197 beds; Norton Children's Hospital, 300 beds; Norton Hospital, 585 beds; Norton West Louisville Hospital, 20 beds; Norton Women's & Children's Hospital, 373 beds; Norton Kings' Daughters' Health, 86 beds; Norton Clark Hospital, 236 beds; Norton Scott Hospital, 25 beds. These nine hospitals operate 24 hours a day, seven days a week. Norton Pharmacies PLLC, a disregarded entity of Norton Healthcare Inc., operates five retail pharmacies and one specialty pharmacy that dispense medications for the convenience of Norton Healthcare's patients and employees. In 2024, Norton Healthcare, through its affiliate, Community Medical Associates Inc., had approximately 3.7 million patient encounters. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 82,503 inpatients and 916,733 outpatients, and saw 335,785 emergency department patients. In addition, Norton Healthcare hospitals' operating rooms cared for 19,157 inpatient surgical patients and 48,059 outpatient surgical patients. Additionally, 9,439 babies were delivered at Norton Healthcare birthing facilities. Norton Healthcare's commitment to the community Norton Healthcare is committed to improving the health of our community and provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2024, under its charity care program, Norton Healthcare provided free care to 11,860 patients at a cost of $15.7 million. Norton Healthcare also grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 17,715 patients were provided care at discounted rates. Another contribution to the community was educational support of $98.3 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $49.7 million, and contributions to community groups were $2.2 million. Norton Healthcare employees donated more than 231,000 hours of community service, a benefit valued at more than $1.6 million in salaries. In addition, many employees self-reported personal volunteer activities. Contributions to the community Norton Healthcare employees and physicians gave $807,239.90 in the 2024-2025 Combined Giving Campaign to help support nonprofit organizations that also are committed to improving the health and well-being of community residents. Supported organizations include WHAS Crusade for Children, Metro United Way, Fund for the Arts, and our own Norton Children's Hospital Foundation and Norton Healthcare Foundation. In 2024, 115 employees helped "raise the roof" on Norton Healthcare's 19th Habitat for Humanity home at 765 John Little St. in Louisville, Kentucky. In 2024, an estimated 1,250 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 745 employees and their 1,609 children by providing for their families at Christmas. Norton West Louisville Hospital expanded service in the metro Louisville area. Between Nov. 11, 2024, and December 31, 2025, there were 2,574 emergency department visits. Between Nov. 11, 2024, and December 31, 2024, there were 62 patients admitted to the hospital and 29 outpatient surgeries performed. Belonging & Health Equity Norton Healthcare supports, advises and advocates for our patients, and employees to create a more inclusive environment that reflects our mission, vision, and values. By focusing on psychological safety, intersectionality, and diversity of thought, Norton strives to create an atmosphere where our patients staffs' authenticity is accepted regardless of a person's: * Age * Disability * Gender identity * National origin * Race * Religion * Sexual orientation Workforce development and community education As one of Kentucky's largest health care systems, Norton Healthcare has established a culture of continual, lifelong learning. Opportunities are available through our human resources department's workforce development team and Norton Healthcare Institute for Education & Development. The workforce development team encourages continuing education, offers programs to improve career pathways and provides financial assistance for educational programs, for employees and nonemployees, aimed toward key areas of workforce need within the organization. Norton Healthcare encourages and supports the career goals of employees, their dependents and nonemployees by providing tuition assistance and scholarships, as well as other advancement opportunities. Established in the early 2000s, workforce development has assisted more than 6,000 students with tuition assistance. In 2024, workforce development financially supported over 970 students with over $11.2 million in educational assistance programs. In 2024, the workforce development team provided over 1,500 career coaching sessions to employees and students. Each program participant worked directly with a career coach. Coaches offer services in resume writing, career and education exploration, financial assistance opportunities, and interviewing skills. The Norton Healthcare Scholars Program, a forgivable loan program for employees and nonemployees, provides educational funding to students interested in pursuing health care-related degrees in key areas of workforce need. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 2,800 graduates start or continue their careers with Norton Healthcare. The Student Nurse Apprenticeship Program is a 12- to 18-month apprentice model led by the Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development. Student nurses in the program engage in hands-on learning with an experienced nurse while living the mission of Norton Healthcare. In 2018, Norton Healthcare was one of the founding partners in Jefferson County Public Schools' Academies of Louisville, a strategic pipeline development program established in conjunction with the local public school system. Jefferson County Public Schools created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. Norton Healthcare transformed its summer program and previous high school scholarship offerings into a comprehensive internship program for students who are interested starting their health care pathway. This program continued to operate through all of 2024. In 2019, Norton Healthcare announced a strategic partnership program with UPS and its Metropolitan College program. Norton Healthcare-UPS Health Care Career Tracks provides a two-plus-two method, splitting a four-year bachelor's degree into two parts. This program continued to operate through all of 2024. In 2019, Norton Healthcare also launched the Surgical Technologist Apprenticeship Program and the Respiratory Therapy Apprentice Program, which allow students to work and learn with tuition assistance as they grow their careers with Norton Healthcare. The Medical Assistant Training Program launched in 2020 with a goal of offering internal training programs to produce medical assistants to introduce into the Norton Healthcare workforce. Several apprenticeship cohorts run throughout each year. This program continued to operate through all of 2024. In 2022, Norton Healthcare Center for Nursing Practice, a part of Norton Healthcare Institute for Education & Development, created the student healthcare assistant employment opportunity. College students enrolled in a health care discipline have the opportunity to learn about providing direct patient care while enrolled in their academic program, with emphasis on schedule flexibility and clinical experience. This program continued to operate through all of 2024. Form 990, Part III, Line 4a Program Service Accomplishment #3 Norton Healthcare Institute for Education & Development provides inclusive, forward-thinking learning experiences to enhance both the professional and personal growth of employees and students. With programming that spans from clinical onboarding to executive leadership, the institute ensures team members at every level are equipped to succeed. The institute is structured across six centers, each contributing to Norton Healthcare's strategic priorities around workforce development, clinical readiness and retention. Centers: 1. Center for Allied Health Education - Develops and delivers onboarding, clinical skills training and continuing education for systemwide allied health professionals across diagnostics, respiratory therapy, imaging, pharmacy, lab, and other key services 2. Center for System Nursing & Ancillary Education - Centralizes clinical onboarding and competency education for bedside nurses, nursing support staff and ancillary clinical roles to ensure consistency, quality and clinical preparedness across all facilities 3. Center for Professional Growth - Oversees all leadership development programming, from front-line leader training to the Norton Healthcare Executive Fellowship. Offers tailored tracks, mentoring and coaching to promote internal career mobility and succession planning 4. Center for eLearning & Clinical Documentation Support - Develops and deploys system wide digital learning assets, hybrid education modules and electronic medical record support resources. This team ensures access, usability and consistency in online learning delivery 5. Center for Nurse Residency & Clinical Advancement - Manages the transition-to-practice program for new registered nurses and oversees the clinical ladder program to recognize, retain and develop experienced nurses through professional advancement pathways 6. Center for Nursing Practice - Focusesd on student role development; this center leads: * Student Nurse Apprenticeship Program - This is a 12- to 18-month hybrid experience that develops students across culture, clinical and confidence tiers. * Student healthcare assistant role - For students in health care disciplines, this employment pathway provides flexible, competency-based clinical exposure across 13 disciplines, directly supporting Norton Healthcare's staffing needs. Norton Faith & Health Ministries Norton Faith & Health Ministries partners with faith communities to weave together health and wellness promotion with intentional care of the spirit. Mentoring, educational resources and networking opportunities are provided to assist health ministry coordinators and faith community nurses in their ministry. In 2024, the department engaged in 163 events with faith partners. Initiatives included: * Promoting whole-person health and wellness, providing health education tools, offering health screenings and providing one-on-one health ministry mentoring * Coordinating an annual faith leader conference * Sponsoring health ministry networking programs on Social Security and crimes against older adults, as well as holding a special remembrance lunch for faith partners * Partnering with the Kentucky Heart Disease Stroke Prevention Task Force to provide cardiovascular assessments, risk-reduction information and education on the blood pressure awareness program The department continued to serve as a trusted source for health and wellness information by coordinating subject matter experts and speakers for a variety of health topics. It also distributed electronic correspondence to a network of health ministries, Norton Healthcare employees and more. Pastoral care department The pastoral care department provides spiritual, religious and emotional care and support for patients, families and staff throughout the system, 24 hours a day, seven days a week. Chaplains made more than 33,000 visits to patients and their families in 2024. Chaplains care for people regardless of their religious or spiritual background or beliefs and seek to help them strengthen the emotional, relational and spiritual resources that they have in order to cope and to thrive. One unique aspect of the integration of chaplains into the Norton Healthcare system is in decedent care. When there is a body unclaimed or there is difficulty in locating the next of kin, the chaplains make sure that a dignified disposition is done as soon as possible. Here are other important aspects of chaplain care: * Providing spiritual care, comfort and conversation with patients who are lonely, afraid, conflicted, struggling or celebrating good news * Grief support and facilitation of decision-making at the time of death * Family support for pediatric trauma patients * Conversations about end-of-life decisions and goals of care * Education about advance directives * Offering religious rituals and literature * Discussing ethical dilemmas In addition to caring for patients and families, the chaplains of Norton Healthcare provide care every day to the organization's employees through individual counseling, sharing prayers and other rituals, debriefing stressful events on units, comforting a department when a co-worker dies or blessing a new or renovated unit. Through teaching, committee involvement, ethics consults and many other ways, chaplains are fully integrated into the life of the system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute is a regional leader in cardiovascular disease prevention and treatment. Each year, Norton Heart & Vascular Institute provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. A team of specialists treats patients at Norton Healthcare's adult-service hospitals and numerous diagnostic outpatient and specialty centers throughout the region. Four hospitals are accredited by the American College of Cardiology as Chest Pain Centers. Three of them - Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital - serve as American Heart Association award-winning regional percutaneous coronary intervention (PCI) receiving centers. Norton Audubon Hospital has been recognized year after year with the American College of Cardiology's HeartCare Center: National Distinction of Excellence accreditation. It is the only hospital in Louisville with this distinction. Norton Heart & Vascular Institute offers a nationally recognized advanced heart failure and recovery program, with expertise in the management of end-stage heart failure, mechanical circulatory support implantation and support of patients who require heart transplantation. The Norton Heart & Vascular Institute Heart Rhythm Center provides state-of-the-art monitoring and a comprehensive suite of treatment options for all types of heart arrhythmias. Our experienced team of cardiothoracic and vascular surgeons provides surgical capabilities that include ventricular assist device implantation; minimally invasive treatments for atrial fibrillation, cardiac valve repair and valve replacement; and repair of life-threatening vascular conditions. Vascular surgeons treat the spectrum of arterial and venous disease with both endovascular and open surgical procedures. More information is available at NortonHeartAndVascularInstitute.com. Norton Orthopedic Institute Norton Orthopedic Institute provides advanced orthopedic care for all bones and joints, and for people of all ages. Norton Orthopedic Institute is made up of board-certified physicians - many of whom are fellowship trained - who work together with therapists, physical rehabilitation specialists, primary care physicians, neurologists, certified athletic trainers and other care providers to offer a full range of multidisciplinary orthopedic services. These specialists practice a team approach in the diagnosis, treatment and rehabilitation of bone and joint conditions and injuries. Norton Orthopedic Institute's hip and knee replacement program has been certified as an Orthopedic Center of Excellence by DNV, as meeting guidelines of the American Academy of Orthopedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, Norton Orthopedic Institute offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. More information is available at NortonOrthopedicInstitute.com. Form 990, Part III, Line 4a Program Service Accomplishment #4 Norton Women's Care Norton Women's Care offers a complete range of services with an emphasis on caring for the whole person - mind, body and spirit. Services focus on the health and wellness at all stages of life - adolescence, prepregnancy, pregnancy, motherhood, midlife and beyond. More patients choose Norton Women's Care at Norton Hospital and Norton Women's & Children's Hospital to deliver their babies than any other facility in the region. Specialty services include full gynecologic care; a pelvic health program; obstetrics, including high-risk pregnancy care; cardio-obstetrics; support from certified nurse midwives and doulas; newborn care with access to Level III and IV neonatal intensive care units; cancer prevention and treatment, including a comprehensive breast health program; a dedicated women's heart and vascular care, education and support program; a bone health program addressing osteoporosis, rheumatology and prevention of other orthopedic diseases; and Norton Women's Mental Health Services for evaluation and treatment of issues including depression, premenstrual dysphoric disorder, infertility and menopause. Norton Women's Care also offers a variety of educational wellness programs through the Marshall Women's Health & Education Center on the Norton Healthcare - St. Matthews campus. More information is available at NortonWomensCare.com. In 2024, Norton Women's Care birthing facilities at Norton Hospital, Norton Women's & Children's Hospital and Norton Kings' Daughters' Health provided care and medical services for 9,439 deliveries. In 2023, Norton Women's Care was recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. Norton Prevention & Wellness Norton Prevention & Wellness is supported in part by the Norton Healthcare Foundation, which raises funds exclusively for Norton Healthcare's adult-service hospitals and services. In 2024, Norton Prevention & Wellness staff provided preventive screenings aboard the Norton Prevention & Wellness Mobile Prevention Center in collaboration with various community partners. Mammograms and wellness exams, including cervical cancer screenings, were provided to several women. Of those, over 10% had not been screened in the past five years and some had never had a mammogram. Of the over 100 Mobile Prevention Center events, over half took place in underserved communities, and over 50% of patients came from medically underserved areas. Education on cardiovascular health, effects of smoking, prostate health, breast health and women's health, colon health and more was provided to numerous community members at various events, such as health fairs and presentations. If eligible and interested, participants were offered referrals for a colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for patients, and several people received at-home testing kits. To help eliminate barriers to care, Norton Prevention & Wellness implemented a dedicated phone number, (502) 446-9355 (WELL), that links eligible patients to colonoscopy scheduling or requesting of in-home tests. In collaboration with many community partners, staff provided health screenings (blood pressure, body mass index, glucose and cholesterol levels) for numerous participants in multiple locations throughout Jefferson County and surrounding counties, including in Southern Indiana. A1C level screening is now available for participants with abnormal glucose levels. Each participant received education on healthy lifestyle choices, such as diet and exercise. Norton Prevention & Wellness conducted American Lung Association Freedom From Smoking classes in 2024. Nearly half of the attendees reported being tobacco-free. In 2024, Norton Prevention & Wellness offered Hands-Only CPR classes in the community in collaboration with community partners. * Norton Prevention & Wellness was the primary coordinator for the Hispanic Health Fair and the Get Healthy Walking Club Expo, bringing together many vendors and services in one location to serve all ages. All participants who had abnormal results from any of our health screening events also received navigation assistance with a registered nurse to connect them to healthcare resources, and assist them in overcoming barriers to access care. Norton Children's Prevention & Wellness Norton Children's Prevention & Wellness is supported by the Norton Children's Hospital Foundation, which raises funds exclusively for the not-for-profit Norton Children's Hospital and its sister facilities. Through donations, volunteerism and community support, the foundation is able to provide funding for equipment, new technologies, clinical research, child advocacy and health education for patients, families, medical staff and the community along with the services listed below. Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2024, virtual and in-person car seat checks were completed. Additionally, new child passenger safety technicians were certified on how to properly install car seats. Several third and fourth graders across Kentucky learned about bicycle safety through the Norton Children's Hospital Bike Safety Rodeo in 2024. The Safety City program welcomed over second-grade students to learn about bike and pedestrian safety. In a virtual program, kindergarten students participated in the Building Health Superheroes virtual field trip. Building Healthy Superheroes is designed to teach healthy and safe lifestyle choices for children. This superhero-themed virtual option provides teachers with resources to administer the course, and students graduate as a "healthy superhero" at the conclusion of the class. Norton Children's Food Pantries served individuals with food insecurity needs. These pantries also provided jars of baby food and 1,418 boxes of diapers and wipes. Norton Children's Prevention & Wellness provided in-person education and supplies to community members. Virtual classes in 2024 served individuals with prevention and wellness programming. Events included cooking workshops, child safety classes and safe grandparenting classes. The Norton Children's Safety Care-a-van program distributed pieces of safety equipment and educational materials to families, more than five times the number distributed 2023. In exchange, Safety Surveys were collected to help Norton Children's Prevention & Wellness tailor programming to community need. Through a collaboration with Louisville Metro Police Department, unused and expired medications were collected during the National Prescription Drug Take Back Day to promote medication safety. The "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation is provided by helicopter and five specially equipped ambulances known as mobile intensive care units. In 2024, 2,904 transportation trips were completed. Kentucky Poison Control Center of Norton Children's Hospital In 2024, the center managed individual cases from calls and provided continued assistance through follow-up calls to concerned families in all 120 counties in Kentucky, as well as to physicians and other health care providers from every health care facility in the state. The primary mission of the Kentucky Poison Control Center of Norton Children's Hospital is to reduce illness and death from poisoning in Kentucky. The center provides 24/7 free and confidential access to specially trained nurses, pharmacists and physicians who are certified in toxicology. They are specialists in communicating advice to health care professionals, first responders, patients, parents, family members, the general public and the media. Some of the more common calls received involve medications, tobacco products, household cleaning products, plants and personal care items. Calls also are answered about work-related exposures in farming and industry, food poisoning, insect bites and snakebites, and a variety of other potential hazards. On average , the poison control center's hotline at (800) 222-1222 receives more than 30,000 calls annually, 24 hours a day, 365 days a year. Three of every four patients from those calls are successfully managed safely and inexpensively at home, reducing unnecessary emergency room visits and/or shortening hospital stays. More information is available at KYPoisonControl.com. Form 990, Part III, Line 4a Program Service Accomplishment #5 Norton Neuroscience Institute Established in early 2009, Norton Neuroscience Institute is the region's leading provider of neurologic care. The multidisciplinary comprehensive program has more than 120 subspecialty fellowship-trained neurosurgeons, neurologists, neuropsychologists and advanced practice providers. These specialists are trained to provide patients and their families with advanced treatment for complex neurologic disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; memory and dementia disorders; movement disorders, including Parkinson's disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. Patients also have access to Norton Neuroscience Institute Cressman Neurological Rehabilitation, which offers advanced technology and specialized services in one location. Norton Neuroscience Institute provides leadership for a regional stroke care network. Four of Norton Healthcare's adult-service hospitals in Louisville are certified by DNV, with Norton Brownsboro Hospital designated as a Comprehensive Stroke Center, representing the highest level of stroke care. In addition, Norton Hospital and Norton Brownsboro Hospital received 2024 American Heart Association Get With the Guidelines - Stroke designations. Norton Brownsboro Hospital received Gold Plus designation, the highest possible award. Norton Neuroscience Institute is a leader in the region for providing innovative surgery technology, such as NeuroPace, NeuroBlate, focused ultrasound and ROSA (a robotic surgical assistant) and leading-edge treatment for brain tumors, including TruBeam and Optune therapies. As part of the comprehensive care provided by Norton Neuroscience Institute, patients and their families have access to support resources to manage their diagnoses through two Norton Neuroscience Institute Resource Centers. The resource centers offer dedicated patient navigators, support groups, exercise programs and extensive educational resources. Norton Community Medical Associates With more than 50 locations across Louisville, Southern Indiana and surrounding areas, Norton Community Medical Associates provides trusted primary care for adults and children with a focus on prevention, wellness and personalized support. Experienced providers partner with patients to manage both short- and long-term health needs, offering services such as annual physicals, vaccines, full-body checkups, treatment for minor illnesses and injuries, and care coordination for chronic conditions. Patients also benefit from integrated mental health support through Norton Behavioral Medicine, access to specialists at Wendy Novak Diabetes Institute, nutrition and weight loss guidance, and on-site lab work and diagnostic testing. In addition to individualized care, our providers are active in promoting community wellness through medical screenings, education and outreach programs that support early intervention and healthier communities. Norton Research Institute Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. Originally opened in 2001 as Norton Healthcare Research Office, Norton Research Institute is dedicated to conducting high-quality, cutting-edge research that brings new treatments to those who need it most. The institute supports Norton Healthcare's community's medical providers who are at the leading edge of advancements and discoveries. Norton Research Institute includes over 300 clinical research professionals providing support for active studies, including translational research, device studies, health outcome studies, biorepository and bench lab research, data collection and Phase 1, Phase 2 and Phase 3 clinical trials. Our portfolio of 750 studies stretches over more than 30 specialties across the spectrum of adult and pediatric care. Norton Research Institute is focused on conducting research in a manner that protects the rights and well-being of all who participate in clinical trials and is dedicated to upholding ethical standards in our research practices. * Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, infectious diseases, neurology, neurosurgery, and pulmonology. * The pediatric research portfolio through Norton Children's Research Institute, affiliated with the UofL School of Medicine, is critical to the mission of Norton Children's Hospital, the only pediatric hospital in our service area. * Norton Healthcare invests significantly in clinical research to benefit our community and patients, and to support clinical science by participating in the development of new clinical interventions (drugs, devices, procedures) that will become generalized and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * In 2023, Norton Healthcare started building research capacity and infrastructure (including a research laboratory) to address Parkinson's disease, movement disorders and memory disorders. The laboratory was completed and opened in 2024. * In 2024, Norton Healthcare initiated efforts to build a 1,500-square-foot lab to house an islet clinical transplant program. The lab, one of only 11 in the country, will allow the team to isolate and prepare the cells for transplant, pioneer new islet treatments and lead clinical studies. Norton Cancer Institute As the leading provider of cancer care in Louisville and Southern Indiana, Norton Cancer Institute's mission is to blend comprehensive treatment and services with compassion, hope and healing for patients and their families. Leading pioneering research, our subspecialized oncologists serve as principal investigators on studies that drive the development of innovative treatments now shaping cancer care nationwide. Through a multidisciplinary approach, its team offers patients the latest in treatments and technology focused on cancer prevention, diagnosis, care and survivorship. The institute's specialists cover a broad range of tumor-specific subspecialties in medical, radiation and surgical oncology in the following areas: breast, dermatology, gastrointestinal, genitourinary, gynecologic, head and neck, hematology, neurologic, orthopedic, sarcoma and connective tissue, and thoracic oncology. Our specialists also provide care in behavioral oncology, cancer genetics and hematology. Norton Cancer Institute offers state-of-the-art medical, surgical and radiation therapies, including minimally invasive robotic surgery, stereotactic radiosurgery and advanced brachytherapy. Extensive educational, physical and emotional support services, including support groups, seminars, art and music therapy, massage therapy, yoga and nutritional counseling are available through five Norton Cancer Institute Resource Centers. Norton Cancer Institute is designated by the American College of Surgeons Commission on Cancer as the only accredited Integrated Network Cancer Program in Kentucky. More information is available at NortonCancerInstitute.com. Community support from the Norton Hospital and Children's Hospital foundations In 2024, Norton Children's Hospital Foundation and Norton Healthcare Foundation raised over $32 million to support the mission of Norton Healthcare. Grants were invested to supporting a wide range of initiatives to expand workforce, enhance facilities, establish new programs and provide facility advancements. Additional funds were set aside in restricted funds for future use. This support made possible: * MRI-guided high-frequency focused ultrasound procedure to treat essential tremor * Community room and services at Norton West Louisville Hospital * The Heel, Dog, Heal facility dog program across Norton Healthcare facilities, including 10 trained dogs and their handlers * Wendy Novak Diabetes Institute Perinatal Program * Creation of Norton Neuroscience Institute Cressman Parkinson's Research program * Equipment to expand breast cancer surgery capabilities at Norton Brownsboro Hospital * Norton eCare School Telehealth * Expressive therapists for Norton Cancer Institute Pat Harrison Resource Center * Norton Women's Doula Program Form 990, Part V, Line 1a COMMON PAYING AGENT FORMS 1099 NORTON HEALTHCARE, INC. (NHC), EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NHC, 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 NHC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2024 BY NHC WAS 1,659. NHC HAS 113 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2024. NHC, THE COMMON PAYING AGENT, REPORTED 1,659 VENDORS ON FORM 1096 FOR 2024. Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED FOUR FORM W-2Gs ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION, INC. AND FILED TWO FORM W-2G ON BEHALF OF NORTON HEALTHCARE FOUNDATION, INC in 2024. Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS NORTON HEALTHCARE, INC. (NHC), EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NHC AND ALL AFFILIATES. NHC 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. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON KING'S DAUGHTERS' HOSPITAL, NORTON HEALTHCARE - INDIANA, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC. ON BEHALF OF THESE NAMED ENTITIES. NHC HAS APPROXIMATELY 5,716 EMPLOYEES. NHC, THE COMMON PAYING AGENT, REPORTED ___ EMPLOYEES ON FORM W-3 FOR 2024. Form 990, Part VI, Line 1a Delegate broad authority to a committee he 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, Steve Heilman, Douglas Winkelhake - Business relationship, Russell F. Cox, Michael W. Gough, Robert B. Azar, ADAM D. KEMPF (Officers, Norton Enterprise, Inc.) - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body At the October 2025 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 2025 NHC Board of Trustees meeting, the Forms 990 and Supplemental Schedules were discussed and Committee Members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and Supplemental Schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's Portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, Inc. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official Please see explanation provided for Form 990, Part VI, Line 15b. Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHC) engages an outside independent compensation consultant, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s, for NHC's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. Gallagher consultants presented and discussed this comparability data in 2023 for the 2024 compensation review and met in 2024 for the 2025 compensation review with the Executive Committee of the Board of Trustees (Board). The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation. Form 990, Part VI, Line 19 Required documents available to the public CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/. GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments Norton Healthcare, Inc. (NHC) and Affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, Inc.) encourages and facilitates Board member attendance at educational programs and conferences on subjects relevant to NHC. NHC's travel policy for Board of Trustees provides that for each Trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS Regulations, NHC provides a Form 1099 to any Trustee that receives a stipend. These amounts have been reported in Part VII on the Form 990 as reportable compensation to the Trustee receiving stipends in 2024. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue CREDIT CARD REBATE - Total Revenue: 1809283, Related or Exempt Function Revenue: 1809283, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EMPLOYEE EMERGENCY FUND - Total Revenue: 146146, Related or Exempt Function Revenue: 146146, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; MISCELLANEOUS INCOME - Total Revenue: 3505413, Related or Exempt Function Revenue: 3186291, Unrelated Business Revenue: 319122, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Credit Card Fees - Total Expense: 3227396, Program Service Expense: 2743287, Management and General Expenses: 484109, Fundraising Expenses: ; Bank Fees - Total Expense: 1265899, Program Service Expense: 1076014, Management and General Expenses: 189885, Fundraising Expenses: ; Other Purchased Services - Total Expense: 99687937, Program Service Expense: 84734746, Management and General Expenses: 14953191, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances SWAP MARK TO MARKET ADJUSTMENT - 1152907; CHANGE IN MINIMUM PENSION LIABILITY - 6979451; CHANGE IN NET PERIODIC PENSION COST - -2409603; OTHER - -707646; Total - 5015109; Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2024. The other components of net periodic pension cost was $2.4 million for year ended December 31, 2024. Norton Pharmacies PLLC 224 E Broadway 5th FL Louisville KY 40202 831832543 Pharmacy KY 91906600 16826012 Norton Healthcare Inc NORTON HOSPITALS INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 610703799 PROVIDE HOSPITAL SERVICES KY 501(c)(3) 3 Norton Healthcare Inc true COMMUNITY MEDICAL ASSOCIATES INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611276316 OPERATES A NETWORK OF PHYSICIAN PRACTICES KY 501(c)(3) 10 Norton Healthcare Inc true NORTON PROPERTIES INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611028724 MAINTAINS OFFICE AND PARKING FACILITIES KY 501(c)(3) Type I Norton Healthcare Inc true THE CHILDREN'S HOSPITAL FOUNDATION INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 616027530 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 Norton Healthcare Inc true NORTON HEALTHCARE FOUNDATION INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 310914919 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 Norton Healthcare Inc true NORTON HEALTHCARE - INDIANA INC ACCOUNTING 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 850513259 OPERATE HOSPITAL AND OTHER HEALTHCARE FACILITIES IN 501(c)(3) 10 Norton Healthcare Inc true Norton King's Daughters' Health Inc Accounting 224 E Broadway Louisville KY 40202 350895832 Provide Hospital Services IN 501(c)(3) 3 Norton Healthcare - Indiana Inc true NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611054301 Invests in Partnerships that provide medical services KY Norton Healthcare Inc C Corporation 1 true false false true false false false false false false false true false false false false false true true true Norton Hospital Inc Q 560627549 FMV Norton Hospitals Inc R 2875517394 FMV Norton Hospitals Inc S 1702619297 FMV Community Medical Associates Inc Q 184443489 FMV Community Medical Associates Inc R 661606058 FMV Community Medical Associates Inc S 737614360 FMV Norton Properties Inc K 10843991 FMV Norton Properties Inc Q 6672952 FMV Norton Properties Inc R 3367895 FMV Norton Properties Inc S 74101341 FMV The Children's Hospital Foundation Inc C 1801593 FMV The Children's Hospital Foundation Inc Q 310026 FMV The Children's Hospital Foundation Inc R 26321925 FMV The Children's Hospital Foundation Inc S 5386078 FMV Norton Healthcare Foundation Inc C 2869217 FMV Norton Healthcare Foundation Inc Q 128355 FMV Norton Healthcare Foundation Inc R 923212 FMV Norton Healthcare Foundation Inc S 2350185 FMV Norton Healthcare - Indiana Inc Q 45990696 FMV Norton Healthcare - Indiana Inc R 95445923 FMV Norton Healthcare - Indiana Inc S 169714638 FMV Norton King's Daughters' Health Inc Q 50952652 FMV Norton King's Daughters' Health Inc R 24985992 FMV Norton King's Daughters' Health Inc S 28591901 FMV Norton Enterprises Inc R 725738 FMV