Attach to Form 990 or Form 990-EZ.
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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
NORTON HOSPITALS INC |
610703799 | 3 | Yes | 1,311,916,427 | 0 | |
| (B)
COMMUNITY MEDICAL ASSOCIATES INC |
611276316 | 9 | Yes | 299,831,279 | 0 | |
| (C)
NORTON HEALTHCARE FOUNDATION INC |
310914919 | 7 | Yes | 1,740,730 | 0 | |
| (D)
THE CHILDREN'S HOSPITAL FND INC |
616027530 | 7 | Yes | 4,541,662 | 0 | |
Total 4
|
1,618,030,098 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc., and the other three supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals. |
| Schedule A, Part IV, Section C, Line 1 Majority director detail | As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same Chief Executive Officer, Chief Legal Officer, President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |
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 III, Line 4a Program Service Accomplishment | (Continued from Part III) In 2014, Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 63,135 inpatients, 452,530 outpatients and 226,699 emergency room visits. Norton Healthcare hospitals' operating rooms conducted 18,365 inpatient surgeries and 32,286 outpatient surgeries. Additionally, 8,274 babies were delivered at Norton Healthcare birthing facilities at Norton Hospital (3,051) and Norton Women's and Kosair Children's Hospital (5,223). Community Benefit As part of our commitment to improving the health of our community, Norton Healthcare provides funding for a wide array of practical life-saving and life-enhancing services that benefit the communities we serve. In 2014, our total contribution was valued at more than $148.4 million, including $97 million in charity care and unpaid Medicaid cost. Our employees donated 89,488 hours of community service, a benefit valued at more than $1.5 million. Other areas of support included: * Scholarships and other educational assistance * Sponsorships of community programs * Pastoral care and counseling services * Support for the Kentucky Regional Poison Control Center of Kosair Children's Hospital * Child guidance and advocacy programs * Community cancer initiatives Community Education and Workforce Development * Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2014 calendar year, 377 residents completed clinical rotations in 40 specialties at Norton Healthcare facilities. Residency programs are part of $33.1 million in educational support and clinical funding provided to the school. One of Kentucky's largest healthcare systems, Norton Healthcare, Inc. has established a culture of continual, life-long learning through the departments of Workforce Development, Norton Institute for Nursing and Norton University. Workforce Development, encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of the organization. Norton Healthcare encourages and supports employees and dependents career goals by providing financial assistance and scholarships as well as other advancement opportunities. * In 2014, Workforce Development received the CareerStat Frontline Healthcare Worker Champion Award. The National Fund for Workforce Solutions and Jobs for the Future promote employer investments in the skill and career development of frontline workers in healthcare. * Workforce Development Career Center served over 1,100 students. Each program participant worked directly with a Certified Career Management Coach, offering services in resume writing; career and educational exploration; financial assistance opportunities for educational pursuit; interviewing skills and mentoring. * Nurse Extern Program is a seven-week summer program that provides a hands-on learning opportunity for exceptional nursing students to work directly with medical professionals at Norton Healthcare. In 2014, this program had 53 participants. * Tuition assistance program is offered to employee students seeking to grow their education with a healthcare-related degree. In 2014, 326 employees participated. |
| Form 990, Part III, Line 4a Program Service Accomplishment | * Norton Scholars Accelerated Program, a student loan program, for employees and non-employees, provides educational funding to students interested in pursuing designated healthcare careers. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. This program has 2,160 graduates and 1,664 of these graduates have continued their careers with Norton Healthcare. * Norton Healthcare, through Workforce Development, continues to partner with the city of Louisville through a summer job and internship program known as the Mayor Summers Work Program, to give young adults an opportunity to be employed in our healthcare environment during the summer months. In 2014, approximately 33 young adults participated in this program. Norton Institute of Nursing to foster innovation and collaboration through community outreach. * Norton Healthcare partnered with the Greater Clark County School Corporation and Jeffersonville High School in Jeffersonville, Indiana in 2014 to provide junior and senior high school students an opportunity to pursue a healthcare career and collegiate path after high school graduation. This partnership known as Norton Academy exposes students to the healthcare field with engagement through hands on experiences, post-secondary preparation through guided research, professional healthcare mentoring, provision of resource for successful college admission and financial aid processes. The program also provides students with the opportunity to acquire the Indiana state and federally recognized career certification of a Certified Nursing Assistant (C.N.A.). In addition, students receive certification in CPR, First Aid and Dementia as well as college credit. In 2014, twenty-two seniors graduated from this program. Norton University provides learning opportunities to enhance the professional, educational, and personal development of all employees. Norton University's Value Proposition states "Norton University nurtures learning and relations to inspire change that leads to exceptional experiences for both patients and employees. Norton University provides over 140 instructor-led and 1,500 on-line courses for leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work and College at Work programs expose entry-level staff to healthcare careers and help them obtain a higher level position, GED or college degree. * Leadership development programs that support the development of leaders (Nursing, Physician Practices, Physician and System) across the continuum. * Organizational development activities that assist in creating a more effective and efficient workplace with highly engaged employees. 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 2014, the office mentored and served 188 faith communities with active health ministries programs, and assisted many others with health and wellness efforts Donations to the community * Norton Healthcare employees and physicians gave more than $900,000 to the 2014 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 Hazelwood neighborhood in Louisville, Ky. This is the eighth Habitat home Norton Healthcare employees have built. * In 2014, Norton Healthcare employees donated 2,028 pounds of non-perishable food for Dare to Care Food Bank and 266 blankets for Blanket Louisville. These non-profit organizations are on the front line helping hungry and homeless people in our community. * In November 2014, Jefferson County Public Schools received a $150,000 grant from Norton Healthcare's James R. Petersdorf Fund to protect athletes from concussion. A total of 235 four-star football helmets were purchased with the funds. In conjunction with Norton Sports Health, the grant will provide ImPACT testing for all football players in JCPS middle and high schools, and any of the estimated 10,000 other high school students who play high-impact sports (soccer, cheerleading, volleyball, basketball, wrestling, lacrosse, field hockey, baseball and softball). The grant also will provide partial funding for three athletic trainers at Fairdale, Shawnee and Western high schools. 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. |
| Form 990, Part III, Line 4a Program Service Accomplishment | In 2014: * Norton Healthcare Centers for Prevention & Wellness screened 4,476 people for high blood pressure, diabetes, high cholesterol and osteoporosis and provided information about smoking cessation, diet and exercise. * Norton Women's Heart & Vascular Center, the region's only center dedicated to education, prevention and treatment of heart disease for women, provided 65 participants heart disease risk assessments and education. * Norton Women's Heart & Vascular Center offered its free Circle of Hearts program, a quarterly heart disease and prevention class that focuses on heart health education and other wellness issues of interest to women. Circle of Hearts had 58 attendees in two classes. In addition, Women's Cardiovascular Wellness had 154 attendees in seven classes; Yoga Nidra had 72 attendees; and Tai Chi for Health had 34 attendees. * Heart health community events, including health fairs, Go Red for Women and the Go Confidently speaker series, were attended by 5,244 attendees at 18 locations. * Heart health community presentations and speaking engagements were held at 54 locations for 640 individuals representing businesses, churches, women's groups and health care professionals. * A registered nurse visited 168 new mothers at Norton Women's and Kosair Children's Hospital to provide heart health education, resource referrals and a baby blanket, including a Go Red for Women message. The women had all experienced pregnancy-related complications. Norton Cancer Institute * In 2014, the Norton Cancer Institute Mobile Prevention Center served 192 locations in collaboration with more than 400 community partners, 50 percent of which were in underserved communities. This outreach resulted in 2,519 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 2014, 28 of the screened individuals were diagnosed and treated for preinvasive and invasive cancer. * Norton Cancer Institute's Genetic Counseling Services provided services to 537 new patients in 2014. This department specializes in cancer genetics and hereditary cancer syndromes. Norton Orthopaedic Care * Norton Orthopaedic Care earned The Joint Commission's Gold Seal of Approval for knee and hip replacement. This recognition confirms Norton Orthopaedic Care provides a consistently high level of quality care, expert training on best practices, a team approach to patient care and a culture of excellence throughout Norton Healthcare hospitals and doctors' offices. * Norton Orthopaedic & Hand Center near the campus of Norton Brownsboro Hospital is a state-of-the-art facility with specialists of Norton Orthopaedic Care, Norton Sports Health and Norton Healthcare to provide a multidisciplinary approach to innovative orthopaedic care. The facility supports research, training and education. It also offers patients subspecialized trained orthopaedists, a Norton Immediate Care Center with a focus on orthopaedics, rehabilitation services, advanced sports training and primary care services with an emphasis on orthopaedics. Women's services * Norton Women's Care birthing facilities at Norton Hospital and Norton Women's and Kosair Children's Hospital provided the care and medical services for 8,274 deliveries. * In 2014, free childbirth education classes were provided to 7,778 attendees at Norton Hospital (468) and Norton Women's and Kosair Children's Hospital (7,310). * Educational classes and support groups were provided or coordinated for 16,762 people in the community through the Marshall Women's Health & Education Center and Norton Women's Care at Norton Hospital and Norton Women's and Kosair Children's Hospital Norton Healthcare also offers free prevention and wellness classes, facility tours, educational materials and clinical navigation services. |
| Form 990, Part III, Line 4a Program Service Accomplishment | Pediatric services * The pediatric specialists at Kosair Children's Hospital, Kosair Chilren's Medical Center and Norton Women's and Kosair Children's Hospital had 167,190 total patient encounters in 2014 (inpatient discharges and outpatient visits. ). * Kosair Children's Hospital is home to the Kentucky Regional Poison Control Center. In 2014, the center received 54,543 calls and made 59,749 follow-up calls to concerned families from all 120 counties in Kentucky. The center provided treatment consultation and education about how to correctly handle exposures to poisons. In addition, the center distributed more than 25,000 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 786 car and booster seats and provided 155 car seats and 300 booster seats at free checkup clinics statewide. The booster seats were provided through a grant from the Kentucky Highway Safety Office. * Kosair Children's Hospital leads Safe Kids Louisville, a program that conducts safety events at schools and in the community. In 2014, 15,100 students in grades three through five throughout Kentucky participated in 159 bike safety "rodeos." * Approximately 350 middle school students and 12 teachers participated in "Safe Kids Walk This Way," a program led by Kosair Children's Hospital. The program is designed to reduce dangerous distraction behaviors of teen pedestrians. * Kosair Children's Hospital's "Just for Kids" Transport Team made 1,964 trips to transport babies and children from across the region to Kosair Children's Hospital in 2014. Transportation was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * In 2014, Kosair Children's Hospital made great strides in pediatric cardiology and cardiovascular surgery services through printing a 3-D heart to plan a complex congenital heart surgery. We had a patient diagnosed with four congenital heart defects through a routine ultrasound during his mother's pregnancy. While each defect is repairable in itself, it is unusual to have all four together - something that created a challenge for the medical team at Kosair Children's Hospital. For a solution, doctors with Kosair Children's Hospital and the University of Louisville School of Medicine turned to engineers at the J. B. Speed School of Engineering at the University of Louisville to print a 3-D model that would facilitate this complex heart surgery. This is the first time 3-D printing has been used in Kentucky to plan a heart surgery. The Rapid Prototyping Center at U of L's J.B. Speed School of Engineering converted a CT angiogram into a format that could be utilized by a 3-D printer, resulting in a three-dimensional model that was twice the size of the patient's heart. The model was built in three separate parts to allow the surgeon to open up the model and see inside. It was constructed of semiflexible, tissue-like material in only 20 machine hours and at a cost of just $600. The patient's surgery was performed successfully, and the patient was able to be discharged just four days later. Utilizing the 3-D model allowed the surgeon to create a highly educated plan of care, resulting in fewer incisions in the heart, less operating time and an easier post-operative recovery. Our chief of cardiovascular surgery foresees the use of 3-D printing for surgeries increasing over time. * Nearly 3,900 kindergarten students, 175 teachers, 520 chaperones and 210 volunteers attended the 31st 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. |
| Form 990, Part III, Line 4a Program Service Accomplishment | Children & Hospitals Week, held each year in March, is designed to teach safe decisions and behaviors and help lessen the fear and anxiety children may have about coming to a hospital. Norton Neuroscience Institute Norton Neuroscience Institute is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. Norton Neuroscience Institute allows patients to be treated for neurological disorders without having to leave the region for care. 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, ALS, 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 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. Community Medical Associates * Norton Healthcare's employed provider group treated more than 1.6 million patients in 2014 , a 13 percent increase over 2013. Community Medical Associates consists of more than 150 physician practices, twelve urgent care providers, including physicians, physician assistants and advance practice providers. * Provided physicians and a chaplain who make house calls for elderly patients who have difficulty leaving home for medical care. * Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. Research * In 2014, Norton Healthcare participated in more than 700 community benefit research projects. Our 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 2014, eight 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, Norton Women's and Kosair Children's Hospital - and Kosair Children's Medical Center. The Children's Hospital Foundation is motivated to ensure that children in the Louisville area have the medical care they need when they need it, while keeping kids as close to home as possible. |
| Form 990, Part III, Line 4a Program Service Accomplishment | Children's Hospital Foundation (continued) Thanks to support from the community, Kosair Children's Hospital has some of the most talented and dedicated pediatric specialists and clinical and caregiving teams in the country ready to care for children. This 265-bed hospital is the only full-service, free-standing pediatric hospital in Kentucky, level 1 pediatric trauma center in Kentucky, and the primary teaching facility for the University of Louisville School of Medicine Department of Pediatrics. In order to continue to exceed the community's need for specialized pediatric care and meet the ever-growing needs at Kosair Children's Hospital, 2014 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric cancer, neurology and neurosurgery, neonatal intensive care, Type I diabetes, trauma and emergency care to name a few. While the foundation's "Just for Kids" campaign concluded in 2011, the three general areas of development from the campaign - workforce, research and facilities - continue to guide fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy; pediatric pastoral care and bereavement programs; endowed research chairs; and specialty therapies, including child life, expressive and music therapies, continue to be areas of funding and priority for the Children's Hospital Foundation to ensure a truly "Just for Kids" experience for patients and families. The foundation continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The strength and value of the community's support for the hospital are visible through funding and support of many projects in 2014, including: * More than $9 million in investments granted to Kosair Children's Hospital, to benefit dozens of areas of care. * Renovation of the Bone Marrow Treatment Lab and Oncology Special Care Unit (OSCU) in the Addison Jo Blair Cancer Care Center at Kosair Children's Hospital. * ECMO equipment update to support critical ill pediatric patients whose heart and lungs can no longer function. * The Children's Hospital Foundation Office of Child Advocacy of Kosair Children's Hospital, which helps provide safety and outreach information aimed at keeping kids out of the hospital. * Funding for the Wendy L. Novak Diabetes Care Center at Kosair Children's Hospital for expansion of technology and accreditation. * Construction of a new Pediatric Inpatient Unit and Pediatric Emergency Room to increase the capacity to serve children in the region at Norton Women's and Kosair Children's Hospital. * Endowed research chairs in pediatric hematology/oncology, sleep medicine and endocrinology. * Staff educational opportunities and advanced certifications that can lead to improved patient treatment. Support from the Children's Hospital Foundation allows the pediatric specialists at Kosair Children's Hospital to continue to respond to the unique medical needs of children from birth to age 18. It also helps the hospital work to keep children out of the hospital. |
| Form 990, Part III, Line 4a Program Service Accomplishment | Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare adult-service hospitals: Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital and Norton Women's and Kosair Children's Hospital. The foundation raises funds each year to improve programs, equipment and facilities, research and education, enabling the hospitals to stay up-to-date with medical advances and technology, and maintaining the community's access to health care. Community support through the Norton Healthcare Foundation allows caregivers to continue making a difference for patients served by Norton Healthcare Inc. In 2014, that support helped the foundation provide funding to: * Norton Healthcare Foundation funds granted more than $5.9 million to benefit dozens of areas of care throughout the facilities. * Provide enhancements and programming for the Marshall Women's Health & Education Center, located at Norton Women's and Kosair Children's 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. * Expand the surgery waiting area at Norton Brownsboro Hospital to serve patient families. * Support pastoral care services for patients, their families and staff members at all Norton Healthcare adult-service facilities. * Provide educational opportunities for the community and caregivers, such as the Gail Klein Garlove Lectureship series, with 166 attendees and Nixon Lectureship series with 345 attendees, which focus on topics related to cancer care, prevention and research. * Support nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. * Renovate and expand Norton Women's and Kosair Children's Hospital, including the installation of the healing garden and labyrinth for oncology patients. * Provide baby-friendly hospital initiatives to support breastfeeding at Norton Hospital and of Norton Women's and Kosair Children's Hospital. * Program support for Integrative Medicine initiatives for the Norton Neuroscience Institute. * Provide support for breast cancer survivors. The Norton Healthcare Foundation will continue to support: * Screenings and educational programs for prevention and early detection of cancer in high-risk and medically underserved areas of Kentucky and Southern Indiana. * Efforts 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 2014 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 483. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 92 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2014. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 894 VENDORS ON FORM 1096 FOR 2014. |
| 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 AND ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE 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 1,944 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 13,577 EMPLOYEES ON FORM W-3 FOR 2014. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee shall possess and may exercise all the powers and authority of the Board of Trustees in the management and direction of the business and affairs of the Corporation. However, the Executive Committee does not possess the authority to do the following: a) fill vacancies on the Board; b) change the membership of the Executive Committee; c) make decisions to merge, liquidate, or otherwise make decisions outside of the normal course of business; d) make final determinations of long-term policy; e)hire or fire the Chief Executive Officer; and f)amend the Articles of Incorporation or Bylaws. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. BUSINESS RELATIONSHIP 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, Line 11b Review of form 990 by governing body | At the October 8, 2015 Norton Healthcare, Inc. (Norton) Finance Committee meeting and at the October 15, 2015 Norton Board of Trustees meeting , the 990s were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the 990s were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site. Norton is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | Please see explanation provided for Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHI) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), to provide comparability data for NHI's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. IHS consultants presented and discussed this comparability data in 2013 for the 2014 compensation review and met in 2014 for the 2015 compensation review with the committee of board leadership (now Executive Committee) of the Board of Trustees (Board) The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHI's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation. Employment contracts for the CEO, COO, and CFO and key employees are signed, and reviewed as necessary. |
| Form 990, Part VI, Line 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 2014. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Misc Inc - Total Revenue: 308432, Related or Exempt Function Revenue: 308432, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase discounts - Total Revenue: 30, Related or Exempt Function Revenue: 30, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Outside Services - Total Expense: 35945855, Program Service Expense: 31926299, Management and General Expenses: 4019556, Fundraising Expenses: ; Other expenses - Total Expense: 704536, Program Service Expense: 547180, Management and General Expenses: 157356, Fundraising Expenses: ; Contract Labor - Total Expense: 454922, Program Service Expense: 354635, Management and General Expenses: 100287, Fundraising Expenses: ; Professional Fees - Total Expense: 1222092, Program Service Expense: 1222092, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Affiliate transfer - -293877; SWAP mark to market adjustment - 5742054; Change in minimum pension liability - 1137704; |
| 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 2014 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: | 14000329 |
| Software Version: | 2014v1.0 |