2016-11-14T21:00:49-06:00 2015-12-31 350921680 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2015-01-01 616027530 THE CHILDREN'S HOSPITAL FOUNDATION INC CHIL 5026293409 Accounting 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 MICHAEL W GOUGH TREASURER 2016-11-14 true Rachel Spurlock P00520729 5023263996 2015 2017-02-10 21:41:12Z STEPHEN A WILLIAMS Accounting 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 49671826 false X WWW.NORTONHEALTHCARE.COM X 1962 KY CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS AND AWARDS GRANTS TO KOSAIR CHILDREN'S HOSPITAL. 31 29 25 1849 0 11056985 10840016 0 3772925 4370759 352142 284442 15182052 15495217 11295067 10489482 0 1447940 1744133 50089 47419 2277004 1414289 1464732 14207385 13745766 974667 1749451 89797985 85616603 3050036 2517578 86747949 83099025 THE MISSION OF THE CHILDREN'S HOSPITAL FOUNDATION IS TO ENHANCE PATIENT CARE BY GENERATING FUNDS AND FRIENDS FOR KOSAIR CHILDREN'S HOSPITAL, SUPPORTING PATIENT NEEDS THROUGH ITS PROGRAMS AND SERVICES OF EXCELLENCE IN HEALTH CARE IN THE AREAS OF: CAPITAL EQUIPMENT; CLINICAL RESEARCH; CHILD ADVOCACY; AND HEALTH EDUCATION OF PATIENTS, PARENTS, PHYSICIANS, STAFF AND THE COMMUNITY. false false 6584253 6584253 THE CHILDREN'S HOSPITAL FOUNDATION PROVIDES FUNDING FOR CAPITAL PROJECTS, IN ADDITION TO PROGRAMS, ADVOCACY, EDUCATION AND RESEARCH. IN 2015, THE FOUNDATION FUNDED THE FOLLOWING PROJECTS: *PHASE II CONSTRUCTION OF THE NEW PEDIATRIC INPATIENT UNIT AND PEDIATRIC EMERGENCY ROOM TO INCREASE THE CAPACITY TO SERVE CHILDREN IN THE REGION AT NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST. MATTHEWS. * CONSTRUCTION OF THE BABY BISTRO AT NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST MATTHEWS, WHERE MOMS AND THEIR FAMILIES CAN FIND EVERYTHING THEY NEED FROM SUPPLIES TO SUPPORT FOR BREAST FEEDING ONCE THEY ARE HEADING HOME FROM THE HOSPITAL. * RENOVATIONS OF "SAFETY CITY," A MODEL CITY SERVING AS AN EDUCATIONAL PROGRAM AIMED AT HELPING SECOND GRADE STUDENTS LEARN AND PRACTICE THE SKILLS AND KNOWLEDGE NECESSARY TO AVOID PREVENTABLE ACCIDENTS. FOR MORE THAN TWO DECADES, MORE THAN 121,000 STUDENTS HAVE EXPERIENCED A FULL DAY OF LESSONS IN BICYCLE, PEDESTRIAN, SCHOOL BUS, STRANGER-DANGER AND TRAFFIC SAFETY WHILE VISITING SAFETY CITY. * EXPANSION OF KOSAIR CHILDREN'S HOSPITAL MEDICAL ASSOCIATES IN SHELBYVILLE, KENTUCKY *CARDIORESPIRATORY MONITORS TO SUPPORT CRITICALLY ILL PEDIATRIC PATIENTS. * REPLACEMENT OF A "JUST FOR KIDS" AMBULANCE FOR THE TRANSPORT TEAM. 3905229 3905229 THE CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROGRAMS, EQUIPMENT AND FACILITIES, RESEARCH, ADVOCACY AND EDUCATION FOR KOSAIR CHILDREN'S HOSPITAL, NORTON WOMEN'S AND KOSAIR CHILDREN'S HOSPITAL - ST. MATTHEWS AND KOSAIR CHILDREN'S MEDICAL CENTER. THE CHILDREN'S HOSPITAL FOUNDATION IS PLEASED TO BE ABLE TO PLAY SUCH A LARGE ROLE IN ENSURING 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, KOSAIR 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 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 KOSAIR CHILDREN'S HOSPITAL, 2015 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, NEONATAL INTENSIVE CARE, 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 PROGRAMS IN 2015, INCLUDING: *THE CHILDREN'S HOSPITAL FOUNDATION OFFICE OF CHILD ADVOCACY OF KOSAIR CHILDREN'S HOSPITAL, WHICH HELPS PROVIDE SAFETY AND OUTREACH INFORMATION AIMED AT KEEPING KIDS OUT OF THE HOSPITAL. *FUNDING FOR THE WENDY L. NOVAK DIABETES CARE CENTER AT KOSAIR CHILDREN'S HOSPITAL FOR EXPANSION OF TECHNOLOGY AND ACCREDITATION. *ENDOWED RESEARCH CHAIRS IN PEDIATRIC HEMATOLOGY/ONCOLOGY, SLEEP MEDICINE AND ENDOCRINOLOGY. *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 KOSAIR 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. 10489482 true true false false false false false false false true true true false true true false true true false false false false false true true true false true true true false false false false false false false false true false false false false true false false false true 73 0 true 25 true false false false false false true true false false false false X 31 29 false false false false true true true true true false false true true true true true true true true false KY X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5TH FL LOUISVILLE KY 402022025 Cindi Shrader Board Chair 1.0 0 X X 0 0 0 Peter Tevebaugh Board Vice Chair 1.0 0 X X 0 0 0 Marita Willis Board Vice Chair 1.0 0 X X 0 0 0 Paul Oberst Board Treasurer 1.0 0 X X 0 0 0 Tonii Rizzo Secretary 1.0 0 X X 0 0 0 Hoyt Almond Trustee 1.0 0 X 0 0 0 Terrian Barnes Trustee 1.0 0 X 0 0 0 Ryan Bridgeman Trustee 1.0 0 X 0 0 0 Mitchel Denham Trustee 1.0 0 X 0 0 0 Jose Neil Donis Trustee 1.0 0 X 0 0 0 Jonathan E Dubins Trustee (partial year) 1.0 0 X 0 0 0 Bruce Dudley Trustee 1.0 0 X 0 0 0 William J Ehrig Trustee 1.0 0 X 0 0 0 Robert D Evans Trustee 1.0 0 X 0 0 0 Connie Hayes-Badon Trustee (partial year) 1.0 0 X 0 0 0 Mimi Hwang Trustee 1.0 0 X 0 0 0 Christina Graven Trustee 1.0 0 X 0 0 0 Dana Johnson Trustee 1.0 0 X 0 0 0 Shawna Jones Trustee 1.0 0 X 0 0 0 Karen Keith Trustee 1.0 0 X 0 0 0 Thomas Kmetz Division President Women and Children Services/Trustee Ex-Officio 1.0 50.0 X 0 743818 165028 Rachel Miles Trustee 1.0 0 X 0 0 0 Elaine Morgan Trustee Ex-Officio 1.0 0 X 0 0 0 Wayne Mortenson DMD Trustee (partial year) 1.0 0 X 0 0 0 Ashley Novak Butler Trustee 1.0 0 X 0 0 0 Ronald C Oliver PhD Sys VP Mission & Outreach/Trustee 1.0 41.0 X 0 194834 107065 Senator Dennis Parrett Trustee 1.0 0 X 0 0 0 Becky Petrino Trustee 1.0 0 X 0 0 0 G Hunt Rounsavall Jr Trustee 1.0 5.5 X 0 1600 0 Dale Schaefer Trustee 1.0 0 X 0 0 0 Eddie Smith Trustee 1.0 0 X 0 0 0 Debbie Waiz Trustee 1.0 0 X 0 0 0 John Wieland Trustee (partial year) 1.0 0 X 0 0 0 Richard S Wolf MD Trustee 1.0 3.5 X 0 1600 0 Amy Garlove MD Physician/Trustee 1.0 40.0 X 0 77937 21340 Stephen A Williams CEO 1.0 49.0 X 0 2599308 135934 Russell F Cox President 1.0 49.0 X 0 1371692 763935 Michael W Gough Sys Sr VP CFO 1.0 49.0 X 0 1141474 560808 Robert B Azar Sys VP Chief Legal Officer 1.0 49.0 X 0 653501 117515 Mary Lynn Meyer Sys VP and CDO 17.5 32.5 X 313418 219481 108325 Philip Bloyd Exec Dir Regional Outreach 10.0 30.0 X 37800 143989 28644 Leslie Smart Exec Dir CHF & Philathropy 33.0 7.0 X 126573 17638 15760 Margaret McClamroch Director Grants 32.0 8.0 X 92833 19917 27845 Anne Monell Dir, Major Gifts 40.0 0 X 109434 0 22313 680058 7186789 2074512 4 false true false CHILDREN'S MIRACLE NETWORK 205 WEST 700 SOUTH SALT LAKE CITY UT 84101 DIRECT MARKETING MAILING 232523 BLACKBAUD INC P O BOX 930256 ATLANTA GA 311930256 SOFTWARE AND SERVICES 122661 GRENZEBACH GLIER & ASSOC INC P O BOX 88277 DEPT A CHICAGO IL 606801277 PROFESSIONAL SERVICES 101747 3 1099215 1108122 8632679 266330 10840016 0 0 0 0 0 1534474 1534474 0 0 35350894 32514608 2836286 0 2836285 2836285 875549 1099215 873914 1635 1635 753676 610499 143177 143177 317218 177588 139630 139630 0 0 0 0 0 15495217 0 0 4655201 10267445 10267445 222037 222037 168104 67242 100862 1246727 498691 748036 87872 35149 52723 154468 61787 92681 86962 34785 52177 47419 47419 146422 146422 454832 0 0 454832 525466 525466 50808 20323 30485 68543 27417 41126 34960 13984 20976 28615 11446 17169 1402 561 841 9646 3858 5788 132315 52926 79389 Dues and subscriptions 7518 3007 4511 Donor and employee recognition 4205 1682 2523 0 0 0 0 13745766 10489482 979280 2277004 180179 208277 974711 976908 16569297 17008640 0 0 44155 55387 84999 133091 575042 497982 44024 77060 36953950 33657474 19965384 18544926 0 14981286 14954840 89797985 85616603 481134 390976 2568902 2126602 3050036 2517578 X 29942155 26230873 34788087 35674963 22017707 21193189 86747949 83099025 89797985 85616603 X 1749451 -4854799 -543576 X false true X true false X 10989148 10716644 11155619 11056985 10840016 54758412 0 0 10989148 10716644 11155619 11056985 10840016 54758412 3441366 51317046 1520286 1665293 1462595 1648623 1534474 7831271 0 1495654 1458033 1699523 1677078 1946443 8276731 70866414 0 0.7241 0.7280 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 720968.0, COLUMN B - 767912.0, COLUMN C - 879648.0, COLUMN D - 712674.0, COLUMN E - 875549.0, COLUMN F - 3956751.0; DESCRIPTION - GROSS INCOME FROM GAMING, COLUMN A - 551503.0, COLUMN B - 405727.0, COLUMN C - 509090.0, COLUMN D - 654466.0, COLUMN E - 753676.0, COLUMN F - 2874462.0; DESCRIPTION - GROSS INCOME FROM SALE OF INVENTORY, COLUMN A - 223183.0, COLUMN B - 284394.0, COLUMN C - 310785.0, COLUMN D - 309938.0, COLUMN E - 317218.0, COLUMN F - 1445518.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7842592 -88974 -249551 266374 7237693 7956099 -92259 179529 200777 7842592 5654016 1921182 469142 88241 7956099 5455638 -81927 366316 86011 5654016 5732854 -93967 -96603 86646 5455638 0.985 0.015 false false 52162 42849 9313 522880 455133 67747 77060 ALTERNATIVE INVESTMENT MASTER TRUST UNITS 14884933 REAL ESTATE MASTER TRUST UNITS 3659993 18544926 BENEFICIAL INTERESTS IN OUTSIDE TRUSTS 14136913 PROPERTY HELD FOR LIFE ESTATE 132775 INTERCOMPANY RECEIVABLE 685152 14954840 REFUNDABLE ADVANCES 2126602 INTERCOMPANY PAYABLE TO NORTON HEALTHCARE, INC. 2126602 11002372 -4854799 1694309 -3160490 14162862 146422 1185933 1332355 15495217 14651296 1051952 1051952 13599344 146422 0 146422 13745766 Schedule D, Part X, Line 2 REFUNDABLE ADVANCES REFUNDABLE ADVANCES OF $2,126,602 REPRESENT ASSETS TRANSFERRED FROM THE NORTON HEALTHCARE PETERSDORF FUND TO THE FOUNDATION DURING 2004 TO BENEFIT THE FOLLOWING PROGRAMS AT THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE: RESEARCH FOR PEDIATRIC SLEEP DISORDERS - $1,000,000 PEDIATRIC ONCOLOGY ENDOWED CHAIR - 1,000,000 PEDIATRIC SUBSPECIALTY FELLOWSHIP PROGRAM - 126,602 TOTAL REFUNDABLE ADVANCES - $2,126,602 THE PRINCIPAL OF EACH FUND IS RESTRICTED FOR THE PEDIATRIC SLEEP DISORDER AND ONCOLOGY ENDOWED CHAIR FUNDS, IF EVER THE RESTRICTED PURPOSE CAN NO LONGER BE ACCOMPLISHED, DISTRIBUTIONS MAY BE USED FOR OTHER PURPOSES SO LONG AS THE PURPOSE FULFILLS THE REQUIREMENTS OF THE RESEARCH CHALLENGE TRUST FUND. OTHERWISE, THE PRINCIPAL SHALL IMMEDIATELY REVERT TO THE NORTON HEALTHCARE PETERSDORF FUND. FOR THE SUBSPECIALTY FELLOWSHIP PROGRAM, THE FUNDS WILL BE RETURNED TO THE PETERSDORF FUND FROM THE CHILDREN'S HOSPITAL FOUNDATION CAPITAL CAMPAIGN FOR KOSAIR CHILDREN'S HOSPITAL WHEN FUNDS ARE AVAILABLE. Schedule D, Part V, Line 4 Intended uses of endowment funds THE FOUNDATION UTILIZES INCOME GENERATED FROM ITS ENDOWMENT FUNDS TO SUPPORT VARIOUS PROGRAMS AND SERVICES AND CAPITAL PROJECTS FOR THE BENEFIT OF KOSAIR CHILDREN'S HOSPITAL PATIENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 SPECIAL EVENT COSTS - 873914 SPECIAL EVENT REFUNDS - 450 COST OF GOODS SOLD - 177588 AFFILIATE TRANSFERS - 642357 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements WRITE-OFF OF PLEDGES DEEMED UNCOLLECTIBLE - 474335 CHANGE IN BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS - 711598 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 COST OF GOOD SOLD - 177588 SPECIAL EVENT COSTS - 873914 SPECIAL EVENT REFUNDS - 450 X X X X X true SHEWMAKER CONSULTING LLC 2632 BYRON AVE LOUISVILLE KY 40205 CHILDREN'S MIRACLE NETWORK FUNDRAISING false 651027 47419 603608 651027 47419 603608 IN KY FESTIVAL OF TREES AND LIGHTS 574064 163566 410498 11855 191571 7315 164967 GOLF OUTING 439375 292847 146528 8431 136257 9 961325 642802 318523 21502 98782 3300 229934 1974764 1099215 875549 33357 298784 10615 531158 873914 1635 753676 11810 598689 true 1.0 753676 11810 598689 KY true false false false 1.0 DEBORAH L HELD 224 E BROADWAY FIFTH FLOIOR LOUISVILLE KY 40202 false Heather Singleton 0 SERVICES PERFORMED BY THE FOUNDATION STAFF INCLUDE ANNUAL LICENSE RENEWALS AND REPORTING TO THE GAMING COMMISSION, MANAGING THE SALE OF RAFFLE TICKETS, PRIZES AWARDED AND MARKETING OF RAFFLES CONDUCTED. SERVICES PROVIDED BY THE ACCOUNTING DEPARTMENT INCLUDE MAINTAINING BOOKS AND RECORDS, MAKING DEPOSITS INTO THE CHARITABLE GAMING BANK ACCOUNT, PROCESSING DISBURSEMENT FOR GAMING EXPENSES AND PREPARING QUARTERLY FINANCIAL REPORTING TO THE GAMING COMMISSION. X false 0 Schedule G, Part I, Line 2b(v) Agreement with Professional Fundraiser THE FOUNDATION HAS ENTERED INTO A PROFESSIONAL SERVICES AGREEMENT WITH SHEWMAKER CONSULTING. THE FOUNDATION MAKES A MONTHLY PAYMENT TO THE CONSULTING FIRM AS COMPENSATION FOR SERVICES PROVIDED FOR CHILDREN'S MIRACLE NETWORK (CMN) FUNDRAISING. THE CONSULTANT MAINTAINS THE RELATIONSHIP WITH CMN, BUILDS AND MAINTAINS RELATIONSHIPS WITH SPONSORS AND MEDIA REPRESENTATIVES, COORDINATES RECOGNITION FOR SPONSORS AND DONORS, DEVELOPS STRATEGIC PLANNING FOR OUTREACH EFFORTS AND COORDINATES THE CMN RADIOTHON EVENT. true NORTON HOSPITALS INC 224 E BROADWAY FIFTH FLOOR LOUISVILLE KY 40202 610703799 501 (C) (3) 8966175 0 N/A N/A FUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES NORTON HEALTHCARE INC 224 E B ROADWAY FIFTH FLOOR LOUISVILLE KY 40202 616027530 501 (C) (3) 304502 0 N/A N/A FUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES COMMUNITY MEDICAL ASSOCIATES INC 224 EBROADWAY FIFTH FLOOR LOUISVILLE KY 40202 611276316 501 (C) (3) 411495 0 N/A N/A FUNDING OF CAPITAL PROJECTS, PROGRAMS AND SERVICES UNIVERSITY OF LOUISVILLE FOUNDATION 215 CENTRAL AVENUE UNIVERSITY OF LOUISVILLE LOUISVILLE KY 40208 237078461 501 (C) (3) 363948 0 N/A PEDIATRIC ENDOWED CHAIRS UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION CONTROLLERS OFFICE UNIVERSITY OF LOUISVILLE LOUISVILLE KY 40292 611029626 501(c)(3) 211325 0 N/A N/A EDUCATION AND RESEARCH HARRISON COUNTY COMMUNITY FOUNDATION PO BOX 279 CORYDON IN 47112 351986569 501(C)(3) 10000 0 N/A N/A PROGRAMS AND SERVICES 6 0 FINANCIAL SUPPORT TO PATIENTS WHO CANNOT AFFORD MEDICAL CARE 117 219537 0 N/A N/A TUITION ASSISTANCE FOR SPAVA AWARD RECIPIENT 1 2500 0 Schedule I, Part III, Column (c) Amount of grants provided THE PATIENT FINANCIAL SUPPORT PROVIDED BY THE CHILDREN'S HOSPITAL FOUNDATION IS JUST PART OF THE TOTAL CHARITY CARE PROVIDED TO PATIENTS BY KOSAIR CHILDREN'S HOSPITAL. NO CHILD IS DENIED NECESSARY TREATMENT BECAUSE OF AN INABILITY TO PAY. UNDER ITS CHARITY CARE PROGRAM, KOSAIR CHILDREN'S HOSPITAL PROVIDED FREE CARE TO 1,041 PATIENTS AT A COST OF $2.1 MILLION. ALSO, THE HOSPITAL 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. 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 FOUNDATION MANAGER OF FUNDS AND ESTATES. THE GRANT IS REVIEWED BY FOUNDATION MANAGEMENT AND THEN SENT TO THE FINANCE AND GRANTS COMMITTEE FOR REVIEW AND APPROVAL. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE FOUNDATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE FOUNDATION OFFICE 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 false true false false false false false true false Thomas Kmetz Division President Women and Children Services/Trustee Ex-Officio 0 468815 0 155643 0 119359 0 133230 0 31799 0 908846 0 65800 Ronald C Oliver PhD Sys VP Mission & Outreach/Trustee 0 168082 0 0 0 26752 0 51378 0 55686 0 301899 0 18100 Stephen A Williams CEO 0 1108698 0 670607 0 820002 0 108581 0 27353 0 2735241 0 35455 Russell F Cox President 0 782057 0 323406 0 266228 0 733119 0 30817 0 2135627 0 102524 Michael W Gough Sys Sr VP CFO 0 642297 0 273025 0 226152 0 531021 0 29787 0 1702282 0 83860 Robert B Azar Sys VP Chief Legal Officer 0 414691 0 137280 0 101531 0 105560 0 11955 0 771016 0 54508 Mary Lynn Meyer Sys VP and CDO 118924 219481 128170 0 66324 0 91352 0 16973 0 421743 219481 44412 0 Philip Bloyd Exec Dir Regional Outreach 37800 108960 0 32194 0 2834 0 11296 0 17348 37800 172633 0 0 Leslie Smart Exec Dir CHF & Philathropy 79159 17638 42994 0 4420 0 93 0 15667 0 142333 17638 0 0 Schedule J, Part I, Line 1a Discretionary spending account DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE 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 2015: Mary Lynn Meyer - 17,500 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation NORTON HEALTHCARE INC (NHI) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR THE CHILDREN'S HOSPITAL FOUNDATION (CHF) AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF NHI; AN INDEPENDENT COMPENSATION CONSULTANT; WRITTEN EMPLOYMENT AGREEMENTS; THIRD PARTY COMPENSATION SURVEYS AND APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD. SEE NARRATIVE IN SCHEDULE O, REFERENCING PART VI, LINE 15 WHICH FURTHER DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION. Schedule J, Part I, Line 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 - $ 36,519 Russell F. Cox - 525,793 Michael W. Gough - 352,351 Robert Azar - 85,695 Mary Lynn Meyer - 67,681 Ronald Oliver - 23,972 Thomas Kmetz- 106,240 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2015 AND CAN BE COMPRISED OF CURRENT AND OR PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Stephen A. Williams - $ 145,012 Russell F. Cox - 120,308 Michael W. Gough - 93,801 Robert Azar - 62,719 Mary Lynn Meyer - 44,412 Ronald Oliver - 19,968 Thomas Kmetz - 75,229 Schedule J, Part I, Line 7 Non-fixed payments In 2015, 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. X 7 38083 Market value X 19 228247 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded: NUMBER OF CONTRIBUTIONS Real estate - Residential: NUMBER OF CONTRIBUTIONS Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3 NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE COMMON PAYING AGENT FOR THE CHILDREN'S HOSPITAL FOUNDATION. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION. THE CHILDREN'S HOSPITAL FOUNDATION HAS APPROXIMATELY 25 EMPLOYEES. Form 990, Part V, Line 1a VENDORS REPORTED ON FORM 1096 NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR 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 2015 BY THE CHILDREN'S HOSPITAL FOUNDATION, INC. WAS APPROXIMATELY 73. THE CHILDREN'S HOSPITAL FOUNDATION HAD 3 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2015. Form 990, Part VI, Line 6 Classes of members or stockholders NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE SOLE MEMBER OF THE CHILDREN'S HOSPITAL FOUNDATION, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body According to Section 6.7(B) of the Bylaws of the organization, the Nominating Committee submits a slate of candidates to the Board of Trustees, which, once approved by the Board, is submitted to Norton Healthcare, Inc. for approval. Norton Healthcare, Inc. is not required to elect members to the Board of Trustees from the slate; however, if Norton Healthcare, Inc. does not, the Nominating Committee shall reconvene and, after going through the same process, submit a new slate to Norton Healthcare, Inc. for those candidates not elected. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders According to Article 3 of the Bylaws of the organization, Norton Healthcare, Inc. is the sole member of the organization. Norton Healthcare, Inc. has the power to approve the election of members to the Board of Trustees, and, as sole member of the organization, possesses all other rights conferred upon members pursuant to the Kentucky Nonprofit Corporation Acts. Form 990, Part VI, Line 11b Review of form 990 by governing body AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY ON OCTOBER 20, 2016, PRIOR TO FILING WITH THE IRS. 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, DIRECTORS OR 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 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 2014 for the 2015 compensation review and met in 2015 for the 2016 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. Employment contracts for the CEO, COO, and CFO and key employees are signed, and reviewed as necessary. Form 990, Part VI, Line 15b Process to establish compensation of other employees See Narrative above for Line 15A 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 AT THIS TIME. Form 990, Part XI, Line 9 Other changes in net assets or fund balances AFFILIATE TRANSFERS - 642358; CHANGE IN BENEFICIAL INTEREST IN TRUSTS HELD BY OTHERS - -711598; WRITE-OFF OF PLEDGES DEEMED UNCOLLECTIBLE - -474336; NORTON HEALTHCARE INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611028725 PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES KY 501(c)(3 Type II NA false NORTON HOSPITALS INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 610703799 PROVIDE HOSPITAL SERVICES KY 501(c)(3 3 NHI false COMMUNITY MEDICAL ASSOCIATES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611276316 OPERATES A NETWORK OF PHYSICIAN PRACTICES KY 501(c)(3 9 NHI false NORTON PROPERTIES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611028724 MAINTAINS OFFICE AND PARKING FACILITIES KY 501(c)(3 Type I NHI false 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 NHI false CHARITABLE REMAINDER TRUST (6) 224 E Broadway 5th floor Louisville KY 40202 INVESTMENTS KY NA Trust CHARITABLE LEAD TRUST (1) 224 E Broadway 5th Floor Louisville KY 40202 INVESTMENTS KY NA Trust false true false false false false false false false false true true false false true false false true true