Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization in col. (i) listed in your governing document? | (v) Did you notify the organization in col. (i) of your support? | (vi) Is the organization in col. (i) organized in the U.S.? | (vii) Amount of monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
NORTON HOSPITALS INC |
610703799 | 3 | Yes | Yes | Yes | 1,284,167,637 | |||
| (B)
COMMUNITY MEDICAL ASSOCIATES INC |
611276316 | 9 | Yes | Yes | Yes | 273,468,253 | |||
| (C)
NORTON HEALTHCARE FOUNDATION INC |
310914919 | 7 | Yes | Yes | Yes | 1,695,015 | |||
| (D)
THE CHILDREN'S HOSPITAL FND INC |
616027530 | 7 | Yes | Yes | Yes | 4,614,116 | |||
| Total | 1,563,945,021 | ||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||




| Facts And Circumstances Test |
|---|
| Explanation |
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| Software ID: | 13000248 |
| Software Version: | 2013v3.1 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 18, CURRENT YEAR TOTAL EXPENSES | DURING 2013, THE CORPORATION CONTINUED THE IMPLEMENTATION OF AN ELECTRONIC MEDICAL RECORD SYSTEM (EMR). THE SYSTEM IS AN INTEGRATED EMR SYSTEM THAT ALLOWS SEAMLESS SHARING OF PATIENT INFORMATION AMONG CAREGIVERS, PATIENTS AND FAMILIES. ALL OF THE CORPORATION'S PHYSICIAN PRACTICES, IMMEDIATE CARE CENTERS AND HOSPITALS WILL BE CONNECTED AND ABLE TO VIEW ELECTRONIC MEDICAL RECORDS USING ONE SYSTEM, RATHER THAN A VARIETY OF DISPARATE SYSTEMS. DUE TO THE SIGNIFICANT NON-CAPITAL IMPLEMENTATION COSTS IN 2013 ($37.6 MILLIONS), WHICH INCLUDE: LABOR AND BENEFITS, TRAINING, SUPPLIES, FEES AND SPECIAL SERVICES AND OTHER; THE CORPORATION HAS BROKEN OUT THESE OPERATING COSTS IN THE COMBINED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS INTO A SEPARATE LINE TITLED ELECTRONIC MEDICAL RECORDS IMPLEMENTATION. DURING 2013 IMPLEMENTATION ENCOMPASSED THREE HOSPITALS AND THE UPGRADE PREPARATION. THE IMPLEMENTATION WAS CONCLUDED BY THE END OF 2013. FOR PURPOSES OF THE 990 WE HAVE BROKEN OUT THE LINE TITLED ELECTRONIC MEDICAL RECORDS IMPLEMENTATION FROM THE AUDITED FINANCIAL STATEMENTS AND RECLASSED THE EXPENSES BY THEIR NATURAL CLASS. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS | (CONTINUED FROM PART III) IN 2013, NORTON HEALTHCARE'S HOSPITALS, AND DIAGNOSTIC CENTERS SERVED 61,281 INPATIENTS, 281,486 OUTPATIENTS AND 208,008 EMERGENCY ROOM VISITS. NORTON HEALTHCARE HOSPITALS' OPERATING ROOMS PROVIDED 18,110 INPATIENT SURGERIES AND 30,773 OUTPATIENT SURGERIES. ADDITIONALLY, 8,173 DELIVERIES OCCUREED AT NORTON HEALTHCARE BIRTHING FACILITIES, NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. IN 2013, AS IN YEARS PAST, NORTON HEALTHCARE HOSPITALS PROVIDED CHARITY CARE AND FINANCIAL ASSISTANCE FOR INDIGENT PATIENTS AND DISCOUNTED SERVICES FOR THOUSANDS OF PEOPLE IN THE LOCAL COMMUNITY AND THROUGHOUT THE STATE. IN ADDITION, DONATIONS WERE GIVEN TOWARD COMMUNITY AND PROFESSIONAL EDUCATION, SUPPORT FOR THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE AND OTHER COMMUNITY PROGRAM AND SERVICES. SPECIFICALLY, NORTON HEALTHCARE'S TOTAL COMMUNITY BENEFIT IN 2013 WAS $157.2 MILLION, INCLUDING $109.8 MILLION IN MEDICAL CARE FOR PATIENTS THROUGH CHARITY CARE AND UPAID COST OF MEDICAID RECIPIENTS AND KENTUCKY DISPROPORTIONATE SHARE PROGRAM SERVICES. THE COMMUNITY BENEFIT OF MORE THAN $13 MILLION A MONTH ALSO INCLUDED COMMUNITY INITIATIVES AND PROGRAMS SUCH AS EDUCATIONAL SUPPORT, SPONSORSHIPS, PASTORAL CARE AND COUNSELING PROGRAMS, THE KENTUCKY REGIONAL POISON CONTROL CENTER OF KOSAIR CHILDREN'S HOSPITAL, AND CHILD GUIDANCE AND ADVOCACY PROGRAMS. NORTON HEALTHCARE'S EMPLOYEES PROVIDED MORE THAN 93,000 HOURS IN SERVICE AS BOARD AND COMMITTEE MEMBERS AND ACTIVE PARTICIPANTS WITH MORE THAN 200 COMMUNITY, STATE AND NATIONAL NONPROFIT ORGANIZATIONS THAT ENDEAVOR TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS. ADDITIONALLY, EMPLOYEES PERSONALLY REPORTED 8,284 COMMUNITY SERVICE HOURS IN SUPPORT OF THEIR FAITH COMMUNITIES, CIVIC ORGANIZATIONS AND OTHER IMPORTANT COMMUNITY GROUPS. NORTON HEALTHCARE PROVIDES PROGRAMMATIC SUPPORT TO THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE THROUGH FUNDS AND FACILITIES. DURING THE 2013 CALENDAR YEAR, 416 RESIDENTS COMPLETED CLINICAL ROTATIONS IN 38 SPECIALTIES AT NORTON HEALTHCARE FACILITIES. RESIDENCY PROGRAMS ARE PART OF $ 28.4 MILLION IN SUPPORT PROVIDED TO THE SCHOOL. OFFICE OF CHURCH AND HEALTH MINISTRIES *THE OFFICE OF CHURCH AND HEALTH MINISTRIES PROVIDES FREE EDUCATION, RESOURCES AND SERVICES TO FAITH COMMUNITY NURSES AND OTHERS WORKING IN CONGREGATIONAL HEALTH MINISTRIES. IN 2013, THE MINISTRIES SERVED 187 FAITH COMMUNITIES WITH ACTIVE HEALTH AND WELLNESS PROGRAMS. DONATIONS TO THE COMMUNITY *NORTON HEALTHCARE EMPLOYEES AND PHYSICIANS GAVE MORE THAN $960,000 TO THE 2013 COMBINED GIVING CAMPAIGN TO HELP SUPPORT THE WHAS CRUSADE FOR CHILDREN, METRO UNITED WAY, FUND FOR THE ARTS, CHILDREN'S HOSPITAL FOUNDATION, NORTON HEALTHCARE FOUNDATION AND KOSAIR CHARITIES. *NORTON HEALTHCARE EMPLOYEES RAISED THE ROOF ON A HABITAT FOR HUMANITY HOUSE IN THE PORTLAND NEIGHBORHOOD IN LOUISVILLE, KY. THIS IS THE SEVENTH HABITAT HOME NORTON HEALTHCARE HAS FUNDED AND EMPLOYEES HAVE BUILT. *IN 2013, NORTON HEALTHCARE EMPLOYEES DONATED 1,462 POUNDS OF NONPERISHABLE FOOD FOR DARE TO CARE FOOD BANK AND MORE THAN 200 BLANKETS FOR BLANKET LOUISVILLE. THESE NONPROFIT ORGANIZATIONS ARE ON THE FRONT LINE HELPING HUNGRY AND HOMELESS PEOPLE IN OUR COMMUNITY. NORTON HEART CARE *NORTON HEART CARE PROVIDES THE REGION'S MOST COMPREHENSIVE SCREENING, EDUCATION AND PREVENTION PROGRAM AND IS COMMITTED TO EDUCATING OUR COMMUNITY ABOUT HEART HEALTH AND RISK FACTOR MANAGEMENT. IN 2013 THE NORTON HEALTHCARE CENTERS FOR PREVENTION & WELLNESS 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. *HEART RISK ASSESSMENTS AND EDUCATION WERE PROVIDED THROUGH THE NORTON WOMEN'S HEART & VASCULAR CENTER, THE REGION'S ONLY CENTER SOLELY DEDICATED TO EDUCATION, PREVENTION AND TREATMENT OF HEART DISEASE. *NORTON WOMEN'S HEART & VASCULAR CENTER OFFERED ITS FREE CIRCLE OF HEARTS PROGRAM, A SERIES OF MONTHLY HEART DISEASE AND PREVENTION CLASSES THAT FOCUS ON HEART HEALTH EDUCATION AND OTHER WELLNESS ISSUES OF INTEREST TO WOMEN. NORTON CANCER INSTITUTE *IN 2013, THE NORTON CANCER INSTITUTE MOBILE PREVENTION CENTER PROVIDED SERVICES IN 139 LOCATIONS IN COLLABORATION WITH MORE THAN 400 COMMUNITY PARTNERS, 50 PERCENT OF WHICH WERE IN UNDERSERVED COMMUNITIES. THIS OUTREACH RESULTED IN 2,348 PEOPLE BEING SCREENED FOR CANCER. OF THESE, APPROXIMATELY 22 PERCENT 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 PREINVASIVE AND INVASIVE CANCER. SINCE THE INCEPTION OF THE PROGRAM, 110 INDIVIDUALS HAVE BEEN DIAGNOSED AND TREATED FOR PREINVASIVE AND INVASIVE CANCER. *IN MAY 2013, THE NORTON HEALTHCARE CENTERS FOR PREVENTION & WELLNESS PUBLISHED AN ARTICLE TITLED "MOBILE MAMMOGRAPHY IN UNDERSERVED POPULATIONS: ANALYSIS OF OUTCOMES OF 3,923 WOMEN" IN THE JOURNAL OF COMMUNITY HEALTH. IT WAS ONE OF THE FIRST ARTICLES OF ITS KIND EXAMINING OUTCOMES OF WOMEN SCREENED ON A MOBILE UNIT. *EACH YEAR APPROXIMATELY 100 PATIENTS PARTICIPATE IN SMOKING CESSATION CLASSES AT NORTON HEALTHCARE. *NORTON CANCER INSTITUTE'S GENETIC COUNSELING SERVICES PROVIDED SERVICES TO 377 NEW PATIENTS IN 2013. STAFFED BY AN ONCOLOGIST AND TWO GENETIC COUNSELORS SPECIALIZING IN CANCER GENETICS AND HEREDITARY CANCER SYNDROMES, IT IS THE ONLY DEDICATED SERVICE CENTER OF ITS KIND IN THE REGION. NORTON ORTHOPAEDIC CARE *NORTON ORTHOPAEDIC CARE EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR KNEE AND HIP REPLACEMENT. THIS RECOGNITION CONFIRMS NORTON ORTHOPAEDIC CARE PROVIDES A CONSISTENTLY HIGH LEVEL OF QUALITY CARE, EXPERT TRAINING ON BEST PRACTICES, A TEAM APPROACH TO PATIENT CARE AND A CULTURE OF EXCELLENCE THROUGHOUT NORTON HEALTHCARE HOSPITALS AND DOCTORS' OFFICES. *IN LATE 2013, NORTON HEALTHCARE OPENED THE NORTON ORTHOPAEDIC & HAND CENTER ON THE CAMPUS OF NORTON BROWNSBORO HOSPITAL. THIS NEW STATE-OF-THE-ART FACILITY ENABLES SPECIALISTS OF NORTON ORTHOPAEDIC CARE, NORTON SPORTS HEALTH AND NORTON HEALTHCARE TO PROVIDE A MULTIDISCIPLINARY APPROACH TO INNOVATIVE ORTHOPAEDIC CARE IN A FACILITY THAT ALSO SUPPORTS RESEARCH, TRAINING AND EDUCATION. THE NEW FACILITY OFFERS PATIENTS SUBSPECIALIZED TRAINED ORTHOPAEDISTS, A NORTON IMMEDIATE CARE CENTER WITH A FOCUS ON ORTHOPAEDICS, REHABILITATION SERVICES, ADVANCED SPORTS TRAINING AND PRIMARY CARE SERVICES WITH AN EMPHASIS ON ORTHOPAEDICS. WOMEN'S SERVICES *FREE CHILDBIRTH EDUCATION CLASSES WERE PROVIDED TO 7,671 ATTENDEES AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. *EDUCATIONAL CLASSES AND SUPPORT GROUPS WERE PROVIDED OR COORDINATED FOR 16,245 PEOPLE IN THE COMMUNITY THROUGH THE MARSHALL WOMEN'S HEALTH & EDUCATION CENTER AND NORTON WOMEN'S CARE AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. NORTON HEALTHCARE ALSO OFFERS FREE PREVENTION AND WELLNESS CLASSES, FACILITY TOURS, EDUCATIONAL MATERIALS AND CLINICAL NAVIGATION SERVICES. PEDIATRIC SERVICES *SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL AND KOSAIR CHILDREN'S MEDICAL CENTER - BROWNSBORO CARED FOR MORE THAN 155,000 CHILDREN THROUGHOUT KENTUCKY AND SOUTHERN INDIANA. *KOSAIR CHILDREN'S HOSPITAL IS HOME TO THE KENTUCKY REGIONAL POISON CONTROL CENTER. IN 2013 THE CENTER RECEIVED 57,103 CALLS FROM CONCERNED FAMILIES WITHIN ALL 120 COUNTIES IN KENTUCKY. THE CENTER PROVIDED TREATMENT ADVICE AND EDUCATION ABOUT HOW TO CORRECTLY HANDLE EXPOSURES TO POISON. IN ADDITION, THE CENTER DISTRIBUTED MORE THAN 20,000 PREVENTION EDUCATION RESOURCES TO PHYSICIANS' OFFICES, HEALTH DEPARTMENTS AND SCHOOLS AND MORE THAN 2,000 PACKETS OF MATERIALS TO INDIVIDUALS WHO CALLED THE TOLL-FREE POISON HELP LINE, (800) 222-1222, AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. *CHILD PASSENGER SAFETY TECHNICIANS FROM KOSAIR CHILDREN'S HOSPITAL CHECKED 780 CAR AND BOOSTER SEATS AND PROVIDED 146 CAR SEATS AT FREE CHECKUP CLINICS STATEWIDE. *KOSAIR CHILDREN'S HOSPITAL LEADS SAFE KIDS LOUISVILLE AND JEFFERSON COUNTY, A PROGRAM THAT CONDUCTS SAFETY EVENTS AT SCHOOLS AND IN THE COMMUNITY. IN 2013, 21,175 STUDENTS IN GRADES THREE THROUGH FIVE THROUGHOUT KENTUCKY PARTICIPATED IN 153 BIKE SAFETY "RODEOS." *APPROXIMATELY 425 AREA ELEMENTARY SCHOOL STUDENTS, 14 TEACHERS AND NINE TEACHER'S AIDES PARTICIPATED IN "SAFE KIDS WALK THIS WAY," A PROGRAM LED BY KOSAIR CHILDREN'S HOSPITAL. THE PROGRAM IS DESIGNED TO POINT OUT DANGEROUS AREAS AROUND ROADWAYS AND TEACH CHILDREN SAFE PEDESTRIAN HABITS. *KOSAIR CHILDREN'S HOSPITAL'S "JUST FOR KIDS" TRANSPORT TEAM MADE 1,889 TRIPS TO TRANSPORT SICK, INJURED PREMATURE BABIES AND CHILDREN FROM ACROSS THE REGION TO KOSAIR CHILDREN'S HOSPITAL IN 2013. TRANSPORTATION WAS PROVIDED BY AIRPLANE, HELICOPTER AND SPECIALLY EQUIPPED AMBULANCES (MOBILE INTENSIVE CARE UNITS). |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT | PEDIATRIC SERVICES (CONTINUED) *IN 2013, KOSAIR CHILDREN'S HOSPITAL OPENED THE WENDY L. NOVAK DIABETES CARE CENTER, THANKS TO A GENEROUS $5 MILLION GIFT FROM THE LIFT A LIFE FOUNDATION. THIS IS A STATE-OF-THE-ART, COMPREHENSIVE CENTER OFFERING EDUCATION AND TREATMENT OF TYPE 1 DIABETES, PREVIOUSLY KNOWN AS JUVENILE DIABETES. TYPE 1 DIABETES HAS BEEN ON THE RISE FOR THE PAST 50 YEARS AND IS GROWING ANNUALLY, ESPECIALLY IN YOUNGER AGE GROUPS. MORE THAN 1,200 CHILDREN ARE CURRENTLY BEING TREATED FOR TYPE 1 DIABETES BY SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL AND THE UNIVERSITY OF LOUISVILLE. APPROXIMATELY 150 CHILDREN ARE DIAGNOSED EACH YEAR, OF WHOM NEARLY 50 PERCENT REQUIRE HOSPITALIZATION IN THE CRITICAL CARE CENTER AT KOSAIR CHILDREN'S HOSPITAL. THE WENDY L. NOVAK DIABETES CARE CENTER INCLUDES DIABETES INPATIENT SERVICES; AN UPCOMING DEDICATED OUTPATIENT CENTER; DIABETES EDUCATORS AND DIABETES NURSE PRACTITIONERS TO HELP KIDS AND FAMILIES LEARN TO MANAGE DIABETES; PEDIATRIC PHYSICIAN SPECIALISTS; DIABETES CARE USING THE MOST ADVANCED INSULIN MANAGEMENT AND GLUCOSE SENSING TECHNOLOGY; PERSONALIZED PROGRAMS FOR PATIENT, FAMILY AND COMMUNITY DIABETES EDUCATION; A TELEMEDICINE PROGRAM SERVING RURAL AREAS OF KENTUCKY; AND AN EXTENDED DIABETES CARE PROGRAM FOR YOUNG ADULTS AGES 18 TO 25. *NEARLY 3,900 KINDERGARTEN STUDENTS, 176 TEACHERS, 529 CHAPERONES AND 203 VOLUNTEERS ATTENDED THE 30TH ANNUAL CHILDREN & HOSPITALS WEEK EVENT LED BY KOSAIR CHILDREN'S HOSPITAL. THE PROGRAM WAS HELD AT LOUISVILLE SLUGGER FIELD AND SUPPORTED BY A KOHL'S CARES GRANT. CHILDREN & HOSPITALS WEEK, HELD EACH YEAR IN MARCH, IS DESIGNED TO ENSURE HEALTH, WELLNESS AND SAFETY AND TO HELP LESSEN THE FEAR AND ANXIETY CHILDREN MAY HAVE ABOUT HOSPITALS. *THOMAS D. KMETZ, DIVISION PRESIDENT, WOMEN'S AND CHILDREN'S SERVICES AND KOSAIR CHILDREN'S HOSPITAL, IS A CONTINUING MEMBER OF THE STEERING COMMITTEE OF THE CHILDREN'S HOSPITAL ASSOCIATION. THE COMMITTEE'S GOALS ARE TO LEAD EFFORTS TO REFORM MEDICAID SERVICES FOR MEDICALLY COMPLEX CHILDREN AND IMPROVE THEIR CARE WHILE REDUCING MEDICAID SPENDING FOR THE STATE AND FEDERAL GOVERNMENTS. AMONG MANY PROFESSIONAL MEMBERSHIPS AND COMMUNITY ACTIVITIES, KMETZ IS ON THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES AT THE CHILDREN'S HOSPITAL ASSOCIATION, PAST CHAIR OF THE KENTUCKY HOSPITAL ASSOCIATION BOARD OF TRUSTEES, ON THE PASTORAL COUNCIL OF HOLY TRINITY CATHOLIC PARISH AND PAST MEMBER OF THE FINANCE COUNCIL OF THE ARCHDIOCESE OF LOUISVILLE. KMETZ ALSO SERVES AS A BOARD MEMBER WITH THE UNIVERSITY OF KENTUCKY MASTER OF HEALTH ADMINISTRATION BOARD OF ADVISORS. HE IS A FELLOW IN THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES. NORTON NEUROSCIENCE INSTITUTE NORTON NEUROSCIENCE INSTITUTE CONTINUED ITS INVESTMENT IN THE COMMUNITY. THE INSTITUTE IS CONTINUING ITS QUEST TO BE THE REGIONAL AND NATIONAL LEADER IN TREATMENT, RESEARCH AND ACADEMIC TRAINING FOR ALL ADULT AND PEDIATRIC NEUROSCIENCE DISCIPLINES. THE INSTITUTE ALLOWS PATIENTS TO BE TREATED FOR NEUROLOGICAL DISORDERS WITHOUT HAVING TO LEAVE THE STATE FOR CARE, AS WAS SOMETIMES NECESSARY IN THE PAST. MORE THAN TWO DOZEN SUBSPECIALTY FELLOWSHIP-TRAINED NEUROSURGEONS, NEUROLOGISTS AND OTHER NEUROLOGICAL-RELATED SPECIALISTS HAVE JOINED THE GROWING PRACTICE. THESE PHYSICIANS PROVIDE EXPERTISE IN STROKE CARE, EPILEPSY, PARKINSON'S DISEASE, MULTIPLE SCLEROSIS, BRAIN TUMORS, HEADACHES, CONCUSSIONS AND MANY OTHER NEUROLOGICAL CONDITIONS. THE FOLLOWING SERVICES ALSO ARE AVAILABLE TO OUR COMMUNITY AS A RESULT OF NORTON HEALTHCARE'S SIGNIFICANT COMMITMENT TO PROVIDE THE BEST NEUROLOGICAL CARE: *AN ENDOVASCULAR NEUROSURGERY TEAM IS AVAILABLE AT TWO NORTON HEALTHCARE ADULT-SERVICE FACILITIES, MAKING ADVANCED STROKE, ANEURYSM AND ARTERIOVENOUS MALFORMATION (RANDOM BRAIN HEMORRHAGE OR RUPTURE) TREATMENT POSSIBLE WHEN IT WAS PREVIOUSLY NOT AVAILABLE IN THE REGION. *A STATE-OF-THE ART EPILEPSY CENTER AT NORTON BROWNSBORO HOSPITAL PROVIDES THE REGION'S MOST ADVANCED EPILEPSY MONITORING UNIT AND IS DEDICATED TO PROVIDING ACCURATE DIAGNOSES AND QUALITY CARE FOR INDIVIDUALS LIVING WITH SEIZURES AND EPILEPSY. AS PART OF NORTON NEUROSCIENCE INSTITUTE'S MULTIDISCIPLINARY APPROACH TO EPILEPSY CARE, THE NORTON BROWNSBORO HOSPITAL EPILEPSY MONITORING UNIT IS A SPECIALIZED INPATIENT UNIT DESIGNED TO EVALUATE AND DIAGNOSE SEIZURE DISORDERS. *A CENTRALIZED NORTON NEUROSCIENCE INSTITUTE RESOURCE CENTER IS AVAILABLE TO PATIENTS, OFFERING FREE EDUCATION AND SUPPORT SERVICES. THE RESOURCE CENTER OFFERS SUPPORT GROUPS, MENTAL HEALTH COUNSELING, CLINICAL TRIAL INFORMATION AND EDUCATIONAL, THERAPEUTIC AND EXERCISE PROGRAMS. IN ADDITION, PATIENTS HAVE ACCESS TO NATIONAL INSTITUTES OF HEALTH CLINICAL TRIALS THROUGH THE CENTER. *THE REGION'S FIRST REHABILITATION PROGRAM FOCUSED SOLELY ON TREATING PATIENTS WITH NEUROLOGICAL AND SPINE DISORDERS HAS THE ONLY LOKOMAT SYSTEM AVAILABLE TO LOUISVILLE-AREA PATIENTS. LOKOMAT ASSISTS WITH WALKING MOVEMENTS FOR PATIENTS RECEIVING THERAPY FOR PARALYSIS OR MOVEMENT DISORDERS. NORTON COMMUNITY MEDICAL ASSOCIATES *NETWORK OF PHYSICIAN PRACTICES LOCATED THROUGHOUT KENTUCKY AND SOUTHERN INDIANA *THIS NETWORK CONSISTS OF PHYSICIAN PRACTICE LOCATIONS AND IMMEDIATE CARE CENTERS, TREATING APPROXIMATELY 1.38 MILLION PATIENTS IN 2013. *ONE AREA OF SERVICE PROVIDED BY THE CMA IS TO STUDY THE NEEDS OF SPECIALTY SERVICES THAT ARE UNDERSERVED IN THE COMMUNITY AND STRIVE TO PROVIDE A QUALITY AND STABLE WORKFORCE TO SATISFY THOSE NEEDS. *PROVIDED PHYSICIANS AND A CHAPLAIN WHO MAKE HOUSE CALLS FOR PATIENTS WHO HAVE DIFFICULTY LEAVING HOME FOR MEDICAL CARE. *PHYSICIANS ARE INVOLVED IN MEDICAL SCREENING, COMMUNITY OUTREACH AND COMMUNITY EDUCATION ACTIVITIES TO PROMOTE WELLNESS AND EARLY INTERVENTIONS. RESEARCH *IN 2013, NORTON HEALTHCARE PARTICIPATED IN MORE THAN 600 RESEARCH PROJECTS. THIS RESEARCH GIVES NORTON HEALTHCARE PATIENTS ACCESS TO NEW, INNOVATIVE TREATMENTS AND HELPS EXPAND THE MEDICAL COMMUNITY'S KNOWLEDGE. THESE EFFORTS IMPROVE THE QUALITY OF MEDICAL CARE AND WILL CONTINUE TO DO SO FOR FUTURE GENERATIONS. *NORTON HEALTHCARE OFFICE OF RESEARCH ADMINISTRATION PARTNERED WITH NORTON UNIVERSITY TO OFFER RESEARCH EDUCATION TO ALL RESEARCHERS IN METRO LOUISVILLE AND BEYOND. IN 2013, NINE PROGRAMS WERE OFFERED. ATTENDEES INCLUDED NORTON HEALTHCARE, KENTUCKYONE HEALTH, UNIVERSITY OF LOUISVILLE HOSPITAL, FLOYD MEMORIAL HOSPITAL, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, ST. VINCENT HEALTH, UNIVERSITY OF KENTUCKY, UNIVERSITY OF LOUISVILLE AND VARIOUS COMMUNITY-BASED PRACTICES. CHILDREN'S HOSPITAL FOUNDATION THE CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROGRAMS, EQUIPMENT AND FACILITIES, RESEARCH, ADVOCACY AND EDUCATION FOR KOSAIR CHILDREN'S HOSPITAL. THE CHILDREN'S HOSPITAL FOUNDATION IS PLEASED TO BE ABLE TO PLAY SUCH A LARGE ROLE IN ENSURING THAT CHILDREN IN THE LOUISVILLE AREA HAVE THE MEDICAL CARE THEY NEED WHEN THEY NEED IT. THANKS TO SUPPORT FROM THE COMMUNITY, KOSAIR CHILDREN'S HOSPITAL HAS SOME OF THE MOST TALENTED AND DEDICATED PEDIATRIC SPECIALISTS AND CLINICAL AND CAREGIVING TEAMS IN THE COUNTRY READY TO CARE FOR CHILDREN. THIS SUPPORT ENABLED THE HOSPITAL TO PROVIDE CARE TO MORE THAN 156,000 CHILDREN IN 2013. KOSAIR CHILDREN'S HOSPITAL, A 265-BED HOSPITAL IS THE ONLY FULL-SERVICE, LEVEL 1 TRAUMA CENTER AND FREE-STANDING PEDIATRIC HOSPITAL IN KENTUCKY AND THE PRIMARY TEACHING FACILITY FOR THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE DEPARTMENT OF PEDIATRICS. IN ORDER TO CONTINUE TO ADDRESS THE COMMUNITY'S NEED FOR SPECIALIZED PEDIATRIC CARE AND MEET THE EVER-GROWING NEEDS FOR CHILDREN SERVED BY KOSAIR CHILDREN'S HOSPITAL, 2013 BROUGHT SEVERAL SPECIFIC FUNDRAISING INITIATIVES FORWARD TO DONORS AND THE COMMUNITY AT LARGE. THESE EFFORTS FOCUSED ON RAISING FUNDS FOR PEDIATRIC CANCER PREVENTIVE AND CARE, NEONATAL INTENSIVE CARE AND TYPE 1 DIABETES TREATMENT. WHILE THE FOUNDATION'S "JUST FOR KIDS" CAMPAIGN CONCLUDED IN 2011, THE THREE GENERAL AREAS OF DEVELOPMENT FROM THE CAMPAIGN - WORKFORCE, RESEARCH AND FACILITIES - CONTINUE TO GUIDE FUNDRAISING GROWTH IN EACH OF THE AFOREMENTIONED PEDIATRIC SERVICES. ADDITIONALLY, ONGOING AREAS OF NEED, SUCH AS CHILD ADVOCACY; PEDIATRIC PASTORAL CARE AND BEREAVEMENT PROGRAMS; ENDOWED RESEARCH CHAIRS; AND SPECIALTY THERAPIES, INCLUDING CHILD LIFE, EXPRESSIVE AND MUSIC THERAPIES, CONTINUE TO BE AREAS OF FUNDING AND PRIORITY FOR THE CHILDREN'S HOSPITAL FOUNDATION TO ENSURE A TRULY "JUST FOR KIDS" EXPERIENCE FOR PATIENTS AND FAMILIES. THE FOUNDATION CONTINUES TO EXPAND PARTNERSHIPS WITHIN THE COMMUNITY AND ENHANCE THE HOSPITAL'S ABILITY TO SERVE ALL CHILDREN REGARDLESS OF THEIR FAMILIES' ABILITY TO PAY. THE STRENGTH AND VALUE OF THE COMMUNITY'S SUPPORT FOR THE HOSPITAL ARE VISIBLE THROUGH FUNDING AND SUPPORT OF MANY PROJECTS IN 2013, INCLUDING: *MORE THAN $9 MILLION IN INVESTMENTS GRANTED TO KOSAIR CHILDREN'S HOSPITAL TO BENEFIT DOZENS OF AREAS OF CARE THROUGHOUT THE FACILITY. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT | CHILDREN'S HOSPITAL FOUNDATION (CONTINUED) *$2.5 MILLION GRANTED TO KOSAIR CHILDREN'S HOSPITAL FOR PHASE III NEONATAL INTENSIVE CARE UNIT EXPANSION. CONSTRUCTION IS CURRENTLY UNDERWAY TO PROVIDE PRIVATE AND SEMIPRIVATE ROOMS TO ALLOW ADDITIONAL PRIVACY FOR FAMILIES AND THEIR INFANTS. A NEW FAMILY CENTER WITH AMENITIES TO MAKE THE HOSPITAL FEEL MORE LIKE HOME, A MILK LAB, SEVERAL HIGH-TECH ROOMS AND ROOMS FOR MULTIPLES WILL ENHANCE THE UNIT AND PROVIDE A HEALING ENVIRONMENT FOR THE TINY PATIENTS IN THE HOSPITAL'S CARE. *ENHANCES PEDIATRIC CARDIOLOGY STUDY ON BASIC SCIENCE AND CLINICAL TRANSLATION. *RENOVATIONS TO THE ORTHOPAEDICS ON THE ST. MATTHEWS CAMPUS *FUNDED THE PURCHASE OF ADDITIONAL TRANSPORT TEAM EQUIPMENT *FUNDED THE DESIGN OF THE DIABETES OUTPATIENT CENTER AND TELEMETRY BEDS. *THE CHILDREN'S HOSPITAL FOUNDATION OFFICE OF CHILD ADVOCACY OF KOSAIR CHILDREN'S HOSPITAL, PROVIDES SAFETY AND OUTREACH INFORMATION AIMED AT KEEPING KIDS OUT OF THE HOSPITAL. *ENDOWED RESEARCH CHAIRS IN PEDIATRIC HEMATOLOGY/ONCOLOGY, SLEEP MEDICINE AND ENDOCRINOLOGY. *PROVIDED STAFF EDUCATIONAL OPPORTUNITIES AND ADVANCED CERTIFICATIONS THAT CAN LEAD TO IMPROVED PATIENT TREATMENT. SUPPORT FROM THE CHILDREN'S HOSPITAL FOUNDATION ALLOWS THE PEDIATRIC SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL TO CONTINUE TO RESPOND TO THE UNIQUE MEDICAL NEEDS OF CHILDREN FROM BIRTH TO AGE 18. NORTON HEALTHCARE FOUNDATION THE NORTON HEALTHCARE FOUNDATION IS THE PHILANTHROPIC ARM OF THE NOT-FOR-PROFIT NORTON HEALTHCARE ADULT-SERVICE HOSPITALS: NORTON AUDUBON HOSPITAL, NORTON BROWNSBORO HOSPITAL, NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. THE FOUNDATION RAISES FUNDS EACH YEAR FOR PROGRAMS, EQUIPMENT AND FACILITIES, RESEARCH AND EDUCATION, ENABLING THE HOSPITALS TO STAY UP-TO-DATE WITH MEDICAL ADVANCES AND TECHNOLOGY, AND MAINTAINING THE COMMUNITY'S ACCESS TO HEALTH CARE. COMMUNITY SUPPORT THROUGH THE NORTON HEALTHCARE FOUNDATION ALLOWS CAREGIVERS TO CONTINUE MAKING A DIFFERENCE FOR PATIENTS SERVED BY NORTON HEALTHCARE INC. IN 2013 THAT SUPPORT HELPED THE FOUNDATION PROVIDE FUNDING TO: *PROVIDE ENHANCEMENTS FOR THE MARSHALL WOMEN'S HEALTH & EDUCATION CENTER, LOCATED AT NORTON SUBURBAN HOSPITAL, WHICH PROVIDES A HEALING AND EDUCATIONAL GATHERING SPACE FOR EXPECTANT MOTHERS, WOMEN AT ALL STAGES OF LIFE AND THEIR FAMILIES TO LEARN HOW THEY CAN LIVE THEIR HEALTHIEST. *SUPPORT NORTON CANCER INSTITUTE INITIATIVES THAT PROVIDE EARLY DETECTION SCREENINGS, EDUCATION AND CLINICAL RESEARCH. *PROVIDE ENHANCEMENTS FOR NORTON WOMEN'S CARE AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL, HELPING FAMILIES WELCOME BABIES AS WELL AS SUPPORTING OUTREACH CARE FOR HIGH-RISK PREGNANT WOMEN. *SUPPORT PASTORAL CARE SERVICES FOR PATIENTS, THEIR FAMILIES AND STAFF MEMBERS AT ALL NORTON HEALTHCARE ADULT-SERVICE FACILITIES. *PROVIDE EDUCATIONAL OPPORTUNITIES FOR THE COMMUNITY AND CAREGIVERS, SUCH AS THE GAIL KLEIN GARLOVE LECTURESHIP SERIES AND NIXON LECTURESHIP SERIES, WHICH FOCUS ON TOPICS RELATED TO CANCER CARE, PREVENTION AND RESEARCH. *ALLOW NURSES TO OBTAIN ONCOLOGY-CERTIFIED NURSE DESIGNATION, ENABLING THEM TO PROVIDE THE MOST ADVANCED AND COMPREHENSIVE CARE TO CANCER PATIENTS. *PROVIDE BABY-FRIENDLY HOSPITAL INITIATIVES TO SUPPORT BREASTFEEDING AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. *PROVIDE SUPPORT FOR BREAST CANCER SURVIVORS. CAPITAL PROJECTS ARE ALSO FUNDED BY THE NORTON HEALTHCARE FOUNDATION. IN 2013, THE FOUNDATION FUNDED THE FOLLOWING PROJECTS: *RENOVATION OF THE ADULT INTENSIVE CARE UNIT AND THE NEONATAL INTENSIVE CARE UNIT AT NORTON SUBURBAN HOSPITAL. *EXPANSION OF THE LERMAN MUSIC LIBRARY AT NORTON AUDUBON HOSPITAL *RENOVATION OF THE REGISTRATION AREA AT NORTON AUDUBON HOSPITAL *RENOVATION OF THE PAIN CENTER AT NORTON HOSPITAL. THE NORTON HEALTHCARE FOUNDATION WILL CONTINUE TO FUND: *SCREENINGS AND EDUCATIONAL PROGRAMS FOR PREVENTION AND EARLY DETECTION OF CANCER IN HIGH-RISK AND MEDICALLY UNDERSERVED AREAS OF KENTUCKY AND SOUTHERN INDIANA. *INTITIATE AND DESIGNED TO IMPROVE CARDIOVASCULAR CARE. *WOMEN'S CARE FOR THOSE WELCOMING A NEW CHILD TO THE FAMILY, AS WELL AS FOR OTHER WOMEN'S ISSUES. *ADVANCED CARE THROUGH NORTON NEUROSCIENCE INSTITUTE FOR PATIENTS REQUIRING TREATMENT OF NEUROLOGICAL DISORDERS. *PREVENTION, SCREENING, CLINICAL RESEARCH AND PROGRAMS FOR NORTON CANCER INSTITUTE, PROVIDING ACCESS TO CARE AT EVERY STAGE OF CANCER. PHILANTHROPY PLAYS AN INCREASINGLY IMPORTANT ROLE AT NORTON HEALTHCARE AS CAREGIVERS STRIVE TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITY. |
| FORM 990, PART V, LINE 1A, COMMON PAYING AGENT 1099S | NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2013 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 519. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 95 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2013. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 945 VENDORS ON FORM 1096 FOR 2013. |
| FORM 990, PART V, LINE 1B, W-2 G COMMON PAYING AGENT | NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED TWO FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION. |
| FORM 990, PART V, LINE 1C, COMMON PAYING AGENT FOR VENDORS | NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT. |
| FORM 990, PART V, LINE 2A, COMMON PAYING AGENT FOR EMPLOYEES | NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 1,913 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 13,098 EMPLOYEES ON FORM W-3 FOR 2013. |
| Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee | THE EXECUTIVE COMMITTEE SHALL POSSESS AND MAY EXERCISE ALL THE POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT AND DIRECTION OF THE BUSINESS AND AFFAIRS OF THE CORPORATION. HOWEVER, THE EXECUTIVE COMMITTEE DOES NOT POSSESS THE AUTHORITY TO DO THE FOLLOWING: A) FILL VACANCIES ON THE BOARD; B) CHANGE THE MEMBERSHIP OF THE EXECUTIVE COMMITTEE; C) MAKE DECISIONS TO MERGE, LIQUIDATE, OR OTHERWISE MAKE DECISIONS OUTSIDE OF THE NORMAL COURSE OF BUSINESS; D) MAKE FINAL DETERMINATIONS OF LONG-TERM POLICY; E)HIRE OR FIRE THE CHIEF EXECUTIVE OFFICER; AND F)AMEND THE ARTICLES OF INCORPORATION OR BYLAWS. |
| Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons | MR. 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, JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. BUSINESS RELATIONSHIP WITH STEVE HEILMAN AND DOUGLAS WINKELHAKE. - BUSINESS RELATIONSHIP, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC BUSINESS RELATIONSHIP WITH JAMES FRAZIER AND DOUGLAS WINKELHAKE. - BUSINESS RELATIONSHIP, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC BUSINESS RELATIONSHIP WITH JAMES FRAZIER AND STEVE HEILMAN - BUSINESS RELATIONSHIP |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | AT 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 THE 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 policy | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. |
| Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official | PLEASE SEE EXPLANATION PROVIDED FOR FORM 990, PART VI, LINE 15B |
| Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees | THE ORGANIZATION TAKES ALL NECESSARY STEPS TO ENSURE THAT COMPENSATION FOR ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES IS REASONABLE AND APPROPRIATE FOR THE SERVICES PROVIDED TO THE ORGANIZATION. THE ORGANIZATION PROVIDES A TOTAL COMPENSATION PACKAGE THAT IS ON PAR WITH COMPENSATION PROVIDED BY SIMILAR ORGANIZATIONS AND WHICH CONFORMS TO THE POLICIES AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES. NORTON HEALTHCARE, INC. (NHI) ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES (IHS), TO PROVIDE COMPARABILITY DATA FOR NHI'S OFFICERS AND KEY EMPLOYEES ON TOTAL COMPENSATION FOR SIMILAR POSITIONS AT HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS SIMILAR IN SIZE, SCOPE OF SERVICES, AND CIRCUMSTANCES. IN ADDITION, THE ORGANIZATION PARTICIPATES IN THIRD PARTY SURVEYS WHICH PROVIDE AGGREGATE, COMPARATIVE COMPENSATION DATA FOR OFFICERS AND KEY EMPLOYEES IN SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. IHS CONSULTANTS PRESENTED AND DISCUSSED THIS COMPARABILITY DATA IN 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 public | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (D), BOARD MEMBER STIPEND PAYMENTS | NORTON HEALTHCARE, INC. (NHI) AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.) ENCOURAGES AND FACILITATES BOARD MEMBER ATTENDANCE AT EDUCATIONAL PROGRAMS AND CONFERENCES ON SUBJECTS RELEVANT TO NHI. NHI'S TRAVEL POLICY FOR BOARD OF TRUSTEES PROVIDES THAT FOR EACH TRUSTEE THAT ATTENDS AT LEAST ONE OUT OF TOWN EDUCATIONAL CONFERENCE, A LUMP SUM STIPEND WILL BE PAID TO COVER UNREIMBURSED TRAVEL EXPENSE AND OTHER MISCELLANEOUS EXPENSES ASSOCIATED WITH CONFERENCE PREPARATION, ATTENDANCE OR FOLLOW UP. IN COMPLIANCE WITH IRS REGULATIONS, NHI PROVIDES A FORM 1099 TO ANY TRUSTEE THAT RECEIVES A STIPEND. THESE AMOUNTS HAVE BEEN REPORTED IN PART VII OR THE FORM 990 AS REPORTABLE COMPENSATION TO THE TRUSTEE RECEIVING STIPENDS IN 2013. |
| FORM 990, PART IX, LINE 11G, INTEREST EXPENSE LINE 20 AND INTEREST ALLOCATION LINE 24D | NORTON HEALTHCARE, INC.'S (NHI) METHODOLOGY FOR INTEREST EXPENSE ALLOCATION IS TO DETERMINE A BUDGET INTEREST EXPENSE AMOUNT BASED ON ANTICIPATED INTEREST EXPENSE TO BE RECORDED ON NHI'S OUTSTANDING DEBT. THE BUDGETED BOND INTEREST EXPENSE IS ALLOCATED TO ITS AFFILIATES MONTHLY THROUGHOUT THE FISCAL YEAR. FOR PURPOSES OF THE FORM 990 THE AMOUNT OF INTEREST EXPENSE ALLOCATED TO NHI'S AFFILIATES IS REPORTED ON PART IX, LINE 24D. ANY INCREASE OR DECREASE TO THE ACTUAL BOND INTEREST EXPENSE DURING THE FISCAL YEAR IS NOT ALLOCATED TO ITS AFFILIATES BUT IS REFLECTED IN NHI'S FINANCIAL STATEMENTS AND THE FORM 990, PART IX, LINE 20 ACCORDINGLY. IN 2013, THE AMOUNTS BUDGETED FOR THE INTEREST EXPENSE ALLOCATIONS WERE IN EXCESS OF THE ACTUAL AMOUNTS RECORDED. FACTORS CONTRIBUTING TO THE FAVORABLE INTEREST EXPENSE WERE: EARNINGS ON THE CASH FLOW ON THE SWAP AGREEMENTS EXCEEDED EXPECTATIONS, CONTINUATION OF LOW VARIABLE RATES THAT WERE LESS THAN EXPECTATIONS AND A BOND REFUNDING TO A MUCH LOWER INTEREST RATE. |
| Form 990, Part IX, Line 11g, Other Expenses | OUTSIDE SERVICES - TOTAL EXPENSE: 54024283, PROGRAM SERVICE EXPENSE: 47541367, MANAGEMENT AND GENERAL EXPENSES: 6482916, FUNDRAISING EXPENSES: ; OTHER EXPENSES - TOTAL EXPENSE: 423124, PROGRAM SERVICE EXPENSE: 356673, MANAGEMENT AND GENERAL EXPENSES: 66451, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 274584, PROGRAM SERVICE EXPENSE: 214875, MANAGEMENT AND GENERAL EXPENSES: 59709, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 15239, PROGRAM SERVICE EXPENSE: 15239, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | AFFILIATE TRANSFER - -188031; SWAP MARK TO MARKET ADJUSTMENT - -9964772; CHANGE IN MINIMUM PENSION LIABILITY - -9448694; |
| FORM 990, PART XII, LINE 3A, A-133 AUDITS PART XII LINE 3A AND 3B | AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFITS ORGANIZATIONS, IN 2013 NORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION) RECEIVED AN AUDIT IN ACCORDANCE WITH THE SINGLE AUDIT ACT. |
| Software ID: | 13000248 |
| Software Version: | 2013v3.1 |