Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
Norton Healthcare Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
Accounting 224 E Broadway 5th Fl
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Louisville, KY40202
D Employer identification number

61-1028725
E Telephone number

G Gross receipts $ 570,840,343
F Name and address of principal officer:
RUSSELL F COX
4967 US HIGHWAY 42 SUITE 100
Louisville,KY40222
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NORTONHEALTHCARE.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1983
M State of legal domicile: KY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 22
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 2,743
6 Total number of volunteers (estimate if necessary) ............. 6 12
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 308,388
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 969,493 964,807
9 Program service revenue (Part VIII, line 2g) ......... 165,953,019 321,907,901
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 43,310,438 63,201,899
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,451,000 3,350,141
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 212,683,950 389,424,748
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,910,387 3,312,212
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 150,900,280 179,647,109
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 128,568,411 152,411,384
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 281,379,078 335,370,705
19 Revenue less expenses. Subtract line 18 from line 12....... -68,695,128 54,054,043
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,798,724,698 1,830,303,653
21 Total liabilities (Part X, line 26)............. 2,211,956,402 2,296,959,083
22 Net assets or fund balances. Subtract line 21 from line 20..... -413,231,704 -466,655,430
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: Norton Healthcare's purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 259,967,135 including grants of $ 3,312,212 ) (Revenue $ 361,665,400 )
NORTON HEALTHCARE, INC. (NHC) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2018 NHC, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 LICENSED BEDS: NORTON HOSPITAL (Norton) - 605 BEDS; NORTON CHILDREN'S HOSPITAL (NCH)- 300 BEDS; NORTON AUDUBON HOSPITAL (Audubon) - 432 BEDS; NORTON WOMEN'S AND CHILDREN'S HOSPITAL (NWCH)- 373 BEDS; AND NORTON BROWNSBORO HOSPITAL(NBH) - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O)
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet259,967,135
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
531
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
3
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,743
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
23
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
22
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletHelena SchulzAccounting 224 E BROADWAY 5th Fl   LOUISVILLE,KY402022025 (502) 629-8263
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Russell F Cox
 
President & CEO/Trustee
 30.0
.................
20.0 		X   X       2,023,748 0 139,421
(2) Gary L Stewart
 
Chair
 10.0
.................
3.5 		X           1,600 0 0
(3) Edie Nixon
 
Vice Chair
 6.0
.................
2.5 		X           0 0 0
(4) Maria L Bouvette
 
Trustee (partial year)
 1.0
.................
2.5 		X           1,600 0 0
(5) Brendan Canavan
 
Trustee
 1.0
.................
2.5 		X           0 0 0
(6) Sue Davis EdD RN
 
Trustee
 1.0
.................
2.5 		X           1,600 0 0
(7) Marshall Farrer
 
Trustee
 1.0
.................
2.5 		X           0 0 0
(8) Lee K Garlove
 
Trustee
 1.0
.................
3.5 		X           3,200 0 0
(9) Maria Gerwing Hampton
 
Trustee
 3.0
.................
2.5 		X           0 0 0
(10) Craig D Grant
 
Trustee
 1.0
.................
2.5 		X           1,600 0 0
(11) Rick Guillaume
 
Chair Emeritus
 2.0
.................
2.5 		X           0 0 0
(12) Martha K Heyburn MD
 
Trustee
 3.0
.................
2.5 		X           0 0 0
(13) Rita Hudson Shourds EdD
 
Trustee
 1.0
.................
2.5 		X           0 0 0
(14) Richard R Ivey
 
Trustee
 1.0
.................
2.5 		X           1,600 0 0
(15) Ronald Lehocky MD
 
Trustee
 3.0
.................
2.5 		X           0 0 0
(16) Gail Lyttle
 
Trustee
 1.0
.................
2.5 		X           1,600 0 0
(17) Gregory E Mayes
 
Trustee
 5.0
.................
2.5 		X           1,600 0 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Barry Pennybaker
 
Trustee
 1.0
.......................2.5 		X           0 0 0
(19) Erwin Roberts
 
Trustee
 1.0
.......................2.5 		X           0 0 0
(20) Donald H Robinson
 
Trustee
 5.0
.......................2.5 		X           0 0 0
(21) G Hunt Rounsavall Jr
 
Trustee
 4.0
.......................3.5 		X           1,600 0 0
(22) Rev William J Schultz
 
Trustee
 3.0
.......................2.5 		X           0 0 0
(23) James L Sublett MD
 
Trustee
 1.0
.......................2.5 		X           1,600 0 0
(24) Richard S Wolf MD
 
Chair Emeritus
 1.0
.......................2.5 		X           1,600 0 0
(25) Robert B Azar
 
Sr VP Chief Legal Officer/Secretary
 30.0
.......................20.0 		    X       1,953,813 0 127,178
(26) Michael W Gough
 
Exec VP and COO
 30.0
.......................20.0 		    X       1,331,576 0 214,821
(27) Adam Kempf
 
Sr VP, CFO/Treasurer
 30.0
.......................20.0 		    X       587,990 0 116,583
(28) Steven Hester MD
 
Div President Provider Ops & Sys CMO
 50.0
.......................0 		      X     1,000,203 0 194,986
(29) Douglas Winkelhake
 
Division President
 50.0
.......................0 		      X     930,066 0 183,729
(30) Tracy Williams
 
Sr VP & CNO
 50.0
.......................0 		      X     685,784 0 50,971
(31) Steve Ready
 
Sys VP CIO
 50.0
.......................0 		      X     685,520 0 136,948
(32) Scott Watkins
 
Sr VP Operations
 50.0
.......................0 		      X     664,617 0 140,329
(33) James Frazier MD
 
VP Medical Affairs
 50.0
.......................0 		      X     588,841 0 106,956
(34) Steven Heilman MD
 
Sys VP Ancillary Serv & CMIO
 50.0
.......................0 		      X     581,714 0 100,813
(35) Mary Jo Bean
 
Sr VP Planning & Bus Analysis
 50.0
.......................0 		      X     515,996 0 99,109
(36) Dana Allen
 
Sys VP Chief Mktg & Communication Officer
 50.0
.......................0 		      X     489,816 0 40,327
(37) Kathleen Exline
 
VP Perf Excel & Care Continium
 50.0
.......................0 		      X     431,107 0 82,304
(38) Jim Meyers
 
Sys VP Revenue Cycle
 50.0
.......................0 		      X     403,166 0 84,311
(39) Mary Lynn Meyer
 
Sr VP CDO
 30.0
.......................20.0 		      X     211,547 380,303 104,537
(40) Jennifer Evans MD
 
Sys VP Women's & Pediatric Svc Line
 50.0
.......................0 		        X   470,098 0 83,909
(41) Shelly Gast
 
Sys VP Mngd Care & Payor Strategy
 50.0
.......................0 		        X   391,328 0 72,398
(42) Stephen Wyatt MD
 
Chief Research Executive
 50.0
.......................0 		        X   384,995 0 23,219
(43) Kimberly Tharp-Barrie
 
Sys VP Nursing Inst/Outreach
 50.0
.......................0 		        X   382,858 0 64,821
(44) Alfonso Cornish
 
Sys VP Learning & Org Dev
 50.0
.......................0 		        X   382,797 0 319,815
(45) Charles Bohn
 
Former SYS VP Chief HR Officer
  
.......................0 		          X 630,718 0 101,696
(46) Michael Esposito
 
Former Sys VP Chief Network Development Officer
  
.......................0 		          X 299,283 0 14
(47) Thomas Johnson
 
Former Sys VP PR-Chief Communication Officer
 0.0
.......................0 		          X 172,668 0 34,249
(48) Kenneth Wilson MD
 
SYS VP Clinical Effectiveness
 0.0
.......................40.0 		          X 0 485,386 43,693
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 16,219,449 865,689 2,667,135
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet264
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Firstsource Solutions USA LLC

1661 Lyndon Farm Ct
Louisville,KY40223 		Professional Services 9,392,492
Huron Consulting Services LLC

3005 Momentum Place
Chicago,IL606895330 		Professional Services 4,391,692
Epic Systems Corporation

P O Box 88314
Milwaukee,WI532880314 		Software Maintenace and Support 4,381,176
Brooksource

PO Box 55767
Indianapolis,IN46205 		Professional Services 3,310,220
The CSI Companies Inc

PO Box 890841
Charlotte,NC282890841 		Professional Services 2,517,605
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet130
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 964,807
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 964,807
Program Service RevenueAmt Business Code
2a Management fees 900099 314,285,535 314,285,535    
b Clinical Research Trials 900099 7,365,354 7,365,354    
c Education Programs 900099 257,012 257,012    
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ....MediumBullet 321,907,901
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 25,469,177     25,469,177
4 Income from investment of tax-exempt bond proceedsMediumBullet 1,325,364     1,325,364
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   100,000
b Less: rental expenses    
c Rental income or (loss) 0 100,000
d Net rental income or (loss)......MediumBullet 100,000 100,000    
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   217,822,953
b Less: cost or other basis and sales expenses   181,415,595
c Gain or (loss) 0 36,407,358
d Net gain or (loss).....MediumBullet 36,407,358 36,407,358    
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Credit Card Rebate 900099 883,108 883,108    
b Employee Emergency Fund 900099 195,587 195,587    
c Miscellaneous Income 900099 2,171,446 2,171,446    
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 3,250,141
12 Total revenue. See Instructions......MediumBullet 389,424,748 361,665,400 0 26,794,541
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 3,163,775 3,163,775
2 Grants and other assistance to domestic individuals. See Part IV, line 22 148,437 148,437
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 13,160,113 7,029,325 6,130,788  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 40,514 40,514    
7 Other salaries and wages 133,590,174 116,525,892 17,064,282  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 6,060,238 5,510,126 550,112  
9 Other employee benefits ....... 16,046,103 14,106,495 1,939,608  
10 Payroll taxes ........... 10,749,967 9,245,490 1,504,477  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,106,845 3,451,492 655,353  
c Accounting ........... 631,000 252,400 378,600  
d Lobbying ........... 130,250 52,100 78,150  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 4,240,456   4,240,456  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 63,497,833 46,507,747 16,990,086 0
12 Advertising and promotion ....        
13 Office expenses ....... 2,263,495 1,775,718 487,777  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 9,853,725 7,897,722 1,956,003  
17 Travel ............ 1,406,689 1,119,620 287,069  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 37,373,973   37,373,973  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 19,554,154 59,377 19,494,777  
23 Insurance ... 23,843,455 20,367,400 3,476,055  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Equipment rental & repair 44,363,310 40,002,782 4,360,528  
b Recruitment 678,286 579,810 98,476  
c Interest allocation -38,786,075   -38,786,075  
d Insurance allocation -22,151,295 -18,917,206 -3,234,089  
e All other expenses 1,405,283 1,048,119 357,164 0
25 Total functional expenses. Add lines 1 through 24e 335,370,705 259,967,135 75,403,570 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ -24,004,507 1 -14,208,413
2 Savings and temporary cash investments ......... 145,766,990 2 208,661,448
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 10,518,320 4 9,592,183
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 22,139
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6 0
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........ 794,161 8 848,618
9 Prepaid expenses and deferred charges ...... 31,525,657 9 43,190,144
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 464,901,252
b Less: accumulated depreciation 10b 375,594,745 93,447,595 10c 89,306,507
11 Investments—publicly traded securities . 1,114,100,833 11 1,017,378,856
12 Investments—other securities. See Part IV, line 11 ..... 396,299,336 12 423,869,660
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 30,276,313 15 51,642,511
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,798,724,698 16 1,830,303,653
Liabilities 17 Accounts payable and accrued expenses ..... 200,275,705 17 160,544,958
18 Grants payable ... 1,030,521 18 1,188,803
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 1,095,766,975 20 1,065,947,166
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 914,883,201 25 1,069,278,156
26 Total liabilities. Add lines 17 through 25.. 2,211,956,402 26 2,296,959,083
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets -413,518,983 27 -466,910,591
28 Temporarily restricted net assets ........... 287,279 28 255,161
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... -413,231,704 33 -466,655,430
34 Total liabilities and net assets/fund balances ........ 1,798,724,698 34 1,830,303,653
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
389,424,748
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
335,370,705
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
54,054,043
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
-413,231,704
5
Net unrealized gains (losses) on investments ...............
5
-98,336,665
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-9,141,104
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-466,655,430
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................4
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (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   1,753,918,387 0
(B) COMMUNITY MEDICAL ASSOCIATES INC
  		611276316 9   No 470,767,963 0
(C) NORTON HEALTHCARE FOUNDATION INC
  		310914919 7   No 1,665,885 0
(D) THE CHILDREN'S HOSPITAL FND INC
  		616027530 7   No 6,537,529 0
Total
4
 2,232,889,764 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
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 President/Chief Executive Officer, Chief Legal Officer, Executive Vice President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations.
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
Norton Healthcare Inc
  		Employer identification number
61-1028725
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
Norton Healthcare Inc
  		Employer identification number

61-1028725
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
Norton Healthcare Inc
  		Employer identification number

61-1028725
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
17,466
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
130,250
j
Total. Add lines 1c through 1i ....................................................................................................
147,716
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 Description of the activities reported on lines 1A through 1i Part II-B, line 1(i) other lobbying activities: Payments made to the following entities for government affairs representation to focus on goals and priorities to advocate, educate and promote the interest of Norton Healthcare, Inc. and registered as appropriate with the legislative and/or executive branch ethics commission as agents/lobbyists: Rotunda Group LLC totaling $130,250. Part II-B, line 1(g): Employees of Norton Healthcare, Inc. are engaged in lobbying health policy issues at the state level to lobby the executive and legislative branches of Kentucky's government. Norton Healthcare, Inc. is not registered to lobby at the federal level. Lobbying compensation paid and activities as reported to the Kentucky Legislative Ethics committee is $17,466.
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   2,125,807 2,125,807
b Buildings ....   51,010,407 42,077,818 8,932,589
c Leasehold improvements        
d Equipment ....   389,048,472 332,782,822 56,265,650
e Other .....   22,716,566 734,105 21,982,461
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 89,306,507
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) ALTERNATIVE INVESTMENTS MASTER TRUST UNITS		 286,889,737  

(B) REAL ESTATE MASTER TRUST UNITS		 95,783,111  

(C) Private Equity Master Trust		 41,196,812  
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 423,869,660
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
PAYABLE TO AFFILIATES 849,180,715
SELF INSURANCE TRUST 85,040,564
OTHER LIABILITIES 45,389,126
INTEREST RATE SWAP LIABILITY  
OTHER INSURANCE 1,608,598
Pension 77,149,040
Capital Lease  
Deferred Income LT 10,910,113
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,069,278,156
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean 0 0 Investments   312,178,327
Europe (Including Iceland and Greenland) 0 0 Investments   6,469,029
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 318,647,356
b Total from continuation sheets to Part I ...     0
c Totals (add lines 3a and 3b) 0 0 318,647,356
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number
61-1028725
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Ronald McDonald House Charities of Kentuckiana Inc
550 South 1st St
Louisville,KY40202 		31-1053467 501(c)(3) 1,000,000       Support the expansion of RMH's provision of temporary accommodations for families of children receiving care within Louisville Medical Center
(2) Jefferson County Public Schools
JEFFERSON COBOARD OF EDUCATION
3332 NEWBURG RD
LOUISVILLE,KY40218 		61-6001316 Jefferson Co 360,000       Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing by providing specialized football helmets.
(3) Community Medical Associates Inc
Accounting
224 E Broadway
Louisville,KY402022025 		61-1276316 501(c)(3) 221,077       Support of a nurse practitioner for the Bellarmine Student Health Clinic; support local public schools for school-based telemedicine services and support of mental/behavioral healthcare as a holistic approach to cancer care
(4) UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY
789 S Limestone ST Ste 114
LEXINGTON,KY405360596 		61-6001218 state of KY 220,000       Support University of Kentucky Pharmacy College and Healthcare Leadership Program - graduate scholarship
(5) Shawnee Christian Healthcare Center Inc
234 Amy Ave
Louisville,KY40212 		26-4345390 501(c)(3) 150,000       Support SCHC's operational needs during the time of provider transition for the residents in the Shawnee-Chickasaw community.
(6) OneWest Corporation
2028 W Broadway
Louisville,KY40203 		47-3080680 501(c)(3) 100,000       Support investment in West Louisville with OneWest Community revitalization project.
(7) HABITAT FOR HUMANITY METRO LOUISVILLE INC
1620 Bank ST
LOUISVILLE,KY40203 		58-1735528 501(c)(3) 95,000       General program support for home build project
(8) LEADERSHIP LOUISVILLE CENTER
707 W MAIN ST
LOUISVILLE,KY402022634 		31-0958491 501(c)(3) 63,900       Program support of leadership programming
(9) METRO UNITED WAY INC
DEPT52860
PO BOX 950148
LOUISVILLE,KY402950148 		61-0444680 501(c)(3) 57,500       Support the engagement of the community to give, advocate and volunteer
(10) Family Community Clinic Inc
1406 E Washington St
Louisville,KY40206 		27-2994215 501(c)(3) 50,000       Support the mission of the Family Community Clinic to meet the healthcare needs of uninsured patients in the Louisville community
(11) FUND FOR THE ARTS INC
623 W MAIN ST
LOUISVILLE,KY40202 		61-0479626 501(c)(3) 38,700       Supporting the development and education and quality of life through the arts
(12) WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST
LOUISVILLE,KY40202 		23-7075524 501(c)(3) 35,000       General support for children with special needs
(13) YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST
LOUISVILLE,KY40202 		61-0444843 501(c)(3) 33,900       Supporting youth motivation to pursue educational and career goals
(14) AMERICAN HEART ASSOCIATION
PO BOX 841750
DALLAS,TX752841750 		13-5613797 501(c)(3) 32,500       Support Heart Health awareness
(15) LOUISVILLEJEFFERSON CO METRO
9th FLOOR
531 COURT PLACE
LOUISVILLE,KY402023396 		32-0049006 Jefferson Co 30,000       Supporting hike bike and paddle- promotion of healthy lifestyle
(16) WORLD TRIATHLON CORP
3407 W DR MARTIN LUTHER KING B
TAMPA,FL33607 		59-2965638   30,000       Support for promoting healthy lifestyles
(17) COLON CANCER PREVENTION PROJECT
PO BOX 4039
LOUISVILLE,KY40204 		20-1510713 501(c)(3) 28,400       Support for colon cancer awareness initiatives
(18) FRIEND FOR LIFE A CANCER SUPPORT NETWORK
4003 KRESGE WAY
LOUISVILLE,KY40207 		61-1139410 501(c)(3) 25,000       Program support for peer-to-peer cancer patient counseling/relationships
(19) AMERICAN CANCER SOCIETY INC
1640 LYNDON FARM CT
LOUISVILLE,KY40223 		13-1788491 501(c)(3) 22,500       Support for cancer prevention, outreach, patient services through Relay for Life
(20) JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD
LOUISVILLE,KY402031745 		61-0476694 501(c)(3) 22,300       support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
(21) CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST
LOUISVILLE,KY40202 		61-1294640 501(c)(3) 22,000       Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
(22) CHRISTIAN ACADEMY FOUNDATION INC
700 S English Station Rd
LOUISVILLE,KY402453912 		61-1323813 501(c)(3) 21,800       general education support
(23) BELLARMINE UNIVERSITY
BURSARS OFFICE
2001 NEWBURG RD
LOUISVILLE,KY40205 		61-0482955 501(c)(3) 21,700       General program support for student education
(24) KENTUCKY PHYSICIANS HEALTH FOUNDATION INC
9000 WESSEX PLACE
LOUISVILLE,KY40222 		61-1242062 501(c)(3) 21,000       support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
(25) THE CENTER FOR WOMEN AND FAMILIESINC
PO BOX 2048
LOUISVILLE,KY402012048 		61-0444846 501(c)(3) 20,500       Support for trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
(26) LOUISVILLE URBAN LEAGUE
1535 WEST BROADWAY
LOUISVILLE,KY40203 		61-0444771 501(c)(3) 19,000       Support the assistance of African Americans and other minority groups to attain social and economic equality and stability
(27) BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN
LOUISVILLE,KY40218 		61-6057856 501(c)(3) 18,800       support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors
(28) LOUISVILLE COLLEGIATE SCHOOL
2427 GLENMARY AVE
LOUISVILLE,KY40204 		61-0449630 501(c)(3) 17,500       Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing by providing specialized football helmets.
(29) DOWNTOWN DEVELOPMENT CORPORATION
556 S FOURTH ST
LOUISVILLE,KY40202 		31-0992627 501(c)(3) 15,000       Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
(30) ARTHRITIS FOUNDATION KY CHAPTER
2908 BROWNSBORO RD
LOUISVILLE,KY40206 		61-0492349 501(c)(3) 15,000       Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community.
(31) HOSPARUS INC
3532 EPHRAIM MCDOWELL DR
LOUISVILLE,KY40205 		61-0921718 501(c)(3) 12,900       Pediatric bereavement program
(32) BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD
LOUISVILLE,KY40222 		61-1128496 501(c)(3) 12,200       Support for outreach and education for patients with brain injuries
(33) INDIA COMMUNITY FOUNDATION OF LOUISVILLE INC
12505 VALLEY PINE DR
LOUISVILLE,KY40299 		61-0989811 501(c)(3) 11,500       General program support to promote the Indian culture awareness
(34) THE HEALING PLACE
1020 W MARKET ST
LOUISVILLE,KY40202 		61-1164775 501(c)(3) 11,200       Support for individuals facing drug, alcohol, other other addicitions
(35) COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA
325 W MAIN ST
LOUISVILLE,KY40202 		61-1100993 501(c)(3) 11,000       General program support
(36) LEUKEMIA AND LYMPHOMA SOCIETY
301 E MAIN ST
LOUISVILLE,KY40202 		13-5655916 501(c)(3) 10,000       General support for outreach and education
(37) START THE HEART FOUNDATION
7611 WOLFPEN RIDGE CT
PROSPECT,KY40059 		46-3998988 501(c)(3) 10,000       Support mission is to improve survival of cardiac arrest victims through education and training.
(38) Louisville Pride Foundation DBA Louisville Pride Festival
1205 EAST WASHINGTON ST
LOUISVILLE,KY40206 		47-1945331 501(c)(3) 10,000       Support inclusion and unity for all
(39) FAMILY SCHOLAR HOUSE INC
403 REG SMITH CIRCLE
LOUISVILLE,KY40208 		61-1285124 501(c)(3) 10,000       Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
(40) GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST
LOUISVILLE,KY40202 		61-1365860 501(c)(3) 10,000       promoting healthy lifestyles
(41) LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD
FRANKFORT,KY406019260 		31-1096215 501(c)(3) 9,600       General program support for LKY programs
(42) VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST 100
LOUISVILLE,KY402022504 		61-0480950 501(c)(3) 9,600       Support to provide affordable housing and other assistance to low income families
(43) EPILEPSY FOUNDATION OF KENTUCKIANA INC
982 EASTERN PARKWAY
LOUISVILLE,KY402171566 		61-1314540 501(c)(3) 9,500       Epilepsy support groups and outreach
(44) NATIONAL MULTIPLE SCLEROSIS SOCIETY
KENTUCKY-SOUTHEAST INDIANA CHAPTER
1201 STORY AVE
LOUISVILLE,KY40208 		13-5661935 501(c)(3) 9,200       Support education and resources related to multiple sclerosis
(45) LIFEHOUSE INC
2710 RIEDLING DR
LOUISVILLE,KY40206 		20-8514733 501(c)(3) 9,200       supporting emotional, spiritual, physical and intellectual needs of mother and baby
(46) NEIGHBORHOOD HOUSE INC
201 N 25TH ST
LOUISVILLE,KY40212 		61-0445842 501(c)(3) 9,200       Support children and families
(47) LEADERSHIP SOUTHERN INDIANA
8204 HWY 311
SELLERSBURG,IN47172 		35-1644080 501(c)(3) 9,100       Support for leadership development program
(48) AMERICAN LUNG ASSOCIATION
10168 LINN STATION RD
LOUISVILLE,KY402233894 		13-1632524 501(c)(3) 9,000       Support to improve lung health and preventing lung disease through education, advocacy and research
(49) ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD
LOUISVILLE,KY40202 		61-1135907 501(c)(3) 8,000       Support homeless population
(50) KOMEN KENTUCKY
1201 STORY AVE
LOUISVILLE,KY40206 		75-2855046 501(c)(3) 8,000       Program support for breast cancer patients through Komen Race for the Cure
(51) 21ST CENTURY PARKS INC
471 W MAIN ST
LOUISVILLE,KY40202 		20-1780317 501(c)(3) 7,900       Support parks initiative and healthy outdoor living
(52) INTEGRATING WOMAN LEADERS
47 W 96TH ST
INDIANAPOLIS,IN46260 		27-2546534 501(c)(3) 7,500       Support, empower, and connect women in the workplace
(53) BRIDGEHAVEN INC
950 S FIRST ST
LOUISVILLE,KY40203 		61-0548949 501(c)(3) 7,500       Mental health support
(54) SHIVELY AREA MINISTRIES INC
4415 DIXIE HWY
LOUISVILLE,KY40216 		61-1134579 501(c)(3) 7,500       Support for health/wellness programs, medical assistance for underserved population in Shively Area
(55) KIDS CANCER ALLIANCE INC
607 W MAIN ST
LOUISVILLE,KY40202 		61-1256743 501(c)(3) 7,500       Support pediatric cancer patients
(56) MARYHURST INC
1015 DORSEY LN
LOUISVILLE,KY402232699 		31-1542209 501(c)(3) 7,000       Support for Education, counseling and housing for young women who are victims of abuse
(57) CYSTIC FIBROSIS FOUNDATION
1941 BISHOP LN
LOUISVILLE,KY40218 		13-1930701 501(c)(3) 6,900       Support for Cystic Fibrosis patient support
(58) KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT AVE
FRANKFORT,KY40601 		61-0405718 501(c)(6) 6,800       General support
(59) TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIR
LOUISVILLE,KY40245 		03-0528530 501(c)(3) 6,500       Support of telugu people in the community
(60) BRIDGEMAN CHARITABLE GROUP INC
3309 COLLINS LANE
LOUISVILLE,KY40245 		46-4406300 501(c)(3) 6,500       General program support for the Louisville community
(61) JUVENILE DIABETES (W-9 JDRF International)
11902 BRINLEY AVE
LOUISIVILLE,KY40243 		23-1907729 501(c)(3) 6,000       Support diabetes type 1 research
(62) REVOLUTION DEVELOPMENT CYCLING INC
1806 GRESHAM RD
LOUISVILLE,KY40205 		81-2907077 501(c)(3) 6,000       Support to promote healthy lifestyle
(63) MARCH OF DIMES FOUNDATION
P O BOX 673667
MARIETTA,GA30006 		13-1846366 501(c)(3) 5,500       Support outreach and education for families with premature babies
(64) MORTON CENTER INC
1028 BARRETT AVE
LOUISVILLE,KY402041667 		31-1068020 501(c)(3) 5,500       support and treatment for addiction
(65) NEWS AND TRIBUNE
221 SPRING ST
JEFFERSONVILLE,IN47130 		55-0870768   5,200       Breast cancer support through Power of Pink event
(66) UNIVERSITY OF LOUISVILLE
EVPHA OFFICE
323 E CHESTNUT ST
LOUISVILLE,KY40202 		61-1014882 501(c)(3) 5,000       general education support
(67) WELLSPRING SPECIAL EVENT
POBOX 1927
LOUISVILLE,KY402011927 		31-1020023 501(c)(3) 5,000       Supporting mental health recovery
(68) PRP ALUMNI ASSOCIATION INC
PO BOX 58051
LOUISVILLE,KY40268 		32-0087730 501(c)(3) 5,000       Sponsorship of Excellence in Education Award for PRPAA
(69) LOUISVILLE MEDICAL LEGAL
COMMUNITY HEALTH PARTNERSHIP
600 W MAIN
LOUISVILLE,KY40202 		35-2079715 501(c)(3) 5,000       Gereral program support
(70) PREGNANCY HELPLINE INC OF LOUISVILLE
515 WEST OAK ST
LOUISVILLE,KY40203 		61-1055060 501(c)(3) 5,000       General program support for pregnancy center
(71) KENTUCKY PEDIATRIC SOCIETY
MARY YORK EXECDIRECTOR
420 CAPITAL AVE
FRANKFORT,KY40601 		61-1125554 501(c)(3) 5,000       Support for continuing medical education for KY pediatric physicians
(72) KENTUCKY HARVEST INC
7705 NATIONAL TURNPIKE
LOUISVILLE,KY40214 		61-1135269 501(c)(3) 5,000       Supporting nutritional needs of the community
(73) CENTER FOR INTERFAITH RELATION INC
415 W MULHAMMED ALI BLVD
LOUISVILLE,KY40202 		61-1149619 501(c)(3) 5,000       Supporting diversity of faith traditions, strengthen the role of faith in society through common actions
(74) AMERICANA COMMUNITY CENTER
4801 SOUTHSIDE DR
LOUISVILLE,KY40214 		61-1251305 501(c)(3) 5,000       Support for education and outreach for Louisville's refugee, immigrant and underserved populations
(75) MUHAMMAD ALI MUSEUM AND EDUCATION CENTER INC
144 N 6th ST
LOUISVILLE,KY40202 		61-1323046 501(c)(3) 5,000       Support WOW mentoring program
(76) OVARIAN AWARENESS OF KENTUCKY
2300 HURSTBOURNE VILLAGE DRIVE
LOUISVILLE,KY40299 		61-1393292 501(c)(3) 5,000       Support education and awarness of ovarian cancer and provide support women with ovarian cancer
(77) THE ALS ASSOCIATION KY CHAPTER
8640 HAINES DR
FLORENCE,KY41017 		94-3124729 501(c)(3) 5,000       Support for ALS patient care services program
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
75
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) undergraduate scholarships for students pursuing education for a career in the healthcare field 35 70,000      
(2) Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances 76 78,437      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE MANAGER OF STEWARDSHIP. THE GRANT IS REVIEWED AND APPROVED BY NORTON HEALTHCARE MANAGEMENT. ALL GRANT REQUESTS GREATER THAN $100,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS OR THE CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN.
Schedule I (Form 990) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Russell F Cox
 
President & CEO/Trustee 		(i)

(ii)		 1,092,389
-------------
0 		539,014
-------------
0 		392,345
-------------
0 		109,695
-------------
0 		29,726
-------------
0 		2,163,169
-------------
0 		38,500
-------------
0
2Robert B Azar
 
Sr VP Chief Legal Officer/Secretary 		(i)

(ii)		 468,944
-------------
0 		173,855
-------------
0 		1,311,015
-------------
0 		114,337
-------------
0 		12,841
-------------
0 		2,080,992
-------------
0 		958,590
-------------
0
3Michael W Gough
 
Exec VP and COO 		(i)

(ii)		 789,537
-------------
0 		310,970
-------------
0 		231,069
-------------
0 		192,261
-------------
0 		22,559
-------------
0 		1,546,397
-------------
0 		91,560
-------------
0
4Adam Kempf
 
Sr VP, CFO/Treasurer 		(i)

(ii)		 382,599
-------------
0 		119,735
-------------
0 		85,657
-------------
0 		91,525
-------------
0 		25,058
-------------
0 		704,573
-------------
0 		37,372
-------------
0
5Charles Bohn
 
Former SYS VP Chief HR Officer 		(i)

(ii)		 0
-------------
0 		150,426
-------------
0 		480,292
-------------
0 		82,508
-------------
0 		19,188
-------------
0 		732,413
-------------
0 		476,862
-------------
0
6Michael Esposito
 
Former Sys VP Chief Network Development Officer 		(i)

(ii)		 0
-------------
0 		87,222
-------------
0 		212,060
-------------
0 		0
-------------
0 		14
-------------
0 		299,297
-------------
0 		157,807
-------------
0
7Thomas Johnson
 
Former Sys VP PR-Chief Communication Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		172,668
-------------
0 		26,235
-------------
0 		8,014
-------------
0 		206,917
-------------
0 		149,654
-------------
0
8Kenneth Wilson MD
 
SYS VP Clinical Effectiveness 		(i)

(ii)		 0
-------------
303,241 		0
-------------
80,332 		0
-------------
101,812 		0
-------------
25,574 		0
-------------
18,119 		0
-------------
529,079 		0
-------------
9,854
9Steven Hester MD
 
Div President Provider Ops & Sys CMO 		(i)

(ii)		 632,807
-------------
0 		239,148
-------------
0 		128,247
-------------
0 		167,438
-------------
0 		27,549
-------------
0 		1,195,189
-------------
0 		86,240
-------------
0
10Douglas Winkelhake
 
Division President 		(i)

(ii)		 580,354
-------------
0 		214,851
-------------
0 		134,861
-------------
0 		155,807
-------------
0 		27,922
-------------
0 		1,113,795
-------------
0 		76,504
-------------
0
11Tracy Williams
 
Sr VP & CNO 		(i)

(ii)		 362,476
-------------
0 		139,413
-------------
0 		183,895
-------------
0 		33,245
-------------
0 		17,726
-------------
0 		736,755
-------------
0 		51,865
-------------
0
12Steve Ready
 
Sys VP CIO 		(i)

(ii)		 464,015
-------------
0 		125,875
-------------
0 		95,629
-------------
0 		111,274
-------------
0 		25,674
-------------
0 		822,468
-------------
0 		50,516
-------------
0
13Scott Watkins
 
Sr VP Operations 		(i)

(ii)		 409,364
-------------
0 		155,360
-------------
0 		99,893
-------------
0 		113,800
-------------
0 		26,529
-------------
0 		804,946
-------------
0 		48,488
-------------
0
14James Frazier MD
 
VP Medical Affairs 		(i)

(ii)		 386,725
-------------
0 		108,378
-------------
0 		93,737
-------------
0 		81,016
-------------
0 		25,940
-------------
0 		695,797
-------------
0 		46,536
-------------
0
15Steven Heilman MD
 
Sys VP Ancillary Serv & CMIO 		(i)

(ii)		 384,868
-------------
0 		109,264
-------------
0 		87,583
-------------
0 		74,608
-------------
0 		26,205
-------------
0 		682,527
-------------
0 		45,364
-------------
0
16Mary Jo Bean
 
Sr VP Planning & Bus Analysis 		(i)

(ii)		 320,858
-------------
0 		116,081
-------------
0 		79,057
-------------
0 		80,611
-------------
0 		18,498
-------------
0 		615,105
-------------
0 		35,629
-------------
0
17Dana Allen
 
Sys VP Chief Mktg & Communication Officer 		(i)

(ii)		 298,898
-------------
0 		93,810
-------------
0 		97,109
-------------
0 		25,572
-------------
0 		14,755
-------------
0 		530,143
-------------
0 		9,000
-------------
0
18Kathleen Exline
 
VP Perf Excel & Care Continium 		(i)

(ii)		 302,873
-------------
0 		73,223
-------------
0 		55,011
-------------
0 		60,059
-------------
0 		22,244
-------------
0 		513,411
-------------
0 		31,440
-------------
0
19Jim Meyers
 
Sys VP Revenue Cycle 		(i)

(ii)		 280,599
-------------
0 		75,828
-------------
0 		46,739
-------------
0 		59,333
-------------
0 		24,978
-------------
0 		487,478
-------------
0 		33,028
-------------
0
20Mary Lynn Meyer
 
Sr VP CDO 		(i)

(ii)		 211,547
-------------
140,737 		0
-------------
167,414 		0
-------------
72,152 		0
-------------
87,500 		0
-------------
17,037 		211,547
-------------
484,840 		0
-------------
47,830
21Jennifer Evans MD
 
Sys VP Women's & Pediatric Svc Line 		(i)

(ii)		 363,768
-------------
0 		75,906
-------------
0 		30,424
-------------
0 		66,643
-------------
0 		17,266
-------------
0 		554,006
-------------
0 		0
-------------
0
22Shelly Gast
 
Sys VP Mngd Care & Payor Strategy 		(i)

(ii)		 277,967
-------------
0 		71,417
-------------
0 		41,944
-------------
0 		55,603
-------------
0 		16,795
-------------
0 		463,726
-------------
0 		0
-------------
0
23Stephen Wyatt MD
 
Chief Research Executive 		(i)

(ii)		 329,663
-------------
0 		31,277
-------------
0 		24,054
-------------
0 		19,160
-------------
0 		4,059
-------------
0 		408,214
-------------
0 		0
-------------
0
24Kimberly Tharp-Barrie
 
Sys VP Nursing Inst/Outreach 		(i)

(ii)		 252,196
-------------
0 		69,300
-------------
0 		61,362
-------------
0 		55,086
-------------
0 		9,735
-------------
0 		447,679
-------------
0 		0
-------------
0
25Alfonso Cornish
 
Sys VP Learning & Org Dev 		(i)

(ii)		 212,594
-------------
0 		64,071
-------------
0 		106,133
-------------
0 		309,728
-------------
0 		10,088
-------------
0 		702,613
-------------
0 		7,572
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a Discretionary spending account DISCRETIONARY SPENDING ACCOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION PROVIDES A DISCRETIONARY SPENDING ACCOUNT FOR ELIGIBLE NORTON HEALTHCARE, Inc. EXECUTIVES, EFFECTIVE OCTOBER 1, 2007. NORTON HEALTHCARE PROVIDES BENEFITS TO ITS IDENTIFIED EXECUTIVE STAFF TO PROVIDE A TOTAL COMPENSATION PACKAGE THAT IS COMPETITIVE WITH THE MARKET AND WHICH CONFORMS TO THE PHILOSOPHY AND GUIDELINES SET OUT BY THE BOARD OF TRUSTEES, THROUGH THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS. THROUGH THE DISCRETIONARY SPENDING ACCOUNT POLICY, EXECUTIVES ARE FREE TO CHOOSE WHATEVER BENEFITS THEY FIND MOST USEFUL OR IMPORTANT TO THEM AND NORTON HEALTHCARE DOES NOT REIMBURSE FOR THE COST OF THOSE BENEFITS, AS THEY ARE PART OF THE DISCRETIONARY SPENDING ACCOUNT. THE INTERESTED PERSONS LISTED BELOW RECEIVED THE BENEFIT OF A DISCRETIONARY SPENDING ACCOUNT IN 2018: Russell F. Cox - $30,000 Michael G. Gough - $30,000 Robert B. Azar - $17,500 Adam Kempf - $15,000 Tracy Williams - $17,500 Steve Hester - $17,500 Scott Watkins - $15,000 Charles Bohn - $17,500 Steve Ready - $10,000 James Frazier - $10,000 Steve Heilman - $10,000 Kenneth Wilson - $10,000 Douglas Winklehake - $17,500 Dana Allen - $15,000 Thomas Johnson - $3,462 Mary Jo Bean - $15,000 Kimberly Tharp-Barrie - $10,000 Shelly Gast - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Jim Meyers - $10,000
Schedule J, Part I, Line 4a Severance or change-of-control payment Severance payment was received during 2018 by former Key Employees, Thomas Johnson in the amount of $114,205; Charles Bohn in the amount of $423,930 . Other compensation included in Schedule J Column B(iii)
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-FLEX BENEFIT PLAN, THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Russell F. Cox - $83,271 Michael W. Gough - $166,273 Robert Azar - $95,263 Adam Kempf - $72,433 Mary Lynn Meyer - $65,110 Dana Allen - $8,559 Mary Jo Bean - $58,687 Charles Bohn - $68,758 Jennifer Evans - $52,893 Shelly Gast - $38,389 Alfonso Cornish - $3,485 Kathleen Exline - $42,720 James Frazier - $64,003 Steven Heilman - $57,589 Steven Hester - $140,631 Jim Meyers - $40,209 Steve Ready - $84,824 Scott Watkins - $84,337 Tracy Williams - $14,982 Kenneth Wilson - $8,138 Douglas Winkelhake - $125,279 Stephen Wyatt - $5,410 Kimberly Tharp-Barrie - $34,903 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2018 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $195,580 Michael W. Gough - $108,176 Robert Azar - $1,267,600 Adam Kempf - $48,754 Mary Lynn Meyer - $48,263 Dana Allen - $53,240 Mary Jo Bean - $41,167 Charles Bohn - $61,491 Jennifer Evans - $16,339 Shelly Gast - $28,004 Alfonso Cornish - $42,352 Michael Esposito - $200,060 Kathleen Exline - $31,725 James Frazier - $58,324 Steven Heilman - $55,088 Steven Hester - $87,022 Thomas Johnson - $58,040 Jim Meyers - $33,327 Steve Ready - $60,874 Scott Watkins - $62,192 Tracy Williams - $138,385 Kenneth Wilson - $58,178 Douglas Winkelhake - $94,689 Kimberly Tharp-Barrie - $35,828
Schedule J, Part I, Line 7 Non-fixed payments In 2018, Norton Healthcare, Inc. (NHC) had in place a Variable Compensation Plan for Executives, eligibility under which extended to employees holding a full-time position as Senior Officer, Officer, System Director or other designated Director level position. Under the plan, a variable compensation pool amount is approved by the Board of Trustees. Each participant's performance is evaluated relative to the goals and objectives documented as part of the participant's plan; and an award is determined for the participant, based on achievement of the goals and objectives, subject to the funding of the variable compensation pool. At the end of each year, the Committee on Executive Compensation and Benefits determines an appropriate award for the NHC's President & Chief Executive Officer, and the President & Chief Executive Officer recommends appropriate awards for other senior executives to the Committee on Executive Compensation and Benefits for its review and approval.
Schedule J (Form 990) 2018
Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number
61-1028725
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006 54659LAL8 08-10-2011 75,000,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
B LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006   08-24-2011 23,775,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
C LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006   10-31-2012 21,100,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
D LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006 54659LAW4 09-26-2013 200,000,887 SEE SUPPLEMENTAL INFORMATION   X   X   X
LouisvilleJefferson County Metro Government
  		32-0049006 54659LBV5 08-11-2016 612,775,838 SEE SUPPLEMENTAL INFORMATION   X   X   X
LouisvilleJefferson County Metro Government
  		32-0049006   08-11-2016 100,075,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0 16,050,000 14,700,000 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 75,000,300 23,775,000 21,100,000 200,060,571
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 953,000 150,000 171,313 0
8 Credit enhancement from proceeds ............. 2,000 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 31,048
10 Capital expenditures from proceeds ............. 74,045,259 0 0 200,029,523
11 Other spent proceeds ............. 41 23,625,000 20,928,687 0
12 Other unspent proceeds ............. 0 0 0  
13 Year of substantial completion ............. 2011 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X           X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X           X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X           X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X           X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X           X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 2.21 % 0 %   1.42 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.71 % 0 %   0.71 %
6 Total of lines 4 and 5 ............. 2.92 % 0 % 0 % 2.13 %
7 Does the bond issue meet the private security or payment test? ...   X   X       X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X       X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X       X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X   X          
b Exception to rebate? ........                
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... NONE
  		NONE
  		NONE
  		NONE
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW B, TO REFUND A PORTION OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW A, TO REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING THE NORTON CANCER INSTITUTE DOWNTOWN RADIATION CENTER, CONSTRUCTING AND EQUIPPING A PEDIATRIC AMBULATORY CARE CENTER (NORTON CHILDREN'S MEDICAL CENTER - BROWNSBORO) AND RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AND ITS AFFILIATES AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW C, TO REFUND THE REMAINDER OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE DIFFERENCE BETWEEN SERIES 2011 ISSUE PRICE (ISSUE DATE 8/10/11) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2013 ISSUE PRICE (ISSUE DATE 8/10/13) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2016A ISSUE PRICE (ISSUE DATE 8/11/16) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ROW D, TO REIMBURSE THE CORPORATION FOR THE COSTS OF (I) RENOVATIONS AND EQUIPMENT TO CONVERT NORTON SUBURBAN HOSPITAL TO A WOMEN'S AND CHILDREN'S HOSPITAL, (II) RENOVATIONS AND EQUIPMENT FOR NORTON CHILDREN'S HOSPITAL, (III) RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITION OF HOSPITAL EQUIPMENT, INCLUDING BUT NOT LIMITED TO SOFTWARE, MEDICAL AND SURGICAL EQUIPMENT, IMAGING EQUIPMENT AND MONITORING EQUIPMENT AT THE FACILITIES OF THE OBLIGATED GROUP MEMBERS AND (IV) RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AT ITS AFFILIATES.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D, E and F - 2013 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part IV, Line 5c IS THE BOND ISSUE A VARIABLE RATE ISSUE? COLUMN E - 2013A BOND ISSUE IS FIXED RATE DEBT AND 2013C BOND ISSUE IS VARIABLE RATE DEBT. PROCEEDS FROM BOTH BOND ISSUES WERE REPORTED ON ONE IRS FORM 8038 AND COMBINED INTO ONE PROJECT ACCOUNT WITH THE TRUSTEE.
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT ROW E; TO REIMBURSE THE CORPORATION FOR COSTS OF (i) EXPANSION AND MAJOR RENOVATION OF NORTON AUDUBON HOSPITAL (ii) ACQUISITION OF TWO PARCELS OF LAND, (iii) BUILDING, RENOVATION, REPAIR AND OTHER PATIENT CARE RELATED PROJECTS AND/OR EQUIPMENT RELATED TO THE CORPORATION (INCLUDING SOFTWARE). NORTON HOSPITALS AND/OR AFFILIATES OF THE CORPORATION, (iv) CERTAIN COSTS OF ISSUANCE AND (v) CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM REVENUE BONDS, SERIES 2006 (NORTON HEALTHCARE, INC.)
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT ROW F: CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011D (NORTON HEALTHCARE, INC.) AND CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.)
Schedule K, Part III Private Business Use Applicable questions are left blank due to bonds 8/24/11 and 10/31/12 being refunding issues which refund pre-January 1, 2003 bond issues.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D, E AND F - 2016 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2016 BOND ISSUE WERE PAID FOR WITH INTEREST INCOME ACCRUED DURING THE FIRST BOND YEAR FROM THE BOND PROCEEDS. NO BOND PROCEEDS WERE USED TO PAY FOR THE COST OF ISSUANCE.
Schedule K, Part IV, Line 2c COLUMN D ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT THE CALCULATION FOR COMPUTTING NO REBATE DUE WAS PERFORMED ON 9/26/2018
Schedule K, Part IV, Line 2c COLUMN A Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/11/2016
Schedule K, Part IV, Line 2c COLUMN B Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/24/2016
Schedule K, Part IV, Line 2c COLUMN C Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 10/29/2017
Schedule K, Part IV, Line 2c COLUMN D Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 09/26/2018
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number
61-1028725
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006 54659LAL8 08-10-2011 75,000,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
B LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006   08-24-2011 23,775,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
C LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006   10-31-2012 21,100,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
D LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
  		32-0049006 54659LAW4 09-26-2013 200,000,887 SEE SUPPLEMENTAL INFORMATION   X   X   X
LouisvilleJefferson County Metro Government
  		32-0049006 54659LBV5 08-11-2016 612,775,838 SEE SUPPLEMENTAL INFORMATION   X   X   X
LouisvilleJefferson County Metro Government
  		32-0049006   08-11-2016 100,075,000 SEE SUPPLEMENTAL INFORMATION   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0 16,050,000 14,700,000 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 75,000,300 23,775,000 21,100,000 200,060,571
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 953,000 150,000 171,313 0
8 Credit enhancement from proceeds ............. 2,000 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 31,048
10 Capital expenditures from proceeds ............. 74,045,259 0 0 200,029,523
11 Other spent proceeds ............. 41 23,625,000 20,928,687 0
12 Other unspent proceeds ............. 0 0 0  
13 Year of substantial completion ............. 2011 2014
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X           X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X           X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X           X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X           X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X           X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X       X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 2.21 % 0 %   1.42 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.71 % 0 %   0.71 %
6 Total of lines 4 and 5 ............. 2.92 % 0 % 0 % 2.13 %
7 Does the bond issue meet the private security or payment test? ...   X   X       X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X       X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X       X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X   X          
b Exception to rebate? ........                
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... NONE
  		NONE
  		NONE
  		NONE
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW B, TO REFUND A PORTION OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW A, TO REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING THE NORTON CANCER INSTITUTE DOWNTOWN RADIATION CENTER, CONSTRUCTING AND EQUIPPING A PEDIATRIC AMBULATORY CARE CENTER (NORTON CHILDREN'S MEDICAL CENTER - BROWNSBORO) AND RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AND ITS AFFILIATES AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part I, Column (f) Issuer Name: Louisville/Jefferson County Metro Government ROW C, TO REFUND THE REMAINDER OF THE COUNTY OF JEFFERSON, KENTUCKY HEALTH SYSTEM REVENUE BONDS, SERIES 1997 (ALLIANT HEALTH SYSTEM, INC.) AND PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE DIFFERENCE BETWEEN SERIES 2011 ISSUE PRICE (ISSUE DATE 8/10/11) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2013 ISSUE PRICE (ISSUE DATE 8/10/13) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2016A ISSUE PRICE (ISSUE DATE 8/11/16) AND TOTAL PROCEEDS OF ISSUE IN PART ii, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ROW D, TO REIMBURSE THE CORPORATION FOR THE COSTS OF (I) RENOVATIONS AND EQUIPMENT TO CONVERT NORTON SUBURBAN HOSPITAL TO A WOMEN'S AND CHILDREN'S HOSPITAL, (II) RENOVATIONS AND EQUIPMENT FOR NORTON CHILDREN'S HOSPITAL, (III) RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITION OF HOSPITAL EQUIPMENT, INCLUDING BUT NOT LIMITED TO SOFTWARE, MEDICAL AND SURGICAL EQUIPMENT, IMAGING EQUIPMENT AND MONITORING EQUIPMENT AT THE FACILITIES OF THE OBLIGATED GROUP MEMBERS AND (IV) RENOVATING, EXPANDING AND EQUIPPING OTHER PATIENT CARE RELATED PROJECTS AND HOSPITAL PROJECTS AT ITS AFFILIATES.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D, E and F - 2013 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
Schedule K, Part IV, Line 5c IS THE BOND ISSUE A VARIABLE RATE ISSUE? COLUMN E - 2013A BOND ISSUE IS FIXED RATE DEBT AND 2013C BOND ISSUE IS VARIABLE RATE DEBT. PROCEEDS FROM BOTH BOND ISSUES WERE REPORTED ON ONE IRS FORM 8038 AND COMBINED INTO ONE PROJECT ACCOUNT WITH THE TRUSTEE.
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT ROW E; TO REIMBURSE THE CORPORATION FOR COSTS OF (i) EXPANSION AND MAJOR RENOVATION OF NORTON AUDUBON HOSPITAL (ii) ACQUISITION OF TWO PARCELS OF LAND, (iii) BUILDING, RENOVATION, REPAIR AND OTHER PATIENT CARE RELATED PROJECTS AND/OR EQUIPMENT RELATED TO THE CORPORATION (INCLUDING SOFTWARE). NORTON HOSPITALS AND/OR AFFILIATES OF THE CORPORATION, (iv) CERTAIN COSTS OF ISSUANCE AND (v) CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM REVENUE BONDS, SERIES 2006 (NORTON HEALTHCARE, INC.)
Schedule K, Part I, Column (f) LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT ROW F: CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE REFUNDING BONDS, SERIES 2011D (NORTON HEALTHCARE, INC.) AND CURRENT REFUNDING OF THE LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT HEALTH SYSTEM VARIABLE RATE REVENUE BONDS, SERIES 2013B (NORTON HEALTHCARE, INC.)
Schedule K, Part III Private Business Use Applicable questions are left blank due to bonds 8/24/11 and 10/31/12 being refunding issues which refund pre-January 1, 2003 bond issues.
Schedule K, Part II, Line 7 ISSUANCE COSTS FROM PROCEEDS COLUMN D, E AND F - 2016 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2016 BOND ISSUE WERE PAID FOR WITH INTEREST INCOME ACCRUED DURING THE FIRST BOND YEAR FROM THE BOND PROCEEDS. NO BOND PROCEEDS WERE USED TO PAY FOR THE COST OF ISSUANCE.
Schedule K, Part IV, Line 2c COLUMN D ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT THE CALCULATION FOR COMPUTTING NO REBATE DUE WAS PERFORMED ON 9/26/2018
Schedule K, Part IV, Line 2c COLUMN A Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/11/2016
Schedule K, Part IV, Line 2c COLUMN B Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 08/24/2016
Schedule K, Part IV, Line 2c COLUMN C Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 10/29/2017
Schedule K, Part IV, Line 2c COLUMN D Issuer name: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT The calculation for computing no rebate due was performed on 09/26/2018
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Kathleen Exline
  		Norton Healthcare, Inc. highly compensated employee Norton Healthcare, Inc Scholar Program (Disclosure continued below)   X 28,309 22,139   No Yes   Yes  
Total ...............Small Bullet $ 22,139
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Jessica Lloyd
  		Family member of Adam Kempf, Officer 40,514 Compensation   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part II, Column (a) Schedule L, Part II, Column (A) - purpose of loan NORTON HEALTHCARE SCHOLARS PROGRAM IS A STUDENT LOAN PROGRAM THAT 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 WAS STARTED BY NORTON HEALTHCARE AS A RESULT OF THE HEALTHCARE WORKER SHORTAGE AND WAS BEGUN AS A WORKFORCE DEVELOPMENT INITIATIVE TO ENSURE THE COMMUNITY HAS ENOUGH HEALTHCARE WORKERS. UPON GRADUATION, NORTON HEALTHCARE SCHOLARS BEGIN CAREERS WITH NORTON HEALTHCARE AND ARE ELIGIBLE TO HAVE THEIR LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS 639 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 417 GRADUATES AND 353 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2018, 245 APPLICANTS WERE GRANTED ENROLLMENT INTO THE NORTON HEALTHCARE SCHOLARS PROGRAM. SCHOLARS WHO FAIL TO GRADUATE OR FULFILL THEIR COMMITMENT WITH NORTON HEALTHCARE ARE REQUIRED TO REPAY THE LOAN AT THE TIME OF WITHDRAWAL FROM THE PROGRAM.
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Return Reference Explanation
Form 990, Part III, Line 4a Program Service Accomplishment (Continued from Part III) In 2018, NHC, through its affiliate, Community Medical Associates, Inc., had approximately 2.2 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 72,355 inpatients, 560,845 outpatients, and 249,388 emergency room visits. In addition NHC hospitals' operating rooms cared for 20,947 inpatient surgical patients and 35,751 outpatient surgical patients. Additionally, 7,564 babies were delivered at NHC birthing centers. As part of our commitment to improving the health of our community, NHC provides funding for a wide array of life-saving and life-enhancing services that benefit the communities we serve. In 2018, under its charity care program, NHC provided free care to 13,284 patients, at a cost of $13.4 million. Also, NHC 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, 11,472 patients were provided care at discounted rates. Other contributions to the community were the unpaid cost of Medicaid services of $95.4 million and educational support of $43.3 million primarily to the University of Louisville's School of Medicine. Also community health improvement services totaled $10.1 million, and contributions to community groups were $3.2 million. As NHC representatives, our employees donated 53,607 hours of community benefit service, a benefit valued at more than $1.0 million. In addition, many employees self-reported personal volunteer activities. NHC provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2018 calendar year, 180 residents completed clinical rotations in 42 specialties at NHC facilities. Residency programs are part of the $43.3 million in educational support and clinical funding provided to the school. Contributions to the Community * NHC employees and physicians gave nearly $952,775 to the 2018-2019 Combined Giving Campaign to help support community organizations also committed to improving the health and well-being of community residents. Supported organizations include: the WHAS Crusade for Children, Metro United Way, Fund for the Arts, The Children's Hospital Foundation (CHF) and Norton Healthcare Foundation (NHF). * More than 140 NHC employees "Raised the Roof" on a Habitat for Humanity house on Broadleaf Drive in Louisville, Ky. This is the twelfth Habitat home NHC employees have built. * In 2018, more than 2,500 NHC employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 438 employees and their 975 children/dependents by providing for their families at Christmas. * More than 38,000 pounds of usable surplus medical supplies valued at more than $623,000 and $40,000 in equipment were donated for use locally and around the world. Community Education and Workforce Development As one of Kentucky's largest healthcare systems, NHC has established a culture of continual, lifelong 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. NHC encourages and supports employees and dependents career goals by providing financial assistance and scholarships as well as other advancement opportunities. Established in the early 2000's, the Office of Workforce Development has assisted more than 6,000 students (74 percent frontline) with tuition assistance. In 2018, Workforce Development financially supported 639 students with nearly $5.1 million in educational assistance programs. * Workforce Development Career Center served over 1,400 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. * 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 NHC and over 100 colleges and universities nationally. This program has 2,736 graduates and 2,228 of these graduates have continued their careers with NHC. * In 2014, NHC was a National Fund for Workforce Solutions CareerSTAT Frontline Worker Champion. Since 2011, NHC, through Workforce Development, has been a 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 2018, NHC evolved the Summer Works program into a strategic pipeline development program in conjunction with our public school system. Jefferson County Public Schools created an Academy model in which students have the opportunity to select focused education and industry recognized credentials in high school. NHC transformed the summer program and previous high school scholarships into a comprehensive three tiered academy apprentice program for healthcare academy students. The model is a three tiered apprentice model: Explorer, Summer Extern, and Apprentice. Beginning with a student's junior year, the student will explore career pathways in one of 4 key areas: Patient Care, Medical Office, Allied Health, and Pharmacy Technician. NHC primarily focused on Patient Care and Medical Office in 2018. Each phase offers a rigorous curriculum, business acumen, and professional development, as well as hands on learning opportunities in the career field of their choice. Thirty students participated in the 2018 pilot program. Retention was 100 percent over the first year. To date, NHC has transitioned over 20 of the 30 into full staff positions with the organization post completion of the program offering tuition assistance to continue their academic and career pursuits while working in the field of their choice. * The Student Nurse Apprenticeship program is a 12-to-18-month apprenticeship in which nursing students will work and engage in hands-on learning with an experienced mentor, in addition to becoming acclimated to NHC. Top area student nurses with good grades, good references and a desire to be the best will gain the skills and the confidence to deliver quality patient care. 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 relationships to inspire change that leads to exceptional experiences for both patients and employees." In 2018, Norton University held 270,525 learning events, an average of 18 trainings per employee. In 2018, 136,697 web-based training courses and 51,829 instructor-led courses were completed by leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work, College at Work, and Career Coaching programs expose entry-level staff to healthcare careers and help them obtain a higher level position, GED, or college degree. * Leadership development programs 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 while working in the field of their choice. Norton Faith and Health Ministries Norton Faith and Health Ministries (FHM) works with churches and faith communities to weave health and faith together, promoting the intentional integration of faith, healing, and wellness through the development of health ministries. FHM provides mentoring, educational resources, and networking opportunities to assist health ministry coordinators and faith community nurses minister to their churches. In 2018, the department mentored and served nearly 200 multi-denominational faith communities with active health ministry programs, and assisted others with health and wellness efforts. * FHM nurtured relationships with faith communities through participation in events held by the Episcopal Diocese of Kentucky, the Kentucky Conference of United Methodist Church, Central District Baptist Association, United Church of Christ Ministerium, Tri-Kentucky Presbytery, and others. * In order to advance congregational health ministries, faith community nursing and other health-related programs, FHM made 36,000 contacts by distributing 19 electronic newsletters.
Form 990, Part III, Line 4a Program Service Accomplishment At 90 regional faith community events, people were provided health literacy education using educational tools loaned from FHM. At 214 events, 1,600 people were screened for blood pressure, blood glucose, body mass index and/or cholesterol, and often received counseling and referrals by faith community nurses. Six formal educational and networking events were held reaching 358 individuals Norton Pastoral Care The Pastoral Care Department provides spiritual, religious, and emotional care and support for patients, families and staff throughout the system, 24 hours a day, 7 days a week. In 2018, chaplains made more than 35,000 patient contacts plus additional contacts with their families. The assistance included, but was not limited to: grief support and facilitation of decision making at deaths, end of life and goals of care conversations, education and enacting advance directives, religious rituals and literature, ethical dilemmas, comfort and conversation with patient who are lonely, afraid, conflicted, or struggling. Chaplains care for people regardless of their religious or spiritual background or beliefs to help them use and strengthen their spiritual, emotional, and relational resources in better cope and to thrive. A unique aspect of care provided by the Pastoral Care Department is the Bereavement Intervention Program. Through this program, the Bereavement Chaplain connects with all of the more than 100 families whose child died at NCH. That contact often begins at the time of death, and can include a funeral home visit, visit in the home, phone calls, letters, and a dinner and grief educational program that helps family and friends know better how to care for the parents. In addition to the visits to caring for patient and families, the chaplains provide care every day to the staff of the system through individual counseling, sharing prayers and other rituals, debriefing stressful events on units, comforting a department when a co-worker dies, and blessing newly-renovated units. Through teaching, committee involvement, ethics consults, and many other ways, chaplains are fully integrated into the life of the system. Norton Heart Care Norton Heart & Vascular Institute 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 2018: * Norton Heart & Vascular Institute Resource Center offered several free class series to the community including: * Circle of Hearts class series, a quarterly heart disease and prevention class that focuses on heart health education and other wellness issues of interest to women. Total attendees for the 2018 class series was 110. * Tai Chi for Heart Health, a free class series offered several times a year designed for those with heart issues to help improve quality of life, psychological well-being, blood pressure, balance, flexibility, stress, and depression. Total attendees for 2018 was 24. * Afib Education Workshops were offered three times in 2018 where patients facing an atrial fibrillation (A-fib) diagnosis could learn more about the latest in treatment and medication options, steps to lower risk of stroke, and how to live better with A-fib. Total attendees for 2018 was 120. * Heart Failure Education Workshops were offered 6 times in 2018 to patients and their families to learn about ways to live a full life and reduce side effects while managing heart failure. Total attendees for 2018 was 81. * The Norton Heart & Vascular Institute is a 10 year active supporter of the American Heart Association's (AHA) Go Red for Women movement. As part of our support, Norton Prevention & Wellness participated in several community events hosted by the AHA and provided 491 free health screenings and education to those in attendance. In addition, a free breakout session was offered prior to the annual Go Red for Women luncheon, Heart Healthy Snacking the Blue Zone Way, to more than 45 attendees to provide education and resources to modify snack choices to promote a heart healthy lifestyle. * Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigator attended 16 heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. More than 1,347 participants attended the events. * Norton Heart & Vascular Institute offers the only WomenHeart Support group in Kentucky and is the only hospital system in Kentucky to be a WomenHeart National Hospital Alliance Member. Women Heart is the national coalition for women living with cardiovascular disease and is the only patient-centered program offering support and education for women living with cardiovascular disease. In 2018, Norton Heart & Vascular Institute supported the addition of one woman heart survivor to join our team of WomenHeart Champions for a total of 8. Each of these champions attend a training at the Mayo Clinic during the Women Heart Symposium to gain the skills necessary to provide support and education to our patients and to the women in our community living with cardiovascular disease. * The monthly WomenHeart Support Group is offered at the Marshall Women's Health and Education Center. It is led by the eight trained WomenHeart Champions and a designated cardiovascular nurse navigator from the Norton Heart & Vascular Institute Resource Center, who provide emotional support as well as education on healthy nutrition, exercise, and stress management. We offered 11 support group classes and 208 female heart patients attended in 2018. We also offered a one day WomenHeart Retreat at the Louisville Seminary and 17 female heart patients attended. * The Women Heart Champions provide support and education to women preparing to undergo cardiac surgeries or procedures and also to women who were in the recovery phase of their cardiac surgery or procedure. They visit women at all three of our Norton Cardiac Rehabilitation centers and provided support to 47 female heart patients in 2018. * The Women Heart Champions attended 11 community events, health fairs, and provide educational presentations to businesses, churches, women groups, and healthcare professionals, which had 1,332 participants. Norton Orthopedic Care Norton Orthopedic Institute earned The Joint Commission's Gold Seal of Approval for knee and hip replacement. This recognition confirms Norton Orthopedic Institute 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 NHC hospitals and doctors' offices. * Norton Orthopedic & Hand Center near the campus of NBH is a state-of-the-art facility with specialists of Norton Orthopedic Institute, Norton Sports Health and NHC to provide a multidisciplinary approach to innovative orthopedic care. The facility supports research, training, and education. It also offers patients subspecialized trained orthopedists, a Norton Immediate Care Center with a focus on orthopedics, rehabilitation services, advanced sports training, and primary care services with an emphasis on orthopedics. Women's Services * In 2018, Norton Women's Care birthing facilities at Norton and NWCH provided the care and medical services for 7,564 deliveries. * Free childbirth education classes are provided at Norton and NWCH. Norton Children's Prevention & Wellness * Child passenger safety technicians from NCH check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2018, 115 car seats were given to families in need through the community events and hospital admissions. Additionally 46 special needs car seats were loaned to children with body cast and premature infants who would not fit in a conventional car seat. * NCH's Bike Rodeo Program taught 13,170 students from grades three through five throughout Kentucky through 122 bike safety "rodeos." * Following interactive classroom lessons on pedestrian safety, 350 elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by NCH. The program is designed to reduce the number of pedestrian injuries. * NCH's "Just for Kids" Transport Team transports babies and children from across the region to NCH. In 2018, 2,111 transportation trips were completed. Transportation was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * More than 3,500 Kindergarten students, teachers, chaperones, and nursing students participated in the 35th annual Children & Hospitals Week event led by NCH. 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 teach safe
Form 990, Part III, Line 4a Program Service Accomplishments decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. Kentucky Poison Control Center * NCH is home to the Kentucky Poison Control Center. In 2018, the center received nearly 50,000 calls and made nearly 37,000 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 20,000 prevention education resources to physicians' offices, health departments and schools and more than 1,000 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. Norton Neuroscience Institute Founded in 2009, Norton Neuroscience Institute (NNI) is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. NNI allows patients to be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists, and other neurological-related specialists have joined the growing institute. These physicians and advanced level practitioners provide expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, ALS, brain tumors, headaches, concussions, spine care, and many other neurological conditions. * Kentucky is considered to be part of the stroke belt, a region of the US that sees a high number of incidents of stroke cases. As a result, NNI has committed to being a leader in stroke care. NBH is a designated Comprehensive Stroke Center while Norton, Audubon, and NWCH are all certified Primary Stroke Centers. * Neurosurgeons with NNI were the first in Kentucky to use minimally invasive surgery techniques to include robotic surgery, laser ablation and SEEG in the treatment of brain tumors and epilepsy for both pediatric and adult patients. * NNI offers treatment for all neurological disorders including aneurysm, brain tumor, epilepsy, multiple sclerosis, Parkinson's disease, and stroke care. The neurologists and neurosurgeons subspecialize and are fellowship trained. They all work together for the patient, providing multidisciplinary programs in areas of brain tumor, ALS, movement disorders, epilepsy and stroke). * Norton Spine Care offers advanced treatment options of spine conditions ranging from chiari malformation, degenerative disc diseases, scoliosis, spinal stenosis as well as tumors and infections of the spine. * Norton Spine Care which is comprised of Norton Leatherman Spine Center, NNI Spine Care and Norton Spine Specialists, is a multidisciplinary program that embraces a combined orthopedic and neurosurgical approach to spine care. The center's surgeons have pioneered many important breakthroughs in spinal treatment that are performed in the U.S. and around the world. In fact, patients from as far away as South America, Southeast Asia, and Europe have traveled to Louisville for treatment. * Patients served by NCH, the only free standing children's hospital in Kentucky, are fortunate to be cared for by three fellowship trained pediatric neurosurgeons. The neurosurgeons work in a multidisciplinary fashion with neurologist and additional neuro specialist including an embedded pediatric neuropsychologist. Community Medical Associates * Physicians and a chaplain 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. Prevention and Wellness * In 2018, the Norton Healthcare Prevention & Wellness staff provided preventive screenings involving the NHC Mobile Prevention Center in collaboration with various community partners. Almost 2,500 women received mammograms and/or wellness exams, including cervical cancer screening, aboard the Mobile Prevention Center. Of them, approximately 10 percent had not been screened in the past five years and 11% had never had a mammogram. Fourteen individuals were diagnosed and treated for pre-invasive and invasive breast cancer. Of the almost 200 Mobile Prevention Center events, over half of these locations were in underserved communities and over 70 percent of patients came from medically underserved areas. * Eligible patients received education on colon cancer screening, and if agreeable, were offered referral for colonoscopy or given an at home testing kit that they could mail to the lab, and receive their results. 96 people received at home kits, and 96 people were referred for colonoscopy. Prevention and Wellness implemented 446-WELL, a number that links eligible patients to colonoscopy or in home tests, eliminating barriers to care. * Staff also provided almost 10,000 cardiovascular screenings (blood pressure, BMI, glucose, and cholesterol) for approximately 3,700 participants in multiple locations throughout Jefferson and surrounding counties, including Southern Indiana, in collaboration with many community partners. Each participant received education on healthy lifestyle choices such as diet and exercise. Group education on various health and wellness information was provided to almost 5,000 participants in 2018. * Prevention and wellness conducted 20 Freedom from Smoking classes in 2018, including two that were offered in Spanish. Research * NHC guides one of the largest portfolios of clinical research of any community healthcare system in the United States. At any given point in time, more than 750 clinical studies are active or pending at NHC. These studies engage more than 300 NHC staff and significantly impact our patients and their families. * NHC invests in research to benefit our community/patients and to support clinical science by participating in the development of new clinical interventions (drugs/device/procedures) that will become generalizable to and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * The Norton Healthcare Research Office partnered with Norton University to offer research education to all researchers in Metro Louisville and beyond. In 2018, education programs were offered, and attendees included staff from; NHC, 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 CHF raises funds to support programs, equipment and facilities, research, advocacy, and education for NCH, NWCH, and Norton Children's Medical Center. CHF 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. Support from CHF allows the pediatric specialists at NCH to continue to respond to the unique medical needs of children from birth to age 18. This 300-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 address the community's need for specialized pediatric care and meet the ever-growing needs at NCH, 2018 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, Type I diabetes, trauma, and emergency care to name a few. Workforce, research, and facilities serve to guide the fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy, pediatric pastoral care, bereavement programs, endowed research chairs, specialty therapies, child life, expressive and music therapies, continue to be areas of funding and priority for the CHF to ensure a truly "Just for Kids" experience for patients and families. CHF 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 and support of all programs, the foundation awarded approximately $12.0 million in grants for capital, programs and patient financial assistance to the hospitals in 2018 including: * Funding for the Jennifer Lawrence Cardiac Intensive Care Unit at NCH. * Funding for the renovation and upgrades of the neonatal intensive care unit, including the purchase of NicView for NCH and NWCH.
Form 990, Part III, Line 4a Program Service Accomplishments * Funding for a spinal robot used in pediatric scoliosis surgical cases * Funding for the purchase of a new transport team ambulance * The CHF Office of Prevention and Wellness at NCH, which helps provide safety and outreach information support the hospital's health and wellness prevention initiatives. * Funding for the Wendy Novak Diabetes Center at NCH for workforce, expansion of technology and accreditation. * Staff educational opportunities and advanced certifications that can lead to improved patient treatment. Norton Healthcare Foundation NHF is the philanthropic arm of the not-for-profit NHC adult-service hospitals: Audubon, NBH, Norton, and NWCH. NHF 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 NHF allows caregivers to continue making a difference for patients served by NHC. In 2018 the support helped the foundation provide funding to: * Grant more than $3.6 million to benefit dozens of areas of care throughout the facilities. * Renovations of Norton Hospital and Audubon Hospital. * Construction of a Healing Garden at NCI - Brownsboro. * Funding for the NIC view at Norton Women's and Children's Hospital * Purchase of Digital Specimen Radiology Equipment * Support of NCI initiatives that provide early detection screenings, education and clinical research. * Support pastoral care services for patients, their families, and staff members at all NHC adult-service facilities. * Program support for Integrative Medicine initiatives for the NNI. * 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. Philanthropy plays an increasingly important role at NHC 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 2018 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 531. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 130 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2018. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 917 VENDORS ON FORM 1096 FOR 2018.
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 2,743 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 16,790 EMPLOYEES ON FORM W-3 FOR 2018.
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, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body At the October 3, 2019 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 17, 2019 NHC Board of Trustees meeting , the Forms 990 and supplemental schedules were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the Forms 990 and supplemental schedules were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the filing with the IRS. NHC is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., 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. (NHC) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), to provide comparability data for NHC's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. IHS consultants presented and discussed this comparability data in 2017 for the 2018 compensation review and met in 2018 for the 2019 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 NHC's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation.
Form 990, Part VI, Line 19 Required documents available to the public 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. (NHC) 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 NHC. NHC's travel policy for Board of Trustees provides that for each trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS regulations, NHC provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2018.
Form 990, Part IX, Line 11g Other Fees Outside Services - Total Expense: 59825319, Program Service Expense: 43560772, Management and General Expenses: 16264547, Fundraising Expenses: ; Other expenses - Total Expense: 816123, Program Service Expense: 221473, Management and General Expenses: 594650, Fundraising Expenses: ; Contract Labor - Total Expense: 487767, Program Service Expense: 487767, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 2368624, Program Service Expense: 2237735, Management and General Expenses: 130889, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances AFFILIATE TRANSFER - -260859; SWAP MARK TO MARKET ADJUSTMENT - 1655353; CHANGE IN MINIMUM PENSION LIABILITY - 932965; CHANGE IN NET PERIODIC PENSION COST - -11468563;
Form 990, Part XI, Line 9 Other changes in Net Assets or Fund Balance In March 2017, the FASB issued ASU 2017-07 Compensation -Retirement Benefits (Topic 715): Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost (ASU 2017-07), which changes how employers that sponsor defined benefit pension present the net periodic benefit cost in the statement of operations. ASU 2017-07 requires employers to present the service cost component of net periodic benefit cost in the same statement of operations line items as other employee compensation costs arising from services rendered during the period. Employers are to present the other components of net periodic benefit cost separately from the line item that includes the service cost and outside of any subtotal of operating income, if one is presented. Employers will have to disclose the lines used to present the other components of net periodic benefit cost, if the components are not presented separately in the statement of operations. The corporation elected to adopt the provisions of ASU 2017-07 as of January 1, 2017. The non-contribution defined benefit pension plan was frozen effective January 1, 2010. As a result no service cost was incurred during the year ended December 31, 2018. The other components of net periodic pension cost was $11.4 million for year ended December 31, 2018.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number

61-1028725
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) Norton Pharmacies PLLC
224 E Broadway 5th FL
Louisville,KY40202
83-1832543 		Pharmacy KY 0 0 Norton Healthcare Inc
 










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)NORTON HOSPITALS INC
224 E BROADWAY 5TH FLOOR

LOUISVILLE,KY40202
61-0703799 		PROVIDE HOSPITAL SERVICES KY 501(c)(3) 3 NA
 
Yes
 
(2)COMMUNITY MEDICAL ASSOCIATES INC
224 E BROADWAY 5TH FLOOR

LOUISVILLE,KY40202
61-1276316 		OPERATES A NETWORK OF PHYSICIAN PRACTICES KY 501(c)(3) 10 NA
 
Yes
 
(3)NORTON PROPERTIES INC
224 E BROADWAY 5TH FLOOR

LOUISVILLE,KY40202
61-1028724 		MAINTAINS OFFICE AND PARKING FACILITIES KY 501(c)(3) Type I NA
 
Yes
 
(4)THE CHILDREN'S HOSPITAL FOUNDATION INC
224 E BROADWAY 5TH FLOOR

LOUISVILLE,KY40202
61-6027530 		GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 NA
 
Yes
 
(5)NORTON HEALTHCARE FOUNDATION INC
224 E BROADWAY 5TH FLOOR

LOUISVILLE,KY40202
31-0914919 		GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 NA
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTON ENTERPRISES INC

224 E BROADWAY 5TH FLOOR
LOUISVILLE,KY40202
61-1054301 		PROVIDE NURSING AND PATHOLOGY SERVICES KY NA
  		C Corporation 41,245,882 38,332,162 100 % Yes  












Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Norton Hospitals Inc

 R 1,753,918,387 FMV
(2) Norton Hospitals Inc

 S 2,012,088,108 FMV
(3) Community Medical Associates Inc

 R 470,676,963 FMV
(4) Community Medical Associates Inc

 S 369,794,617 FMV
(5) Norton Properties Inc

 R 79,935,733 FMV
(6) Norton Properties Inc

 S 51,278,765 FMV
(7) The Children's Hospital Foundation Inc

 R 6,537,529 FMV
(8) The Children's Hospital Foundation Inc

 S 2,065,980 FMV
(9) Norton Healthcare Foundation Inc

 R 1,665,885 FMV
(10) Norton Healthcare Foundation Inc

 S 1,172,066 FMV
(11) Norton Enterprises Inc

 R 24,583,283 FMV
(12) Norton Enterprises Inc

 S 47,976,813 FMV
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1