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NORTON HOSPITALS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NORTON HOSPITALS INC (EIN 61-0703799)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201403169349305260
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-12T20:55:33-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19600 BROWNSBORO ROADAddressLine1
Address Line2SUITE 400AddressLine2
CityLOUISVILLECity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN610703799EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTON HOSPITALS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone5026298263PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Accounting 224 E BroadwayAddressLine1
Address Line25th FloorAddressLine2
CityLouisvilleCity
StateKYState
ZIP Code40202ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL W GOUGHPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1STEPHEN A WILLIAMSBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14967 US Highway 42 Suite 100AddressLine1
CityLouisvilleCity
StateKYState
ZIP Code40222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,508,872,926GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTONHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionNORTON HOSPITALS, INC.'S PURPOSE IS TO PROVIDE QUALITY HEALTH CARE TO ALL THOSE WE SERVE, IN A MANNER THAT RESPONDS TO THE NEEDS OF OUR COMMUNITIES AND HONORS OUR FAITH HERITAGE.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee9279TotalEmployeeCnt
Total Volunteers1360TotalVolunteersCnt
Total Gross UBI$4,774,871TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$125,302NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$16,909,581PYContributionsGrantsAmt
CY Contributions Grants$10,915,802CYContributionsGrantsAmt
PY Program Service Revenue$1,464,215,618PYProgramServiceRevenueAmt
CY Program Service Revenue$1,473,153,426CYProgramServiceRevenueAmt
PY Investment Income-$1,181,382PYInvestmentIncomeAmt
CY Investment Income$13,693,517CYInvestmentIncomeAmt
PY Other Revenue$6,358,578PYOtherRevenueAmt
CY Other Revenue$9,275,001CYOtherRevenueAmt
PY Total Revenue$1,486,302,395PYTotalRevenueAmt
CY Total Revenue$1,507,037,746CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$538,583,528PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$546,805,416CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$822,692,692PYOtherExpensesAmt
CY Other Expenses$823,675,843CYOtherExpensesAmt
PY Total Expenses$1,361,276,220PYTotalExpensesAmt
CY Total Expenses$1,370,481,259CYTotalExpensesAmt
PY Revenues Less Expenses$125,026,175PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$136,556,487CYRevenuesLessExpensesAmt
Total Assets BOY$1,090,945,217TotalAssetsBOYAmt
Total Assets EOY$1,238,589,907TotalAssetsEOYAmt
Total Liabilities BOY$85,442,814TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,551,521TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,005,502,403NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,142,038,386NetAssetsOrFundBalancesEOYAmt
MissionNORTON HOSPITALS, INC.'S PURPOSE IS TO PROVIDE QUALITY HEALTH CARE TO ALL THOSE WE SERVE, IN A MANNER THAT RESPONDS TO THE NEEDS OF OUR COMMUNITIES AND HONORS OUR FAITH HERITAGE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,342,163,833ExpenseAmt
Revenue$1,476,393,376RevenueAmt
DescNORTON HOSPITALS, INC. (NORTON) WAS FORMED TO: I) PROVIDE ON A NONPROFIT BASIS, HOSPITAL OR HEALTH CARE FACILITIES AND SERVICES FOR THE CARE AND TREATMENT OF ILL AND INJURED PERSONS AND THOSE WHO OTHERWISE REQUIRE MEDICAL CARE AND RELATED SERVICES OF THE KIND CUSTOMARILY FURNISHED MOST EFFECTIVELY BY HOSPITALS OR HEALTH CARE FACILITIES; II) CONDUCT EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED; III) PROMOTE AND CONDUCT SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED. NORTON HAS A TOTAL OF 1,837 LICENSED BEDS, NORTON HOSPITAL - 640 BEDS; KOSAIR CHILDREN'S HOSPITAL - 265 BEDS; NORTON AUDUBON HOSPITAL - 432 BEDS; NORTON SUBURBAN HOSPITAL - 373 BEDS; AND NORTON BROWNSBORO HOSPITAL - 127 BEDS. THESE HOSPITALS OPERATE TWENTY-FOUR (24) HOURS A DAY, SEVEN (7) DAYS A WEEK. IN 2013, NORTON'S HOSPITALS AND DIAGNOSTIC CENTERS SERVED 61,281 INPATIENTS, 419,595 OUTPATIENTS, AND 208,008 EMERGENCY ROOM VISITS. IN ADDITION, NORTON'S OPERATING ROOMS CARED FOR 18,110 INPATIENT SURGICAL PATIENTS AND 30,773 OUTPATIENT SURGICAL PATIENTS. ADDITIONALLY, 8,173 DELIVERIES WERE PERFORMED AT NORTON BIRTHING CENTERS. UNDER ITS CHARITY CARE PROGRAM, NORTON PROVIDED FREE CARE TO 789 PATIENTS, AT A COST OF $12.1 MILLION. ALSO, NORTON GRANTS PATIENTS A DISCOUNT FROM BILLED CHARGES TO ANY INDIVIDUALS THAT HAVE NO ACCESS TO PRIVATE HEALTH INSURANCE OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE OR CHARITY CARE. UNDER THIS PROGRAM, 39,157 PATIENTS CARE AT DISCOUNTED RATES. OTHER CONTRIBUTIONS TO THE COMMUNITY WERE THE UNPAID COST OF MEDICAID AND THE KENTUCKY DISPROPORTIONATE SHARE PROGRAM SERVICES TOTALING $90.6 MILLION AND EDUCATIONAL SUPPORT OF $29.8 MILLION, PRIMARILY TO THE UNIVERSITY OF LOUISVILLE'S SCHOOL OF MEDICINE. ALSO, COMMUNITY HEALTH IMPROVEMENT SERVICES TOTALED $11.6 MILLION, CONTRIBUTIONS TO COMMUNITY GROUPS WERE $1.2 MILLION, PASTORAL CARE AND COUNSELING PROGRAMS WERE $1.7 MILLION, THE KENTUCKY POISON CONTROL CENTER WAS $2.1 MILLION, AND THE CHILD GUIDANCE AND ADVOCACY PROGRAM WAS $1.0 MILLION.Desc
Total Program Service Expenses$1,342,163,833TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document312IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9279EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Helena SchulzBusinessNameLine1
FieldValueIRS element (for citing)
Phone5026298263PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1224 E BroadwayAddressLine1
CitylouisvilleCity
StateKYState
ZIP Code40202ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEPHEN A WILLIAMS
CEO/Trustee10.0040.00Yes (X)Yes (X)$0$2,426,731$213,713
CAROLYN GATZ
Chair Emeritus1.002.50Yes (X)$0$1,500$0
CRAIG D GRANT
Trustee1.002.50Yes (X)$0$1,500$0
DONALD H ROBINSON
Trustee (partial year)1.004.50Yes (X)$0$0$0
EDIE NIXON
Trustee1.003.50Yes (X)$0$1,500$0
ERWIN ROBERTS
Trustee1.002.50Yes (X)$0$1,500$0
G H NIXON
Chair Emeritus1.002.50Yes (X)$0$0$0
G HUNT ROUSAVALL
Trustee (partial year)1.005.50Yes (X)$0$1,500$0
GAIL LYTTLE
Trustee1.002.50Yes (X)$0$0$0
GARY L STEWART
Trustee1.004.50Yes (X)$0$1,500$0
GREGORY E MAYES
Trustee1.006.50Yes (X)$0$1,500$0
JAMES L SUBLETT MD
Trustee1.002.50Yes (X)$0$1,500$0
JOSEPH J MCGOWAN EDD
Trustee1.002.50Yes (X)$0$1,500$0
JOSEPH PARADIS III
Trustee1.005.50Yes (X)$0$0$0
KEVIN J HABLE
Trustee1.002.50Yes (X)$0$0$0
LOUIS S HEUSER MD
Trustee1.002.50Yes (X)$0$1,500$0
MARIA GERWING HAMPTON
Chair1.0012.50Yes (X)$0$1,500$0
MARIA L BOUVETTE
Trustee1.002.50Yes (X)$0$1,500$0
MARTHA K HEYBURN MD
Trustee1.004.50Yes (X)$0$1,500$0
MITCH NICHOLS
Trustee1.002.50Yes (X)$0$0$0
R K GUILLAUME
Vice Chair1.005.50Yes (X)$0$1,500$0
REV WILLIAM J SCHULTZ
Trustee (partial year)1.004.50Yes (X)$0$1,500$0
RICHARD R IVEY
Trustee1.002.50Yes (X)$0$1,500$0
RICHARD S WOLF MD
Honorary Chair Emeritus1.003.50Yes (X)$0$1,500$0
ROBERT R GOODIN MD
Chair Emeritus1.002.50Yes (X)$0$1,500$0
RONALD LEHOCKY MD
Trustee1.004.50Yes (X)$0$0$0
WENDELL P WRIGHT
Trustee1.002.50Yes (X)$0$1,500$0
MICHAEL W GOUGH
Sys Sr VP CFO/Treasurer10.0040.00Yes (X)$0$1,050,457$484,459
ROBERT B AZAR
Sys VP Chief Legal Officer/Secretary10.0040.00Yes (X)$0$536,159$95,391
RUSSELL F COX
President and COO10.0040.00Yes (X)$0$1,287,478$635,804
CHARLOTTE IPSAN
Hospital CAO50.000$470,396$0$101,977Yes (X)
JOHN HARRYMAN
Hospital CAO50.001.00$673,976$0$137,874Yes (X)
KEVIN WARDELL
Hospital CAO50.000$703,966$0$133,511Yes (X)
ROBERT SHAW
Hospital President50.000$604,803$0$253,369Yes (X)
STEVEN MACLAUCHLAN
Hospital President50.000$708,997$0$1,013,914Yes (X)
THOMAS KMETZ
Division President Women and Children Services50.001.00$719,114$0$145,191Yes (X)
JEFFREY HARGIS
Physician50.000$780,780$0$32,872Yes (X)
JOHN HAMM
Physician50.000$744,872$0$44,698Yes (X)
MIAN MUSHTAQ
Physician50.000$722,316$0$32,516Yes (X)
RENATO LAROCCA
Physician50.000$938,343$0$24,629Yes (X)
STEVEN PURSELL
Physician50.000$738,961$0$28,444Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,806,523TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,329,326TotReportableCompRltdOrgAmt
Total Other Compensation$3,378,362TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K321IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
WEHR CONSTRUCTORS INC
2517 PLANTSIDE DRLOUISVILLEKY40299CONSTRUCTION$17,979,443
MESSER TMG INC
11001 PLANTSIDE DRLOUISVILLEKY40299CONSTRUCTION$9,751,551
UNIVERSITY OF LOUISVILLE
323 E CHESTNUTLOUISVILLEKY40202RESIDENCY PROGRAM$9,142,043
BRASCH BARRY GENERAL CONTRACTOR
901 LAMPTON STLOUISVILLEKY40204CONSTRUCTION$8,089,856
MORRISON MANAGEMENT SPECIALIST
P O BOX 102289ATLANTAGA303682289DIETARY SERVICES$6,959,313
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K141CntrctRcvdGreaterThan100KCnt
Related Organizations$10,246,653RelatedOrganizationsAmt
All Other Contributions$669,149AllOtherContributionsAmt
Total Contributions$10,915,802TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621110$1,471,412,006$1,466,925,521$4,486,485
HEALTHCARE EDUCATION611710$1,741,420$1,741,420
$0
$0
$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,473,153,426TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,286,580TotalRevenueColumnAmt
Exclusion$14,286,580ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,178,684RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,019,780RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$158,904RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,904TotalRevenueColumnAmt
Exclusion$158,904ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$222,337OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$815,400OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$593,063OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$593,063TotalRevenueColumnAmt
Exclusion-$593,063ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PURCHASING CO-OP INC561499$3,250,135$2,961,749$288,386
PARKING INCOME812930$1,101,276$1,101,276
MEANINGFUL USE REIMBURSEMENT621990$4,669,083$4,669,083

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,603TotalRevenueColumnAmt
Related Or Exempt Func Income$95,603RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,116,097OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,507,037,746TotalRevenueColumnAmt
Related Or Exempt Func Income$1,476,393,376RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,774,871UnrelatedBusinessRevenueAmt
Exclusion$14,953,697ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,286,188TotalAmt
Program Services$4,286,188ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$175,465TotalAmt
Program Services$175,465ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$425,386,162TotalAmt
Program Services$425,386,162ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,555,326TotalAmt
Program Services$25,555,326ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$62,078,987TotalAmt
Program Services$62,078,987ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,323,288TotalAmt
Program Services$29,323,288ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$56,094TotalAmt
Program Services$56,094ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$110,906,213TotalAmt
Program Services$110,906,213ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,451,998TotalAmt
Program Services$10,451,998ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,179,930TotalAmt
Program Services$19,179,930ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,120,158TotalAmt
Program Services$1,120,158ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$33,820,353TotalAmt
Program Services$33,820,353ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$57,847,670TotalAmt
Program Services$57,847,670ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,859,187TotalAmt
Program Services$19,859,187ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$309,225,444$309,225,444
ALLOCATED SUPPORT$152,901,868$124,584,442$28,317,426
BAD DEBT$74,656,731$74,656,731
PROVIDER TAX$20,129,732$20,129,732

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,520,465TotalAmt
Program Services$13,520,465ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,370,481,259TotalAmt
Program Services$1,342,163,833ProgramServicesAmt
Management And General$28,317,426ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,609BOYAmt
EOY$34,414EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$178,119,023BOYAmt
EOY$170,565,296EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,352,563BOYAmt
EOY$44,616,845EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,578,601BOYAmt
EOY$1,279,795EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,264,921,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$669,190,670LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$550,494,412BOYAmt
EOY$595,730,395EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,715,022BOYAmt
EOY$7,605,735EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$308,672,987BOYAmt
EOY$418,757,427EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,090,945,217BOYAmt
EOY$1,238,589,907EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,006,157BOYAmt
EOY$64,908,729EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,436,657BOYAmt
EOY$31,642,792EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,442,814BOYAmt
EOY$96,551,521EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$996,745,075BOYAmt
EOY$1,133,385,369EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,757,328BOYAmt
EOY$8,653,017EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,005,502,403BOYAmt
EOY$1,142,038,386EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,090,945,217BOYAmt
EOY$1,238,589,907EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$136,556,487ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$20,504OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$56,094OtherActivitiesAmt
Total Lobbying Expenditures$56,094TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1iFormAndLineReferenceDesc
ExplanationNHI PAYS DUES TO THE KENTUCKY HOSPITAL ASSOCIATION. A PORTION OF THOSE DUES IN THE AMOUNT OF $56,094 IS SPENT ON LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,867,064OtherCostOrOtherBasisAmt
Book Value$23,867,064BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$592,559,349OtherCostOrOtherBasisAmt
Depreciation$243,623,094DepreciationAmt
Book Value$348,936,255BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$539,681,153OtherCostOrOtherBasisAmt
Depreciation$419,696,932DepreciationAmt
Book Value$119,984,221BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,813,499OtherCostOrOtherBasisAmt
Depreciation$5,870,644DepreciationAmt
Book Value$102,942,856BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$595,730,395TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
RECEIVABLE FROM AFFILIATE$404,579,326
PHYSICIAN GUARANTEE ASSET$7,588,859
INVESTMENT IN PREMIER PURCHASING PARTNERS LP$5,943,972
MISCELLANEOUS RECEIVABLES$645,270
FieldValueIRS element (for citing)
Total Book Value Other Assets$418,757,427TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$17,632,043
PHYSICIAN GUARANTEE LIABILITY$7,588,859
ASSET RETIREMENT OBLIGATION$6,421,890
FieldValueIRS element (for citing)
Total Liability$31,642,792TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,496,938,662TotalRevEtcAuditedFinclStmtAmt
Other Revenue$8,952,191OtherRevenueAmt
Revenue Not Reported$8,952,191RevenueNotReportedAmt
Revenue Subtotal$1,487,986,471RevenueSubtotalAmt
Other Revenues Not Included$19,051,275OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$19,051,275RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,507,037,746TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,379,001,699TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$8,952,192OtherExpensesIncludedAmt
Expenses Not Reported$8,952,192ExpensesNotReportedAmt
Expenses Subtotal$1,370,049,507ExpensesSubtotalAmt
Other Expenses Not Included$431,752OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$431,752ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,370,481,259TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteNORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, NORTON ENTERPRISES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO UNCERTAIN TAX PROVISIONS WERE REQUIRED TO BE RECOGNIZED UNDER ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES, IN THE COMBINED FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 2d, Other revenues in audited financial statements not in form 990RENTAL INCOME INTERNAL - 8952191;
Schedule D, Part XI, Line 4b, Other revenues in form 990 not in audited financial statementsCONTRIBUTIONS AND GRANTS - 5357758; PREMIER INITIAL PUBLIC OFFERING PROCEEDS - 14286580; GAIN/LOSS ON SALE OF ASSETS - -593063;
Schedule D, Part XII, Line 2d, Other expenses in audited financial statements not in form 990RENTAL INCOME - 7932412; REIMBURSEMENT OF UTILITY EXPENSE - 213885; PHYSICIAN PRACTICE SUBSIDY - 805895;
Schedule D, Part XII, Line 4b, Other expenses in form 990 not in audited financial statementsCONTRIBUTIONS AND GRANTS - 431752;

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,068,256TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,068,256NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$286,367,503TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$195,742,479DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,625,024NetCommunityBenefitExpnsAmt
Total Expense0.06990TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,971,907TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,872,354DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,099,553NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$309,407,666TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$199,614,833DirectOffsettingRevenueAmt
Net Community Benefit Expns$109,792,833NetCommunityBenefitExpnsAmt
Total Expense0.08470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,857,834TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,857,834NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,386,151TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,589,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,796,734NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,845,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,845,762NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,631,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,631,025NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$49,720,772TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,589,417DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,131,355NetCommunityBenefitExpnsAmt
Total Expense0.03560TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$359,128,438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$203,204,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$155,924,188NetCommunityBenefitExpnsAmt
Total Expense0.12030TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,320,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,320,852NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,320,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,320,852NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$74,656,731BadDebtExpenseAmt
Bad Debt Expense Attributable$7,411,365BadDebtExpenseAttributableAmt
Reimbursed By Medicare$312,831,922ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$315,697,343CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,865,421MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities5HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
NORTON HOSPITAL
1200 E Chestnut StLOUISVILLEKY40202HTTP://WWW.NORTONHEALTHCARE.COM/NORTONHOSPITAL100234Yes (X)Yes (X)Yes (X)Yes (X)A
KOSAIR CHILDREN'S HOSPITAL
2231 E Chestnut StLOUISVILLEKY40202HTTP://WWW.KOSAIRCHILDRENSHOSPITAL.COM/100234Yes (X)Yes (X)Yes (X)Yes (X)AYes (X)
NORTON AUDUBON HOSPITAL
3One Audubon Plaza DriveLOUISVILLEKY40217HTTP://WWW.NORTONHEALTHCARE.COM/NORTONAUDUBONHOSPITAL100252Yes (X)Yes (X)Yes (X)Yes (X)A
NORTON SUBURBAN HOSPITAL
44001 Dutchmans LaneLOUISVILLEKY40207HTTP://WWW.NORTONHEALTHCARE.COM/NORTONSUBURBANHOSPITAL100255Yes (X)Yes (X)Yes (X)Yes (X)A
NORTON BROWNSBORO HOSPITAL
54950 Norton Healthcare BlvdLOUISVILLEKY40241HTTP://WWW.NORTONHEALTHCARE.COM/NORTONBROWNSBOROHOSPITAL100475Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLnortonhealthcare.com (about us; community health needs)OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care300FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CarefalseFPGUsedDetermEligDscntCareInd
Explained BasisYes (true)ExplainedBasisInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(1) A - NORTON HOSPITAL: COMMUNITY INPUT WAS PROVIDED THROUGH FIVE COMMUNITY FORUMS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS. THE COMMUNITY HEALTH SURVEY WAS COMPLETED BY 45 INDIVIDUALS THAT ATTENDED THE PUBLIC FORUMS ALONG WITH 1,826 ONLINE SURVEY RESPONDENTS; IN ADDITION TO ANOTHER FORUM WHERE 40 BUSINESS LEADERS AND PHYSICIANS ATTENDED. FINDINGS ARE DESCRIBED IN THE COMMUNITY HEALTH SURVEY SECTION OF THIS SCHEDULE.;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(1) A - NORTON HOSPITAL: NORTON HOSPITALS, INC. OWES AND OPERATES FIVE HOSPITALS LOCATED IN LOUISVILLE AND JEFFERSON COUNTY, KENTUCKY. THE HOSPITALS ARE: - NORTON HOSPITAL - KOSAIR CHILDREN'S HOSPITAL - NORTON AUDUBON HOSPITAL - NORTON SUBURBAN HOSPITAL - NORTON BROWNSBORO HOSPITAL;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care(1) A - NORTON HOSPITAL: NORTON HOSPITALS, INC. (NHI) DOES NOT HAVE A SLIDING SCALE FOR FINANCIAL ASSISTANCE. NHI PROVIDES TOTAL FREE CARE THAT IS DISCOUNTED 100% FOR INDIVIDUALS THAT MET THE FEDERAL POVERTY GUIDELINES (FPG) UP TO 300% OF THE FPG AND COMPLETE THE APPLICATION PROCESS. ALL SELF PAY FINANCIAL CLASS PATIENTS RECEIVE A SELF PAY DISCOUNT.; (1) A - KOSAIR CHILDREN'S HOSPITAL: NORTON HOSPITALS, INC. (NHI) DOES NOT HAVE A SLIDING SCALE FOR FINANCIAL ASSISTANCE. NHI PROVIDES TOTAL FREE CARE THAT IS DISCOUNTED 100% FOR INDIVIDUALS THAT MET THE FEDERAL POVERTY GUIDELINES (FPG) UP TO 300% OF THE FPG. ALL SELF PAY FINANCIAL CLASS PATIENTS RECEIVE A SELF PAY DISCOUNT.; (1) A - NORTON AUDUBON HOSPITAL: NORTON HOSPITALS, INC. (NHI) DOES NOT HAVE A SLIDING SCALE FOR FINANCIAL ASSISTANCE. NHI PROVIDES TOTAL FREE CARE THAT IS DISCOUNTED 100% FOR INDIVIDUALS THAT MET THE FEDERAL POVERTY GUIDELINES (FPG) UP TO 300% OF THE FPG. ALL SELF PAY FINANCIAL CLASS PATIENTS RECEIVE A SELF PAY DISCOUNT.; (1) A - NORTON SUBURBAN HOSPITAL: NORTON HOSPITALS, INC. (NHI) DOES NOT HAVE A SLIDING SCALE FOR FINANCIAL ASSISTANCE. NHI PROVIDES TOTAL FREE CARE THAT IS DISCOUNTED 100% FOR INDIVIDUALS THAT MET THE FEDERAL POVERTY GUIDELINES (FPG) UP TO 300% OF THE FPG. ALL SELF PAY FINANCIAL CLASS PATIENTS RECEIVE A SELF PAY DISCOUNT.; (1) A - NORTON BROWNSBORO HOSPITAL: NORTON HOSPITALS, INC. (NHI) DOES NOT HAVE A SLIDING SCALE FOR FINANCIAL ASSISTANCE. NHI PROVIDES TOTAL FREE CARE THAT IS DISCOUNTED 100% FOR INDIVIDUALS THAT MET THE FEDERAL POVERTY GUIDELINES (FPG) UP TO 300% OF THE FPG. ALL SELF PAY FINANCIAL CLASS PATIENTS RECEIVE A SELF PAY DISCOUNT.;
Schedule H, Part V Sec B, Line 14g, Other ways hospital publicized Financial Assistance Policy(1) A - NORTON HOSPITAL: SEE RESPONSE TO PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE.;
Schedule H, Part V Sec B, Line 18e, Efforts made before initiating collection actions(1) A - KOSAIR CHILDREN'S HOSPITAL: NORTON HOSPITALS, INC. (NHI) ATTEMPTS TO GET SELF PAY PATIENTS TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, MEDASSIST, THE OUTSIDE VENDOR CONTRACTED BY NHI ATTEMPTS TO GET PATIENTS QUALIFIED FOR FINANCIAL ASSISTANCE. OUR EARLY OUT VENDOR HIRED BY NHI IS REQUIRED TO GIVE PATIENTS A COPY OF THE FINANCIAL ASSISTANCE APPLICATION TO COMPLETE WITH THE INITIAL BILLING STATEMENT. THE BAD DEBT AGENCY CONTRACTED WITH NHI WILL SEND THE INITIAL NOTICE AS REQUIRED BY THE FAIR DEBT COLLECTION PRACTICES ACT FIRST, AND THEN AFTER THE LETTER IS SENT, WILL SEND TO THE PATIENT A FINANCIAL ASSISTANCE APPLICATION WITH A LETTER OF INSTRUCTIONS.; (1) A - NORTON AUDUBON HOSPITAL: NORTON HOSPITALS, INC. (NHI) ATTEMPTS TO GET SELF PAY PATIENTS TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, MEDASSIST, THE OUTSIDE VENDOR CONTRACTED BY NHI ATTEMPTS TO GET PATIENTS QUALIFIED FOR FINANCIAL ASSISTANCE. OUR EARLY OUT VENDOR HIRED BY NHI IS REQUIRED TO GIVE PATIENTS A COPY OF THE FINANCIAL ASSISTANCE APPLICATION TO COMPLETE WITH THE INITIAL BILLING STATEMENT. THE BAD DEBT AGENCY CONTRACTED WITH NHI WILL SEND THE INITIAL NOTICE AS REQUIRED BY THE FAIR DEBT COLLECTION PRACTICES ACT FIRST, AND THEN AFTER THE LETTER IS SENT, WILL SEND TO THE PATIENT A FINANCIAL ASSISTANCE APPLICATION WITH A LETTER OF INSTRUCTIONS.; (1) A - NORTON SUBURBAN HOSPITAL: NORTON HOSPITALS, INC. (NHI) ATTEMPTS TO GET SELF PAY PATIENTS TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, MEDASSIST, THE OUTSIDE VENDOR CONTRACTED BY NHI ATTEMPTS TO GET PATIENTS QUALIFIED FOR FINANCIAL ASSISTANCE. OUR EARLY OUT VENDOR HIRED BY NHI IS REQUIRED TO GIVE PATIENTS A COPY OF THE FINANCIAL ASSISTANCE APPLICATION TO COMPLETE WITH THE INITIAL BILLING STATEMENT. THE BAD DEBT AGENCY CONTRACTED WITH NHI WILL SEND THE INITIAL NOTICE AS REQUIRED BY THE FAIR DEBT COLLECTION PRACTICES ACT FIRST, AND THEN AFTER THE LETTER IS SENT, WILL SEND TO THE PATIENT A FINANCIAL ASSISTANCE APPLICATION WITH A LETTER OF INSTRUCTIONS.; (1) A - NORTON BROWNSBORO HOSPITAL: NORTON HOSPITALS, INC. (NHI) ATTEMPTS TO GET SELF PAY PATIENTS TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. ALSO, MEDASSIST, THE OUTSIDE VENDOR CONTRACTED BY NHI ATTEMPTS TO GET PATIENTS QUALIFIED FOR FINANCIAL ASSISTANCE. OUR EARLY OUT VENDOR HIRED BY NHI IS REQUIRED TO GIVE PATIENTS A COPY OF THE FINANCIAL ASSISTANCE APPLICATION TO COMPLETE WITH THE INITIAL BILLING STATEMENT. THE BAD DEBT AGENCY CONTRACTED WITH NHI WILL SEND THE INITIAL NOTICE AS REQUIRED BY THE FAIR DEBT COLLECTION PRACTICES ACT FIRST, AND THEN AFTER THE LETTER IS SENT, WILL SEND TO THE PATIENT A FINANCIAL ASSISTANCE APPLICATION WITH A LETTER OF INSTRUCTIONS.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) A - NORTON HOSPITAL: NORTON HOSPITALS, INC. PROVIDES FREE CARE TO INDIVIDUALS THAT QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. NO AMOUNTS ARE CHARGED TO ELIGIBLE PATIENTS AND THEREFORE NO BASIS FOR CALCULATING THOSE AMOUNTS ARE NECESSARY. ;

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted careNORTON HOSPITALS, INC HAS A POLICY WHERE WE DISCOUNT CHARGES FOR ALL SELF PAY PATIENTS WITH NO INSURANCE COVERAGE REGARDLESS OF INCOME QUALIFICATIONS. BECAUSE OF THIS POLICY, WE RESPONDED NO TO LINE 3B IN THAT WE DO NOT UTILIZE FEDERAL POVERTY GUIDELINES FOR PROVIDING DISCOUNTED CARE.
Schedule H, Part I, Line 6a, Community benefit report prepared by related organizationCOMMUNITY BENEFIT IS REPORTED UNDER NORTONHEALTHCARE.COM, PARENT OF NORTON HOSPITALS, INC.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceTHE COSTING METHODOLOGY USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSES WAS TO CALCULATE THE COST BY HOSPITAL LOCATION (FIVE SEPARATE HOSPITAL LOCATIONS UNDER ONE MEDICARE PROVIDER NUMBER). THE COST WAS DETERMINED BASED ON A SPECIFIC LOCATION COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS ADJUSTED FOR BAD DEBT EXPENSE AND OTHER COSTS. THE COST USED IN THE CALCULATION WAS REDUCED BY BAD DEBT EXPENSE, PROVIDER TAXES, GRADUATE MEDICAL EDUCATION EXPENSES, AND OTHER COSTS. THE ADJUSTED COST TO CHARGE RATIO WAS THEN MULTIPLIED TIMES THE GROSS CHARGES FOR QUALIFIED FINANCIAL ASSISTANCE CHARGES, MEDICAID AND THE STATE DISPROPORTIONATE PROGRAM (OTHER MEANS TESTED GOVERNMENT PROGRAM) TO OBTAIN THE SPECIFIC COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART I, LINE 7E, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONSAMOUNTS PRESENTED ARE BASED ON ACTUAL SPENT FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM TO THE MISSION OF OUR EXEMPT PURPOSE.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation74,656,731
SCHEDULE H, PART I, LINE 7F, HEALTH PROFESSIONS EDUCATIONAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH VARIOUS EDUCATIONAL PROGRAMS.
SCHEDULE H, PART I, LINE 7H, RESEARCHAMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT COMMUNITY HEALTH RESEARCH REGARDING OUTCOMES AND EFFECTIVENESS OF TREATMENTS.
SCHEDULE H, PART I, LINE 7I, CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFITSIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES WE SERVE, NORTON HOSPITALS, INC. CONTINUES ITS TRADITION OF CONTRIBUTING MONIES TO NUMEROUS ORGANIZATIONS. AMOUNTS PRESENTED REPRESENT ACTUAL MONIES CONTRIBUTED TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amountTHE BAD DEBT EXPENSE IS BASED ON THE NET ESTIMATED AMOUNT EXPECTED TO BE DUE FROM THE PATIENT/PAYOR. BAD DEBT EXPENSE FALLS INTO THREE CATAGORIES, TRUE SELF PAY, PATIENT RESPONSIBILITY AFTER INSURANCE, AND OTHER. -TRUE SELF PAY - FOR TRUE SELF PAY PATIENTS, THE SELF PAY DISCOUNT IS APPLIED TO THE ACCOUNT ASSUMING THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE WRITE-OFF IS THE DISCOUNTED AMOUNT LESS ANY PAYMENTS MADE BY THE PATIENT. -PATIENT RESPONSIBILITY AFTER INSURANCE - THE BAD DEBT EXPENSE WRITE-OFF FOR PATIENT'S RESPONSIBILITY AFTER INSURANCE IS BASED ON THE PATIENT'S LIABILITY PER THE EXPLANATION OF BENEFITS AND CONTRACT WITH THE INSURANCE COMPANY. THE BAD DEBT EXPENSE WRITE-OFF IS THE EXPECTED AMOUNT DUE LESS ANY PAYMENTS MADE BY THE PATIENT. -OTHER - THE OTHER CATEGORY IS FOR INSURANCE AMOUNTS DUE FROM PAYORS. MOST EXPECTED PAYMENTS NOT RECEIVED FROM AN INSURANCE COMPANY AFTER INVESTIGATION INTO PAYMENT DIFFERENCES ARE WRITTEN OFF TO CONTRACTUAL ALLOWANCE/DENIAL CATEGORY.
Schedule H, Part III, Line 3, Bad Debt Expense MethodologyTHE METHOD USED TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY IS BASED ON OUR OUTSIDE ELIGIBILITY VENDOR'S EXPERIENCE WITH QUALIFYING ACCOUNTS AS FINANCIAL ASSISTANCE. MEDASSIT, OUR OUTSIDE VENDOR, SCREENS ALL SELF PAY ACCOUNTS AND BASED ON AN INITIAL SCREENING, WILL CLASSIFY THE ACCOUNT AS "PROBABLE FINANCIAL ASSISTANCE" IF THE ACCOUNTS APPEAR TO MEET NORTON HOSPITAL'S INC.'S (NHI) FINANCIAL ASSISTANCE PROGRAM GUIDELINES. THESE ACCOUNTS ARE THEN REQUIRED TO SUBMIT THE NECESSARY DOCUMENTATION TO ULTIMATELY BE CLASSIFIED AS A FINANCIAL ASSISTANCE ACCOUNT. BASED ON ALL ACCOUNTS THAT ARE CLASSIFIED AS "PROBABLE FINANCIAL ASSISTANCE" BY MEDASSIST AND THEIR EXPERIENCE WITH GETTING ACCOUNTS QUALIFIED AS FINANCIAL ASSISTANCE, IT IS ESTIMATED THAT 80% OF THOSE ACCOUNTS CLASSIFIED AS PROBABLE FINANCIAL ASSISTANCE AND WHICH DO NOT SUBMIT THE REQUIRED DOCUMENTATION WOULD QUALIFY AS A NHI FINANCIAL ASSISTANCE ACCOUNT. THE ESTIMATED COST OF ACCOUNTS THAT ARE ESTIMATED TO QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM IS CALCULATED BASED ON GROSS CHARGES FOR ACCOUNTS FOR THE YEAR THAT ARE PROBABLE, BUT DON'T SUBMIT THE NECESSARY DOCUMENTATION MULTIPLIED TIMES OUR COST TO CHARGE RATIO TIMES THE 80% ESTIMATED CONVERSION FACTOR.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnoteTHE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT. NORTON HOSPITALS, INC. (NHI) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NHI BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. NHI EXPERIENCED LOSSES ($2.9 MILLION FOR THE FISCAL YEAR ENDING 2013) DUE TO UNDERPAYMENT FOR THE TREATMENT OF MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE COVERED PATIENTS.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistanceAFTER THE PATIENT'S INITIAL SCREENING FOR FINANCIAL ASSISTANCE, IF IT IS BELIEVED THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, NORTON HOSPITALS, INC. WILL NOT START COLLECTION EFFORTS PENDING THE PATIENT SUBMITTING THE NECESSARY INFORMATION TO DOCUMENT MEETING THE FINANCIAL ASSISTANCE QUALIFICATIONS. IF THE PATIENT SUBMITS THE NECESSARY DOCUMENTATION WITHIN A REASONABLE TIME PERIOD, THEN THERE WILL NOT BE ANY COLLECTION EFFORTS MADE TO COLLECT ANY AMOUNT FROM THE PATIENT. THE PATIENT WILL RECEIVE A STATEMENT/BILL REFLECTING THE AMOUNT DUE THROUGH THE FINANCIAL ASSISTANCE APPLICATION PROCESS PENDING THE PATIENT'S FINANCIAL ASSISTANCE APPLICATIONS, BUT THERE WILL BE NO COLLECTION EFFORTS. ONLY AFTER SEVERAL ATTEMPTS TO CONTACT THE PATIENT TO GET THE NECESSARY DOCUMENTATION FOR COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND THE PATIENT NOT RESPONDING, WILL COLLECTION EFFORTS BEGIN. THERE IS AN ONGOING EFFORT THROUGHOUT THE COLLECTION PROCESS TO SCREEN FOR MEDICAID ELIGIBILITY, DSH, AND THE NEED FOR PROVIDING FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS. WHEN A PATIENT IS APPROVED FOR FINANCIAL ASSISTANCE, THEIR ACCOUNT IS WRITTEN OFF.
Schedule H, Part VI, Line 2, Needs assessment.NORTON HOSPITALS, INC. (NHI) REGULARLY AND CONSISTENTLY EVALUATES WORKFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGH PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICE, LOCAL AND STATE UNIVERSITIES, AND KENTUCKIANA WORKS, THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE NHI IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, NHI ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTER FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS - BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATION, FREE SCREENINGS AND ACCESS TO HEALTH CARE. NHI CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR ALL HOSPITALS. THE CHNA DEFINED THE PATIENT SERVICE AREA BY PATIENT ORIGIN FOR INPATIENT STAYS. DEMOGRAPHIC, SOCIOECONOMIC, POPULATION, AND OTHER HEALTH RELATED INDICATORS WERE UTILIZED TO PROVIDE INFORMATION ON THE HEALTH STATUS OF THE COMMUNITY. COMMUNITY INPUT WAS PROVIDED THROUGH COMMUNITY FORUMS AND A COMMUNITY HEALTH SURVEY WAS WIDELY DISTRIBUTED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS. HEALTH NEEDS WERE PRIORITIZED AND ADDRESSED BASED ON HEALTH STATUS FINDINGS AND THE COMMUNITY INPUT. THE CHNA IS A COMPONENT OF THE ORGANIZATION'S STRATEGIC PLANNING PROCESS AS RESOURCES ARE NECESSARY TO IMPLEMENT STRATEGIES OUTLINED FOR PRIORITIES IDENTIFIED. NORTON HEALTHCARE, INC. (NORTON) BOARD OF TRUSTEES AS WELL AS THE LEADERSHIP OF NORTON AND HOSPITAL PRESIDENTS HAVE APPROVED THE ASSESSMENT AND IMPLEMENTATION PLAN.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.NORTON HOSPITALS, INC. (NHI) EMPLOYS AN OUTSIDE ELIGIBILITY VENDOR, MEDASSIST/FIRSTSOURCE. ALL SELF PAY ACCOUNTS FOR THE ADULT FACILITIES ARE PLACED FOR ELIGIBILITY SCREENING WITH MEDASSIST/FIRSTSOURCE. THEY SCREEN FOR: NORTON FINANCIAL ASSISTANCE, MEDICAID, MEDICAID MANAGED CARE ORGANIZATIONS, AND DSH/KHCP. IN ADDITION, THEY ALSO PROVIDE EDUCATION AND REFERRAL ASSISTANCE TO THE APPROPRIATE COUNTY/STATE DEPARTMENTS FOR FOOD STAMPS, RENT ASSISTANCE, HEATING ASSISTANCE, ETC., WITH THE PROCESS OF COMPLETING THE APPLICATION IS OFTEN PERFORMED BY MEDASSIST/FIRSTSOURCE THEMSELVES. THEY PROTECT FILING DEADLINES BY SUBMITTING THE APPROPRIATE FORMS TO THE STATE/COUNTY, THEY FOLLOW UP TO SECURE PROOF OF INCOME DOCUMENTS FOR NORTON FINANCIAL ASSISTANCE, AND FOLLOW-UP WITH THE PATIENT'S ASSIGNED STATE CASEWORKER AS NEEDED. MEDASSIST/FIRSTSOURCE ALSO MAKES OUTSIDE FIELD CALLS OR HOME VISITS TO THE PATIENTS TO SECURE THE NEEDED INFORMATION FOR ELIGIBILITY ASSISTANCE IF THEY ARE HOMEBOUND AS WELL AS PROVIDING ASSISTANCE WITH PATIENT TRANSPORTATION NEEDS SO THAT THE PATIENT CAN MAKE THEIR SCHEDULED APPOINTMENTS WITH THEIR CASEWORKER. ALL OF THE SERVICES PROVIDED BY MEDASSIST/FIRSTSOURCE ELIGIBILITY ARE AT NO COST TO THE PATIENT. NHI PAYS FOR THESE ELIGIBILITY AND ENROLLMENT SERVICES AT WELL OVER $1,000,000 PER YEAR. NHI HAS A STAFF OF 11 FULL-TIME EMPLOYEES, INCLUDING A SUPERVISOR, THAT ARE DEDICATED TO PERFORMING THE FOLLOWING FUNCTIONS: PROCESSING, REVIEWING, AND APPROVING THE HUNDREDS OF FINANCIAL ASSISTANCE APPLICATIONS THAT ARE RECEIVED EACH WEEK. ADDITIONALLY, SOME OF THOSE EMPLOYEES MAKE OUT-BOUND CALLS TO SOLICIT FINANCIAL ASSISTANCE APPLICATIONS FROM HOSPITAL PATIENTS. FINANCIAL ASSISTANCE FOR NORTON FINANCIAL ASSISTANCE OR KOSAIR CHARITIES FINANCIAL ASSISTANCE IS NOT LIMITED TO THE SELF PAY POPULATION. EVEN PATIENTS WITH INSURANCE COVERAGE ARE ENCOURAGED TO APPLY FOR ASSISTANCE SO THAT THEIR DEDUCTIBLES, CO-PAYMENTS, AND CO-INSURANCE AMOUNTS ARE COVERED UNDER THE VARIOUS ASSISTANCE PROGRAMS. FINANCIAL COUNSELORS/SOCIAL WORKERS AT THE ADULT FACILITIES AS WELL AS KOSAIR CHILDREN'S HOSPITAL ARE EDUCATED AND TRAINED TO ASSIST WITH COUNSELING PATIENTS AND DETERMINING AND EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAMS. THEY CONTINUE TO RECEIVE ON-GOING EDUCATION THROUGHOUT THE YEAR REGARDING ELIGIBILITY CHANGES AND ADDITIONS FOR NORTON FINANCIAL ASSISTANCE, KOSAIR CHARITIES, DSH/KHCP, MEDICAID, ETC. AS THE FOUNDATION OFFICE RECEIVES INQUIRES IN THEIR OFFICE, THEY SEND POTENTIAL REFERRALS TO PATIENT FINANCIAL SERVICES TO SCREEN FOR POSSIBLE FINANCIAL ASSISTANCE. IF A PATIENT DOES NOT QUALIFY FOR KOSAIR CHARITY, THEN THOSE DENIED APPLICATIONS ARE REFERRED TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES FOR CONSIDERATION FOR SPECIAL FUNDING THROUGH THE CHILDREN'S FOUNDATION AS WELL AS OTHER PROGRAMS. THE CHARITY APPLICATION WAS PROVIDED ON THE BACK OF THE HOSPITAL STATEMENT AND STATEMENTS SUPPLIED BY OUR VENDORS IN 2013 TO MOST OF OUR HOSPITAL PATIENTS. AS A RESULT OF NHI'S SYSTEM CONVERSION TO EPIC, IN 2013 A SMALL PORTION OF THE HOSPTIAL PATIENTS FOR ONE VENDOR DID NOT RECEIVE THE CHARITY APPLICATION ON THEIR SPECIFIC STATEMENT FOR SOME OF THE MONTHS IN 2013. ONCE THIS SYSTEM ISSUE WAS IDENTIFIED IT WAS IMMEDIATELY CORRECTED AND THE CHARITY APPLICATION WAS PROVIDED ON THE BACK OF THAT ONE VENDOR'S STATEMENTS. HOWEVER, THE CHARITY BACKER BEING ON THE INITIAL STATEMENTS BEING SENT FROM NHI AND THE STATEMENTS AND NOTIFICATIONS BEING SENT FROM THE OTHER VENDORS, AND WITH THE OTHER CHARITY NOTIFICATIONS SUCH AS SIGNAGE, TELEPHONE NOTIFICATION, WEBSITE INFORMATION, THE APPLICATIONS BEING MADE AVAILABLE VIA TELEPHONE, MAIL ELECTRONICALLY, ETC., NHI MADE A CONSCIENTIOUS EFFORT TO ENSURE THAT ALL HOSPITAL PATIENTS WERE MADE AWARE OF FINANCIAL ASSISTANCE. REGARDLESS OF WHERE THE PATIENT'S ACCOUNT MAY BE IN THE COLLECTION CYCLE, EVEN IF THE PATIENT/GUARANTOR HAS NOT PREVIOUSLY AVAILED THEMSELVES OF THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE AND DECIDED THAT THEY WILL NOW COOPERATE EVEN IF A YEAR OR MORE INTO THE COLLECTION STREAM, THEN NHI WILL ALLOW THE PATIENT/GUARANTOR TO APPLY AND WILL APPROVE IF THEY MEET THE QUALIFICATIONS. COLLECTION AGENCIES CHOSEN BY NHI PRINT ON THE BACK OF THEIR INITIAL PLACEMENT LETTER, OR AN INSERT IS MAILED WITH THE INITIAL PLACEMENT LETTER, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION FOR THE GUARANTOR TO COMPLETE. CONTAINED ON THE INITIAL NOTIFICATION LETTER THAT IS REQUIRED BY THE FAIR DEBT COLLECTION PRACTICE ACT THAT THE AGENCIES SEND TO THE GUARANTOR IS A PHRASE WRITTEN IN SPANISH THAT ALERTS SPANISH SPEAKING GUARANTORS TO CONTACT A SPECIFIC NUMBER TO SPEAK WITH A SPANISH SPEAKING COLLECTOR. THAT SPANISH SPEAKING COLLECTOR WILL ALSO PROVIDE FINANCIAL ASSISTANCE INFORMATION. NHI HAS TRANSLATED A SERIES OF FINANCIAL ASSISTANCE LETTERS IN SPANISH AND VIETNAMESE. THESE LETTERS AND THE APPLICATION ARE MADE AVAILABLE TO THE COLLECTION AGENCIES TO USE WITH THOSE GUARANTORS TO APPLY FOR FINANCIAL ASSISTANCE. NHI CUSTOMER SERVICE DEPARTMENT ROUTINELY INSTRUCTS AND SCREENS PATIENTS IN THE PROTOCOL REGARDING FINANCIAL ASSISTANCE THRU KOSAIR CHARITIES OR NORTON FINANCIAL ASSISTANCE. BEGINNING IN 2007, NHI OFFERED AT THE TIME OF FINAL BILLING ALL TRUE SELF PAY PATIENTS A SIGNIFICANT DISCOUNT OFF OF TOTAL CHARGES THAT WERE REFLECTED ON THEIR MONTHLY STATEMENTS. AN ADDITIONAL PROMPT PAY DISCOUNT IS ALSO PROVIDED IF THE REMAINING BALANCE IS PAID WITHIN 30 DAYS FROM DATE OF FIRST BILL. CONTRACTED COLLECTION AGENCIES ARE REQUIRED TO SOLICIT CHARITY APPLICATIONS WHEN THE GUARANTOR/PATIENT INDICATES "CANNOT PAY". NHI PAYS A COMMISSION TO OUR CONTRACTED COLLECTION AGENCIES FOR EVERY APPROVED CHARITY APPLICATION THAT IS FINALIZED. THIS COMMISSION IS AN INCENTIVE FOR THE REPRESENTATIVES TO OBTAIN CHARITY APPLICATIONS AND NOT JUST COLLECT MONEY OWED ON THE ACCOUNT. IN 2013, NHI HAD SOME EVENING HOURS FOR THEIR INTERNAL STAFF TO MAKE OUTBOUND PHONE CALLS AND TAKE INBOUND PHONE CALLS FROM GUARANTORS IN ORDER TO PROVIDE EVENING HOURS TO NOTIFY THEM AND ALLOW THEM TO APPLY FOR FINANCIAL ASSISTANCE. NHI MANAGEMENT MONITORS THE NUMBER OF APPROVED FINANCIAL ASSISTANCE APPLICATIONS THAT ARE PROVIDED AS A DIRECT RESULT OF THE COLLECTION AGENCIES EFFORTS. TRENDING IS REVIEWED AND INQUIRES ARE MADE BY NHI MANAGEMENT TO THE AGENCIES' MANAGEMENT WHEN THE MONTHLY NUMBERS SHOW A VARIANCE SHORT OF THE AVERAGE NUMBER APPROVED.
Schedule H, Part VI, Line 4, Community information.PRIMARY SERVICE AREA NORTON HOSPITALS INC.'S (NHI) PRIMARY SERVICE AREA POPULATION IS OVER ONE MILLION AND EXPECTED TO INCREASE 2.4% BETWEEN 2014 AND 2019. THE PRIMARY SERVICE AREA INCLUDES SEVEN COUNTIES, THREE OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY AND THE OTHER FOUR ARE BORDERING THE RIVER IN INDIANA. SEVENTY-NINE PERCENT OF NHI'S PATIENTS ARE DERIVED FROM THIS SERVICE AREA. APPROXIMATELY 28% OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 27% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2013 WAS ESTIMATED AT 265,633 AND IS EXPECTED TO INCREASE TO 266,183 WITHIN FIVE YEARS AND REPRESENTS 23% OF THE POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 465,381 IN 2013 AND IS EXPECTED TO INCREASE 2.6% BY 2019. CURRENTLY 12% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 26% OF THE HOUSEHOLD INCOME IS LESS THAN $25,000 A YEAR; THE AVERAGE HOUSEHOLD INCOME IS $66,470 COMPARED TO $71,320 FOR THE UNITED STATES. NHI TREATS 35% OF THE ADULT INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 45% MEDICARE, 10% MEDICAID/PASSPORT AND 6% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS MAY 2014 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 7.4% COMPARED TO 7.5% FOR KENTUCKY AND 6.1% FOR THE UNITED STATES. SECONDARY SERVICE AREA NHI'S SECONDARY SERVICE AREA POPULATION WAS 740,670 IN 2013 AND IS EXPECTED TO INCREASE 2.1% BETWEEN 2014 AND 2019. THE SECONDARY SERVICE AREA SPREADS ACROSS 22 KENTUCKY COUNTIES AND 4 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 27% OF THE SECONDARY SERVICE AREA POPULATION AND IS SLIGHTLY HIGHER THAN IN THE UNITED STATES. THE PEDIATRIC POPULATION IN 2013 WAS ESTIMATED AT 174,536 AND EXPECTED TO DECREASE TO 172,650 BY 2019. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO BE CONSISTENT, THERE IS A NEED FOR CHILDREN TO HAVE APPROPRIATE ACCESS TO CARE IN THE RURAL AREAS OF KENTUCKY. THE NUMBER OF HOUSEHOLDS IN THE SECONDARY SERVICE AREA WAS ESTIMATED AT 285,799 IN 2013 AND IS EXPECTED TO INCREASE BY 6,503 BY 2019. ALMOST 88,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE HOUSEHOLD INCOME IS UNDER $25,000 FOR 29% OF THE POPULATION. THE AVERAGE HOUSEHOLD INCOME IS $55,627, LESS THAN KENTUCKY AND 16% LESS THAN THE PRIMARY SERVICE AREA.
Schedule H, Part VI, Line 5, Promotion of community healthNORTON HEALTHCARE, INC. (NHC), PARENT OF NORTON HOSPITALS, INC. (NHI), IS INDEPENDENTLY OVERSEEN BY A 24 MEMBER BOARD OF TRUSTEES. WITH THE EXCEPTION OFNHC'S CHIEF EXECUTIVE OFFICER, NONE OF THESE INDIVIDUALS ARE EMPLOYEES OF THE ORGANIZATION. ALL MEMBERS OF THE BOARD RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. IN AN EFFORT TO ENSURE THE BEST CARE FOR PATIENTS, NHI GENERALLY EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS SERVICE LINES/DEPARTMENTS. IN FACT, MORE THAN 2,000 PHYSICIANS ARE ON NHI MEDICAL STAFF. A THIRD OF THE ORGANIZATION'S MISSION STATEMENT SPEAKS TO THE COMMITMENT TO PROVIDE QUALITY HEALTHCARE THAT "RESPONDS TO THE NEEDS OF OUR COMMUNITIES." NHI ORGANIZATIONAL VALUES DIRECTLY ADDRESS THE NEED TO "CONTINUALLY IMPROVE CARE AND SERVICES" WHILE "DEMONSTRATING STEWARDSHIP OF RESOURCES." AS AN ORGANIZATION COMMITTED TO THE CONSTANT UNDERSTANDING AND ASSESSMENT OF THOSE SERVED, INITIATIVES AND PROGRAMS THAT ADDRESS THESE CONSTITUENTS ARE DEVELOPED AND IMPLEMENTED. IN 2013 NHI'S TOTAL COMMUNITY BENEFIT WAS $157.2 MILLION, OVER $3.0 MILLION A WEEK, AND INCLUDES COMMUNITY INITIATIVES AND PROGRAMS SUCH AS FINANCIAL ASSISTANCE, EDUCATIONAL SUPPORT, UNPAID COSTS OF MEDICAID SERVICES, CORPORATE SPONSORSHIPS, PASTORAL CARE AND COUNSELING PROGRAMS, KENTUCKY POISON CONTROL CENTER AND CHILD GUIDANCE AND ADVOCACY PROGRAMS. NHI EMPLOYEES VOLUNTEERED FOR OVER 200 ORGANIZATIONS. NHI PARTNERS WITH OTHER NON-PROFIT ORGANIZATIONS, LOCAL GOVERNMENT AND THE CENTERS FOR DISEASE CONTROL TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED INITIATIVES. THE ORGANIZATION'S PUBLICLY ACCESSIBLE WEBSITE OFFERS AN ONLINE ASSESSMENT GUIDE TO IDENTIFY AND UNDERSTAND SYMPTOMS OF ILLNESS AND DISEASE. GET HEALTHY VIDEOS OFFER A VISUAL RESOURCE AND AID ABOUT MANY OF THE MOST WORRISOME HEALTH PROBLEMS IN THE COMMUNITY. THROUGHOUT THE YEAR FREE SEMINARS PLACE CLINICAL EXPERTS WITH COMMUNITY AUDIENCES ON SUCH TOPICS AS DIABETES, JOINT PAIN, WEIGHT MANAGEMENT, CANCER ASSESSMENTS - ALL CONDITIONS THAT KENTUCKY, UNFORTUNATELY, LEADS THE NATION IN HAVING. THE PUBLICLY AVAILABLE QUALITY REPORT ENSURES THAT THE COMMUNITY HAS ACCESS TO INFORMATION ABOUT THE QUALITY OF CARE PROVIDED BY THE ORGANIZATION. THIS DATA NOT ONLY EMPOWERS COMMUNITY MEMBERS, BUT ALSO DRIVES THE HEALTHCARE QUALITY AGENDA IN THE COMMUNITY. THE OFFICE OF CHURCH AND HEALTH MINISTRIES (OFFICE) PROVIDES EDUCATIONAL PROGRAMS FOR CHURCH LEADERS AND MEMBERS TO LEARN ABOUT FAITH COMMUNITY NURSING, ETHICS, WHOLE-PERSON CARE AND OTHER TOPICS RELATED TO HEALTH MINISTRIES. IN 2013, A FREE SEMINAR ABOUT UNDERSTANDING ADDICTION AND CARING FOR CONGREGANTS AND FAMILIES AFFECTED BY SUBSTANCE ABUSE WAS ATTENDED BY 71 MEMBERS OF CLERGY AND STAFF. WITH THE MID-KENTUCKY PRESBYTERY AND LOUISVILLE PRESBYTERIAN SEMINARY, THE OFFICE COORDINATED A CHURCH SAFETY WORKSHOP AT WHICH 38 CHURCHES WERE REPRESENTED BY 72 ATTENDEES. NEARLY 300 INDIVIDUALS ATTENDED EDUCATIONAL PROGRAMS SPONSORED BY THE OFFICE. TOPICS INCLUDED DIABETES, THE AFFORDABLE CARE ACT, COMMUNICATION SKILLS IN MINISTRY AND SPIRITUAL CARE. THE OFFICE HAD AN ESTIMATED ONE MILLION CONTACTS OR EXPOSURES DURING THE YEAR, INCLUDING HEALTH FAIR AND HEALTH SCREENING ATTENDEES, EDUCATIONAL CLASSES PROVIDED, EDUCATIONAL TOOLS BORROWED, PHONE AND EMAIL CONTACTS, NURSE EDUCATOR MENTORING AND CONSULTATIONS, BIMONTHLY ELECTRONIC BULLETINS OF REGIONAL HEALTH AND WELLNESS INFORMATION, NEWSLETTER AND WEBSITE VISITS. THE OFFICE HAS CREATED A NETWORK OF MORE THAN 180 FAITH COMMUNITIES THAT PROMOTE HEALTH AND WELLNESS AMONG THEIR MEMBERS AND THE LARGER COMMUNITY. STAFF MEMBERS, INCLUDING FOUR REGISTERED NURSES, TEACH THE CONCEPTS OF THE FAITH COMMUNITY NURSING SPECIALTY AND MENTOR CHURCH LEADERS AS THEY DEVELOP HEALTH AND WELLNESS INITIATIVES. RESOURCES PROVIDED TO FAITH COMMUNITIES IN 2013 ALSO INCLUDED SCHEDULING SPEAKERS ON HEALTH RELATED TOPICS, LOANING EDUCATIONAL DISPLAYS, COORDINATING RESOURCES FOR HEALTH SCREENING AND CONNECTING HEALTH MINISTRIES VOLUNTEERS WITH RESOURCES WITHIN THE ORGANIZATION AND THROUGHOUT THE COMMUNITY. FAITH COMMUNITIES IN THE LOUISVILLE, KENTUCKY REGION AND NORTON HEALTHCARE, INC. (NHC) EMPLOYEES RECEIVED REGULAR COMMUNICATIONS FROM THE OFFICE ABOUT WHOLE-PERSON HEALTH AND THE INTENTIONAL CARE OF THE SPIRIT THROUGH AN ELECTRONIC BULLETIN, A NEWSLETTER, AND THE ORGANIZATION'S WEBSITE. NORTON HEALTHCARE PREVENTION & WELLNESS SERVES AS AN UMBRELLA FOR PREVENTION, OUTREACH, AND WELLNESS ACTIVITIES FOR NHC. THE DEPARTMENT PROVIDES EDUCATION, CARDIOVASCULAR, AND CANCER SCREENING AND HEALTH PROMOTION TO OUR COMMUNITY. APPROXIMATELY 50% OF THESE ACTIVITIES FOCUS ON MEDICALLY UNDERSERVED COMMUNITIES AND POPULATIONS. THE PREVENTION PROGRAM USES EVIDENCED-BASED APPROACHES TO POPULATION HEALTH AND PROVIDES NO COST OR LOW-COST SCREENINGS FOR MAMMOGRAM, PAP SMEAR, PROSTATE-SPECIFIC ANTIGEN OR PSA TESTING, BLOOD PRESSURE, BODY MASS INDEX, GLUCOSE, CHOLESTEROL, COLON CANCER TESTING AND TOBACCO CESSATION RESOURECES. MANY OF OUR SERVICES ARE PROVIDED ABOARD OUR MOBILE PREVENTION CENTER (MPC), A 40 FOOT MOBILE UNIT EQUIPPED WITH DIGITAL MAMMOGRAPHY, AN EXAM ROOM, A SMALL LABORATORY, AND INDIVIDUAL EDUCATION SPACE. IN 2013 OUR MPC TRAVELED TO 139 UNIQUE LOCATIONS IN COLLABORATION WITH MORE THAN 400 COMMUNITY PARTNERS. IN 2013, THE PREVENTION AND WELLNESS TEAM SCREENED 4,437 PEOPLE FOR HIGH BLOOD PRESSURE, DIABETES, HIGH CHOLESTEROL AND OSTEOPOROSIS AND PROVIDED INFORMATION ABOUT SMOKING CESSATION, DIET AND EXERCISE. IN AUGUST 2013, CARDIOVASCULAR DISEASE NAVIGATION WAS PROVIDED TO AT-RISK PATIENTS IN THE COMMUNITY. MORE THAN 450 PATIENTS WERE CONTACTED FOR FOLLOW-UP. ADDITIONALLY IN 2013, 2,348 PEOPLE WERE SCREENED FOR CANCER. OF THESE, APPROXIMATELY 22% EITHER HAD NEVER BEEN SCREENED FOR CANCER OR HAD NOT BEEN SCREENED IN THE PAST FIVE YEARS. IN 2013, 15 INDIVIDUALS WERE DIAGNOSED AND TREATED FOR PRE-INVASIVE AND INVASIVE CANCER. SINCE THE INCEPTION OF THE PROGRAM, 110 INDIVIDUALS HAVE BEEN DIAGNOSED AND TREATED FOR PRE-INVASIVE AND INVASIVE CANCER. WE HOLD SEVERAL SPECIAL EVENTS THROUGHOUT THE YEAR. ONE EVENT, THE GET HEALTHY WALKING EXPO IS HELD AT THE LOUISVILLE ZOO IN JULY. WE PROVIDE HEALTH SCREENINGS, EDUCATION, AND EXERCISE. IN 2013, A TOTAL OF 249 PEOPLE PARTICIPATED IN THIS FREE EVENT. ANOTHER EVENT, MEN'S HEALTH EVENT: A FAMILY AFFAIR, WAS HELD AT THE KENTUCKY CENTER FOR AFRICAN AMERICAN HERITAGE (KCAAH) IN SEPTEMBER 2013. WE COLLABORATED WITH 27 PARTNERS INCLUDING COMMUNITY ORGANIZATIONS AND NHC DEPARTMENTS TO ADDRESS THE PHYSICAL, SPIRITUAL, FINANCIAL, AND MENTAL NEEDS OF THE MEN IN OUR COMMUNITY (FOCUSING ON AFRICAN AMERICAN MEN). A TOTAL OF 364 SCREENINGS WERE PROVIDED TO EVENT PARTICIPANTS. IN MAY 2013, THE NORTON HEALTHCARE CENTERS FOR PREVENTION & WELLNESS PUBLISHED "MOBILE MAMMOGRAPHY IN UNDERSERVED POPULATIONS: ANALYSIS OF OUTCOMES OF 3,923 WOMEN". THE ARTICLE WAS PUBLISHED IN THE JOURNAL OF COMMUNITY HEALTH. IT WAS ONE OF THE FIRST ARTICLES OF ITS KIND EXAMING OUTCOMES OF WOMEN SCREENED ON A MOBILE UNIT. NHI IS COMMITTED TO INVESTING IN THE COMMUNITY IT SERVES AND "DEMONSTRATING STEWARDSHIP OF RESOURCES" IS ONE OF OUR ORGANIZATIONAL VALUES. WE DO THIS IN A VARIETY OF WAYS, SUCH AS: WORKFORCE DEVELOPMENT EFFORTS; SUPPORTING LOCAL EDUCATIONAL INSTITUTIONS - INCLUDING THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE; OFFERING SCHOLARSHIPS TO STUDENTS; PROVIDING STUDENTS WITH FORGIVABLE LOANS FOR THEIR EDUCATION; PLACING MEDICAL PROFESSIONALS IN MEDICALLY-UNDERSERVED AREAS; PROVIDING FREE HEALTH SCREENINGS AND EDUCATION; CONTRIBUTING FUNDS TO OTHER NON-PROFIT HEALTH CARE ORGANIZATIONS; AND BUILDING A NEW HOSPITAL THAT FOLLOWS THE GREEN GUIDE TO HEALTH CARE, A BEST PRACTICES TOOL KIT FOR PLANNING, DESIGN, CONSTRUCTION, OPERATIONS AND MAINTENANCE OF NEW HOSPITALS. NHI OPERATES SIX (6) FULL-TIME EMERGENCY ROOMS WHERE NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. NHI INVESTS IN ITS COMMUNITY BY APPLYING SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE - INCLUDING MANY FREE HEALTH CARE SCREENINGS AND EDUCATION PROGRAMS, MEDICAL EDUCATION AND RESEARCH. NHI UTILIZES EXCESS FUNDS BY INVESTING IN THE EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT. NHI PROVIDED $29.8 MILLION IN EDUCATIONAL SUPPORT, PRIMARILY TO THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE.
SCHEDULE H, PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTHBY ESTABLISHING PARTNERSHIPS, NHI HELPS TO BUILD A STRONGER AND MORE COHESIVE COMMUNITY THAT WORKS TOGETHER FOR THE GOOD OF ITS CITIZENS. BY INVESTING IN EDUCATION, NHI IS - IN ESSENCE - INVESTING IN OUR COMMUNITY'S FUTURE BY MAKING SURE THAT WELL-PREPARED GRADUATES ARE EXITING LOCAL COLLEGES AND UNIVERSITIES, ULTIMATELY TO WORK IN A VARIETY OF LOCAL BUSINESSES - INCLUDING HEALTH CARE. BY PROVIDING FREE EDUCATION AND SCREENINGS AND PLACING MEDICAL PROFESSIONALS IN UNDERSERVED AREAS, NHI IS POSSIBLY PREVENTING MORE TRAGIC AND COSTLY MEDICAL EMERGENCIES AND DISEASES THAT MIGHT NOT HAVE OTHERWISE BEEN PREVENTED. BY INVESTING IN ENVIRONMENTALLY-FRIENDLY AND PATIENT-FRIENDLY FACILITIES, NHI HELPS TO ENSURE THAT PATIENTS WILL FEEL COMFORTABLE SEEKING HEALTH CARE WHEN THEY NEED IT MOST, RATHER THAN WAITING UNTIL A MEDICAL SITUATION EXACERBATES. THIS COMMITMENT ALSO ENSURES THAT WE DO OUR PART TO PRESERVE THE WORLD AND THE ENVIRONMENT IN WHICH WE LIVE. KOSAIR CHILDREN'S HOSPITAL IS HOME TO THE KENTUCKY REGIONAL POISON CONTROL CENTER. THE CENTER PROVIDES POISON CONTROL SERVICES THROUGH THE POISON HELPLINE TO ALL 120 COUNTIES IN KENTUCKY. IN 2013, THE CENTER RECEIVED MORE THAN 59,000 CALLS. THESE CALLERS INCLUDED THE GENERAL PUBLIC, HEALTHCARE PROVIDERS, EMERGENCY MEDICAL SERVICES, AND LAW ENFORCEMENT SEEKING TREATMENT ADVICE FOR POTENTIAL POISONINGS. ADDITIONALLY, THE CENTER HAS CONTINUED TO WORK WITH STATE AND LOCAL HEALTH DEPARTMENTS TO PROVIDE STATEWIDE SURVEILLANCE AND DATA ON POISONINGS AND DRUG OVERDOSE IN KENTUCKY.
Schedule H, Part VI, Line 6, Affiliated health care systemNORTON HEALTHCARE, INC. (THE CONTROLLING COMPANY) AND ITS AFFILIATES, INCLUDING NORTON HOSPITALS, INC., NORTON ENTERPRISES, INC., NORTON PROPERTIES, INC., THE CHILDREN'S HOSPITAL FOUNDATION, INC., NORTON HEALTHCARE FOUNDATION, INC., AND COMMUNITY MEDICAL ASSOCIATES, INC. OPERATE IN THE LOUISVILLE, KENTUCKY METROPOLITAN AREA AND THE OPERATIONS OF THE AFFILIATED HEALTHCARE SYSTEM INCLUDE 1,837 LICENSED BEDS, MORE THAN 120 PHYSICIAN PRACTICE AND NORTON IMMEDIATE CARE CENTER LOCATIONS, AND OTHER ANCILLARY HEALTH CARE SERVICES.
SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORTSTATE FILING OF COMMUNITY BENEFIT REPORT; NOT REQUIRED AT THIS TIME.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN A WILLIAMS
CEO/TRUSTEE$0$957,232$0$594,080$0$875,419$0$193,323$0$20,390$0$2,640,445$0$127,109
ROBERT B AZAR
SYS VP CHIEF LEGAL OFFICER/SECRETARY$0$369,824$0$128,247$0$38,089$0$86,464$0$8,927$0$631,551$0$0
RUSSELL F COX
PRESIDENT AND COO$0$736,492$0$301,538$0$249,448$0$610,658$0$25,147$0$1,923,283$0$99,540
MICHAEL W GOUGH
SYS SR VP CFO/TREASURER$0$586,472$0$254,035$0$209,950$0$459,560$0$24,898$0$1,534,916$0$83,860
JOHN HARRYMAN
HOSPITAL CAO$393,531$0$172,549$0$107,895$0$113,186$0$24,689$0$811,850$0$58,520$0
CHARLOTTE IPSAN
HOSPITAL CAO$273,242$0$84,903$0$112,251$0$82,392$0$19,585$0$572,373$0$0$0
THOMAS KMETZ
DIVISION PRESIDENT WOMEN AND CHILDREN SERVICES$456,438$0$159,272$0$103,404$0$122,392$0$22,799$0$864,305$0$58,520$0
STEVEN MACLAUCHLAN
HOSPITAL PRESIDENT$382,824$0$127,819$0$198,355$0$1,002,067$0$11,847$0$1,722,911$0$151,552$0
ROBERT SHAW
HOSPITAL PRESIDENT$344,280$0$126,598$0$133,925$0$241,220$0$12,149$0$858,172$0$47,096$0
KEVIN WARDELL
HOSPITAL CAO$420,564$0$127,712$0$155,690$0$112,521$0$20,991$0$837,477$0$58,520$0
JOHN HAMM
PHYSICIAN$422,803$0$320,000$0$2,068$0$22,233$0$22,465$0$789,570$0$0$0
JEFFREY HARGIS
PHYSICIAN$777,426$0$0$0$3,354$0$12,750$0$20,122$0$813,651$0$0$0
RENATO LAROCCA
PHYSICIAN$934,489$0$0$0$3,854$0$12,750$0$11,879$0$962,973$0$0$0
MIAN MUSHTAQ
PHYSICIAN$384,274$0$320,000$0$18,042$0$12,750$0$19,766$0$754,831$0$0$0
STEVEN PURSELL
PHYSICIAN$398,768$0$320,000$0$20,193$0$19,511$0$8,932$0$767,405$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a, Tax indemnification and gross-up paymentsTAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INTERESTED PERSONS LISTED BELOW AT TIME OF PAYMENT. PAYMENTS ARE IN ACCORDANCE WITH EXISTING COMPENSATION POLICY. GROSS-UP PAYMENTS SHALL BE MADE ONLY WHEN SPECIFIED IN AN EMPLOYEE'S EMPLOYMENT CONTRACT, OR AS APPROVED IN WRITING BY THE PRESIDENT AND CEO OF NORTON HEALTHCARE, EXECUTIVE VICE PRESIDENT OR CFO. DURING 2013, GROSS-UP PAYMENTS WERE PROCESSED AS OUTLINED IN THE EMPLOYMENT CONTRACT FOR THE CEO. SEE NARRATIVE PROVIDED IN SCHEDULE O, REFERENCING PART VI, LINE 15, WHICH DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. ANNUITY - THE ANNUITY REPRESENT ACCULUATED RETIREMENT BENEFITS EARNED RELATED TO A NON-QUALIFIED DEFINED BENEFIT PENSION RESTORATION PLAN IN EFFECT SINCE 1990. CONTRIBUTIONS TO THIS PLAN HAVE BEEN MADE EACH YEAR, BEGINNING IN 2005. THE TOTAL VALUE OF THIS YEAR'S BENEFIT IS $503,879, OF WHICH $225,367 WAS A GROSS-UP PAYMENT TO COVER THE APPLICABLE TAXES AND $278,512 WAS USED TO PURCHASE THE ANNUITY. THE FULL VALUE OF THIS YEAR'S BENEFIT WAS INCLUDED IN 2013 TAXABLE COMPENSATION OF MR. WILLIAMS. DISABILITY COVERAGE (AND ASSOCIATED GROSS-UP) FOR MR. WILLIAMS - DURING 2013 NET DISABILITY COVERAGE PREMIUMS TOTALED $30,921, AND THE ASSOCIATED GROSS-UP OF SUCH PREMIUMS TOTALED $25,095. THUS, THE TOTAL OF THESE AMOUNTS - $56,016 - WAS INCLUDED IN THE TAXABLE COMPENSATION OF MR. WILLIAMS IN 2013.
Schedule J, Part I, Line 1a, Discretionary spending accountDISCRETIONARY 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 2013: STEPHEN A. WILLIAMS - $58,120 RUSSELL F. COX - 59,434 MICHAEL G. GOUGH - 52,208 ROBERT B. AZAR - 17,500 KEVIN WARDELL - 17,500 JOHN HARRYMAN - 17,500 THOMAS KMETZ - 17,500 STEVEN MACLAUCHLAN - 17,500 ROBERT SHAW - 20,000 CHARLOTTE ISPAN - 10,000
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationNORTON HEALTHCARE INC (NHI) EIN 61-1028725 IS THE PARENT ORGANIZATION FOR NORTON HOSPITALS, INC AND THEREFORE ESTABLISHES COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES THROUGH ENGAGING WITH THE EXECUTIVE COMMITTEE OF 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 planTHE 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" OULINED 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 - $ 134,851 RUSSELL F. COX - 593,016 MICHAEL W. GOUGH - 441,391 ROBERT AZAR - 71,313 WILLIAM RICHIE - 36,439 CHARLOTTE IPSAN -56,309 JOHN HARRYMAN - 92,098 THOMAS KMETZ - 103,037 STEVE MACLAUCHLAN - 87,776 ROBERT SHAW - 68,523 KEVIN WARDELL -92,216 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2013 AND CAN BE COMPRISED OF PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED STEPHEN A. WILLIAMS -$ 232,232 RUSSELL F. COX - 110,669 MICHAEL W. GOUGH - 92,970 ROBERT AZAR - 0 WILLIAM RICHIE - 29,616 CHARLOTTE IPSAN - 100,265 JOHN HARRYMAN - 66,683 THOMAS KMETZ - 64,130 STEVE MACLAUCHLAN - 174,045 ROBERT SHAW - 98,165 KEVIN WARDELL - 110,230
Schedule J, Part I, Line 7, Non-fixed paymentsIN 2013, NHI HAD IN PLACE A VARIABLE COMPENSATION PLAN FOR EXECUTIVES, ELIGIBILITY UNDER WHICH EXTENDED TO EMPLOYEES HOLDING A FULL-TIME POSITION AS SENIOR OFFICER, OFFICER, SYSTEM DIRECTOR OR OTHER DESIGNATED DIRECTOR LEVEL POSITION. UNDER THE PLAN, A VARIABLE COMPENSATION POOL AMOUNT IS APPROVED BY THE BOARD OF TRUSTEES. EACH PARTICIPANT'S PERFORMANCE IS EVALUATED RELATIVE TO THE GOALS AND OBJECTIVES DOCUMENTED AS PART OF THE PARTICIPANT'S PLAN; AND AN AWARD IS DETERMINED FOR THE PARTICIPANT, BASED ON ACHIEVEMENT OF THE GOALS AND OBJECTIVES, SUBJECT TO THE FUNDING OF THE VARIABLE COMPENSATION POOL. AT THE END OF EACH YEAR, THE COMMITTEE ON EXECUTIVE COMPENSATION AND BENEFITS DETERMINES AN APPROPRIATE AWARD FOR THE NHI'S PRESIDENT & CHIEF EXECUTIVE OFFICER, AND THE PRESIDENT & CHIEF EXECUTIVE OFFICER RECOMMENDS APPROPRIATE AWARDS FOR OTHER SENIOR EXECUTIVES TO THE COMMITTEE ON EXECUTIVE COMPENSATION AND BENEFITS FOR ITS REVIEW AND APPROVAL.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JASON NACAZEL
FAMILY MEMBER OF RONALD LEHOCKY, TRUSTEE$72,491COMPENSATIONfalse
ANNE ROBINSON
FAMILY MEMBER OF DONALD H ROBINSON, TRUSTEE$11,938COMPENSATIONfalse
AMY TONN
FAMILY MEMBER OF RUSSELL F. COX, OFFICER$44,049COMPENSATIONfalse
BARBARA KMETZ
FAMILY MEMBER OF THOMAS KMETZ, KEY EMPLOYEE$46,987COMPENSATIONfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1A, COMMON PAYING AGENT 1099SNORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF NORTON HOSPITALS, INC. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2013 BY NORTON HEALTHCARE, INC. FOR NORTON HOSPITALS, INC., WAS APPROXIMATELY 312. NORTON HOSPITALS, INC., HAS APPROXIMATELY 141 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2013.
FORM 990, PART V, LINE 2A, COMMON PAYING AGENT FOR EMPLOYEESNORTON HEALTHCARE, INC. EIN 61-102875 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF NORTON HOSPITALS, INC. NORTON HOSPITALS, INC AS APPROXIMATELY 9,279 EMPLOYEES.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committeeTHE 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, Sec A, Line 2, Family/business relationships amongst interested personsMR. STEPHEN A. WILLIAMS, PRESIDENT AND CEO OF NORTON HEALTHCARE, INC., IS ALSO AN OFFICER FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., AND NORTON PROPERTIES, INC. MARIA L. BOUVETTE, PRESIDENT AND CEO (THROUGH JULY 31, 2013) OF PORTER BANCORP, INC. IS A TRUSTEE FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC. AND NORTON PROPERTIES, INC. MR. WILLIAMS IS A BOARD MEMBER OF PORTER BANCORP, INC. - BUSINESS RELATIONSHIP
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholdersNORTON HEALTHCARE, INC. EIN 61-1028725 IS THE SOLE MEMBER OF NORTON HOSPITALS, INC.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodyTHE BOARD OF TRUSTEES OF NORTON HEALTHCARE, INC. APPOINTS THE TRUSTEES OF THE ORGANIZATION.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholdersACCORDING TO THE ARTICLES OF INCORPORATION OF THE ORGANIZATION, NORTON HEALTHCARE, INC., THE SOLE MEMBER, POSSESSES ALL OF THE RIGHTS GRANTED TO A MEMBER PURSUANT TO LAW, INCLUDING THE RIGHT TO ELECT TRUSTEES OR DIRECTORS AND APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE ORGANIZATION. NORTON HEALTHCARE, INC., ALSO POSSESSES THE RIGHT TO REQUIRE THE ORGANIZATION TO (I) PROVIDE CONTRIBUTIONS OF FUNDS OF THE ORGANIZATION TO PAY ALL OR A PORTION OF THE PRINCIPAL OF, INTEREST ON, AND ALL OTHER PAYMENTS TO BECOME DUE AND OWING WITH RESPECT TO ANY AND ALL INDEBTEDNESS INCURRED BY NORTON HEALTHCARE, INC., AND (II) PROVIDE SECURITY FOR SUCH INDEBTEDNESS.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing bodyAT THE OCTOBER 9, 2014 FINANCE COMMITTEE MEETING OF NORTON HEALTHCARE, INC. (NORTON), THE 990S WERE DISCUSSED AND COMMITTEE MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS. COINCIDING WITH THE FINANCE COMMITTEE MEETING, ELECTRONIC COPIES OF THE 990S WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND BOARD OF TRUSTEES THROUGH THE DIRECTOR'S PORTAL SITE. NORTON IS THE PARENT OF COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policyTHE 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, Sec B, Line 15a, Process to establish compensation of top management officialPLEASE SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15B
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employeesTHE 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 2012 FOR THE 2013 COMPENSATION REVIEW AND MET IN 2013 FOR THE 2014 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, Sec C, Line 19, Required documents available to the publicFINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E), BOARD MEMBER STIPEND PAYMENTSNORTON HEALTHCARE, INC. (NHI) AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.) ENCOURAGES AND FACILITATES BOARD MEMBER ATTENDANCE AT EDUCATIONAL PROGRAMS AND CONFERENCES ON SUBJECTS RELEVANT TO NHI. NHI'S TRAVEL POLICY FOR BOARD OF TRUSTEES PROVIDES THAT FOR EACH TRUSTEE THAT ATTENDS AT LEAST ONE OUT OF TOWN EDUCATIONAL CONFERENCE, A LUMP SUM STIPEND WILL BE PAID TO COVER UNREIMBURSED TRAVEL EXPENSE AND OTHER MISCELLANEOUS EXPENSES ASSOCIATED WITH CONFERENCE PREPARATION, ATTENDANCE OR FOLLOW UP. IN COMPLIANCE WITH IRS REGULATIONS, NHI PROVIDES A FORM 1099 TO ANY TRUSTEE THAT RECEIVES A STIPEND. THESE AMOUNTS HAVE BEEN REPORTED IN PART VII OR THE FORM 990 AS REPORTABLE COMPENSATION TO THE TRUSTEE RECEIVING STIPENDS IN 2013.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balancesAFFILIATE TRANSFER - -20504;
FORM 990, PART XII, LINE 3A, A-133 AUDITS PART XII LINE 3A AND 3BAS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFITS ORGANIZATIONS, IN 2011 NORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC. COMMUNITY MEDICAL ASSOCIATES, INC., NORTON ENTERPRISES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION) RECEIVED AN AUDIT IN ACCORDANCE WITH SINGLE AUDIT ACT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
NORTON HEALTHCARE INC
ACCOUNTING 224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611028725PROVIDE ADMINISTRATIVE AND SUPPORT SERVICESKY501(C)(3)11 - Type IINAfalse
COMMUNITY MEDICAL ASSOCIATES INC
ACCOUNTING 224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611276316OPERATES A NETWORK OF PHYSICIAN PRACTICESKY501(C)(3)9NORTON HEALTHCARE INCfalse
NORTON PROPERTIES INC
ACCOUNTING 224 E BROADWAY 5TH FLOORLOUISVILLEKY40202611028724MAINTAIN OFFICE AND PARKING FACILITIESKY501(C)(3)11 - Type INORTON HEALCARE INCfalse
THE CHILDREN'S HOSPITAL FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOORLOUISVILLEKY40202616027530GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICESKY501(C)(3)7NORTON HEALTHCARE INCfalse
NORTON HEALTHCARE FOUNDATION INC
ACCOUNTING 224 E BROADWAY 5TH FLOORLOUISVILLEKY40202310914919GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICESKY501(C)(3)7NORTON HEALTHCAREINCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd