TY 2019 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Russell F Cox President & CEO/Trustee	30.0 ................. 20.0	X	X	2,348,374	190,805
(2) Barry Pennybaker Trustee	1.0 ................. 2.5	X		3,200	0
(3) Brendan Canavan Trustee	1.0 ................. 2.5	X		1,600	0
(4) Craig D Grant Trustee	3.0 ................. 2.5	X		1,600	0
(5) Donald H Robinson Trustee	5.0 ................. 2.5	X		0	0
(6) Edie Nixon Vice Chair	6.0 ................. 2.5	X		3,200	0
(7) Erwin Roberts Trustee	1.0 ................. 2.5	X		1,600	0
(8) G Hunt Rounsavall Sr Trustee	4.0 ................. 2.5	X		1,600	0
(9) Gail Lyttle Trustee	1.0 ................. 2.5	X		1,600	0
(10) Gary L Stewart Chair	10.0 ................. 3.5	X		1,600	0
(11) Gregory E Mayes Trustee	5.0 ................. 2.5	X		1,600	0
(12) James L Sublett MD Trustee	1.0 ................. 2.5	X		3,200	0
(13) Lee K Garlove Trustee	1.0 ................. 3.5	X		1,600	0
(14) Maria Gerwing Hampton Trustee (partial year)	3.0 ................. 2.5	X		3,200	0
(15) Maria L Bouvette Trustee	1.0 ................. 2.5	X		1,600	0
(16) Marshall Farrer Trustee	1.0 ................. 2.5	X		0	0
(17) Martha K Heyburn MD Trustee	1.0 ................. 2.5	X		3,200	0

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Rev William J Schultz Trustee	3.0 .......................2.5	X					1,600	0	0
(19) Richard R Ivey Trustee	1.0 .......................2.5	X					1,600	0	0
(20) Richard S Wolf MD Chair Emeritus	1.0 .......................2.5	X					1,600	0	0
(21) Rick Guillaume Chair Emeritus	2.0 .......................2.5	X					3,200	0	0
(22) Rita Hudson Shourds EdD Trustee	1.0 .......................2.5	X					0	0	0
(23) Ronald Lehocky MD Trustee	3.0 .......................2.5	X					3,200	0	0
(24) Sue Davis EdD RN Trustee	1.0 .......................2.5	X					1,600	0	0
(25) Adam Kempf Sr VP, CFO/Treasurer	30.0 .......................20.0		X				771,597	0	145,046
(26) Michael W Gough Exec VP and COO	30.0 .......................20.0		X				2,563,340	0	136,304
(27) Robert B Azar Sr VP Chief Legal Officer/Secretary	30.0 .......................20.0		X				807,725	0	127,164
(28) Dana Allen Sys VP Chief Mktg & Communication Officer	50.0 .......................0			X			683,407	0	51,073
(29) Douglas Winkelhake Division President	50.0 .......................0			X			956,821	0	177,688
(30) Gladys Abarca-Lopez Sr VP Chief HR Officer	50.0 .......................0			X			535,605	0	101,022
(31) James Frazier MD VP Medical Affairs	50.0 .......................0			X			589,396	0	108,365
(32) Jim Meyers Sys VP Revenue Cycle	50.0 .......................0			X			421,246	0	83,429
(33) Kathleen Exline Sys VP Perf Excel & Care Continium	50.0 .......................0			X			447,399	0	83,947
(34) Mary Lynn Meyer Sr VP CDO	30.0 .......................20.0			X			218,587	380,594	97,514
(35) Mary Jo Bean Sr VP Planning & Bus Analysis	50.0 .......................0			X			555,239	0	97,539
(36) Scott Watkins Sr VP Operations	50.0 .......................0			X			678,597	0	134,045
(37) Shelly Gast Sys VP Mngd Care & Payor Strategy	50.0 .......................0			X			421,802	0	73,151
(38) Steve Ready Sr VP & CIO	50.0 .......................0			X			712,190	0	200,733
(39) Steven Heilman MD Sr VP & Chief Innovation Officer	50.0 .......................0			X			586,272	0	104,098
(40) Steven Hester MD Div President Provider Ops & Sys CMO	50.0 .......................0			X			1,043,216	0	194,031
(41) Tracy Williams Sr VP & CNO & Learning Officer	50.0 .......................0			X			610,607	0	65,630
(42) Byron Lewis Sys VP Health Policy	50.0 .......................0				X		413,535	0	81,363
(43) Helena Schulz Sys VP Treasurer	50.0 .......................0				X		415,101	0	80,337
(44) Jennifer Evans MD Sys VP Women's & Pediatric Svc Line	50.0 .......................0				X		530,656	0	90,642
(45) Kimberly Tharp-Barrie Sys VP Nursing Inst/Outreach	50.0 .......................0				X		386,833	0	62,589
(46) Stephen Wyatt MD Chief Research Executive	50.0 .......................0				X		436,385	0	26,833
(47) Charles Bohn Former SYS VP Chief HR Officer	0.0 .......................0					X	699,625	0	33,510
(48) Kenneth Wilson MD SYS VP Clinical Effectiveness	0.0 .......................40.0					X	271,223	0	30,364
(49) Stephen Williams Former CEO	0.0 .......................0.0					X	593,451	0	23,710

(A) Name and business address	(B) Description of services	(C) Compensation
The CSI Companies Inc PO Box 890841 Charlotte,NC282890841	Professional Services	9,760,174
Firstsource Solutions USA LLC 10400 Linn Station Road Suite 100 Louisville,KY40223	Patient Financial Services	8,208,317
Epic Systems Corporation P O Box 88314 Milwaukee,WI532880314	Software Maintenance and Support	4,875,095
Doe-Anderson Inc 620 W Main Street Louisville,KY40202	Marking Services and Campaigns	3,341,183
First Call Network KY LLC PO Box 6115 Louisville,KY40206	Patient Financial Services	2,628,569
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 139

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................4

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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) NORTON HOSPITALS INC	610703799	3	Yes		0	1,885,538,707
(B) COMMUNITY MEDICAL ASSOCIATES INC	611276316	9		No	0	527,129,982
(C) NORTON HEALTHCARE FOUNDATION INC	310914919	7		No	0	1,527,811
(D) THE CHILDREN'S HOSPITAL FND INC	616027530	7		No	0	5,807,555
Total 4					0	2,420,004,055

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2019

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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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.)..

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

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

Yes

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) .

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).

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.

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.

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.

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

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) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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 I, Line 12g(vi) Type of other support	Other support includes administration overhead and direct support of operations. for all supported organizations.
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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

Norton Healthcare Inc

Employer identification number

61-1028725

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Norton Healthcare Inc

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2019)

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

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 Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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.

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

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2019

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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)

Yes|No

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

13,915

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

110,000

Total. Add lines 1c through 1i ....................................................................................................

123,915

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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 $110,000. 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 $13,915.

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 $110,000. 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 $13,915.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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 instructions and the latest information.

OMB No. 1545-0047

2019

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

If the organization elected, as permitted under FASB 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.

If the organization elected, as permitted under FASB 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

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 ....	51,225,304	43,482,641	7,742,663
c	Leasehold improvements
d	Equipment ....	400,356,022	350,773,758	49,582,264
e	Other .....	16,024,734	745,422	15,279,312
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				74,730,046

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther 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	315,115,182
(B) REAL ESTATE MASTER TRUST UNITS	102,257,614
(C) Private Equity Master Trust	63,435,371
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	480,808,167

Part VIII

InvestmentsProgram 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,007,639,933
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) 2019

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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

2019

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" on Form 990, Part IV, line 14b.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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 the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments	347,304,345
	Europe (Including Iceland and Greenland)	0	0	Investments	11,723,444















3a	Sub-total ....	0	0		359,027,789
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		359,027,789

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(h) Description of noncash 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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

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

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

2019

Open to Public
Inspection

Name of the organization
Norton Healthcare Inc

Employer identification number
61-1028725

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) The Louisville Urban League Inc 1535 WEST BROADWAY LOUISVILLE,KY40203	61-0444771	501(c)(3)	5,008,000	Support construction and operation of the Sports and Learning Complex to support and assist African Americans and other minority groups to attain social and economic equality and stability
(2) Community Medical Associates Inc Accounting 224 E Broadway 5th Floor LOUISVILLE,KY402022025	61-1276316	501(c)(3)	439,484	Support of a nurse practitioner for the Bellarmine Student Health Clinic; support local public schools for school-based telemedicine services, including e-visits and support of mental/behavioral healthcare
(3) Jefferson County Public Schools P O Box 34020 ATTN TREASURER JCPS Louisville,KY402324020	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.
(4) University of Louisville Research Foundation 501 E Broadway LOUISVILLE,KY40202	61-1029626	501(c)(3)	300,000	Support expanded research iniatives through support of laboratory space and equipment
(5) UNIVERSITY OF KENTUCKY OFFICE OF DEVELOPEMENT WILLIAM B STURGILL BUILDING LEXINGTON,KY405065070	61-6001218	state of KY	220,000	Support University of Kentucky Healthcare Leadership Program and Pharmacy College
(6) BELLARMINE UNIVERSITY 2001 NEWBURG RD LOUISVILLE,KY40205	61-0482955	501(c)(3)	211,178	General program support for nursing, sports medicine, healthcare analytic and general education and student health services
(7) METRO UNITED WAY INC DEPT52860 PO BOX 950148 LOUISVILLE,KY402950148	61-0444680	501(c)(3)	112,000	Support the engagement of the community to give, advocate and volunteer and linking information and referrals between sectors more effectively
(8) LEADERSHIP LOUISVILLE CENTER 707 W MAIN ST LOUISVILLE,KY402022634	31-0958491	501(c)(3)	67,600	Program support of leadership programming
(9) COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC WATERFRONT PLAZA 325 W MAIN ST LOUISVILLE,KY40202	61-1100993	501(c)(3)	55,300	General program support
(10) WORLD TRIATHLON CORP 3407 W DR MARTIN LUTHER KING BLVD TAMPA,FL33607	59-2965638		40,000	Support for promoting healthy lifestyles
(11) AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS,TX752841750	13-5613797	501(c)(3)	35,500	Support Heart Health awareness
(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) FUND FOR THE ARTS INC 623 W MAIN ST LOUISVILLE,KY40202	61-0479626	501(c)(3)	32,500	Supporting the development and education and quality of life through the arts
(14) Miracle League of Louisville 800 Lily Creek Rd LOUISVILLE,KY40243	61-1740095	501(c)(3)	30,000	Support of recreational programs for disabled children
(15) CATHOLIC EDUCATION FOUNDATION INC 401 W MAIN ST LOUISVILLE,KY40202	61-1294640	501(c)(3)	27,000	Support the growth and vitality of catholic parished and schools in the archdiocese of Louisville
(16) AMERICAN CANCER SOCIETY INC 1640 LYNDON FARM CT LOUISVILLE,KY40223	13-1788491	501(c)(3)	24,000	Support for cancer prevention, outreach, patient services through Relay for Life
(17) FAMILY SCHOLAR HOUSE INC 403 REG SMITH CIRCLE LOUISVILLE,KY40208	61-1285124	501(c)(3)	23,400	Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
(18) KENTUCKY PHYSICIANS HEALTH FOUNDATION INC 9000 WESSEX PLACE LOUISVILLE,KY40222	61-1242062	501(c)(3)	21,500	support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
(19) BIG BROTHERS BIG SISTERS OF KENTUCKIANA 1519 GARDINER LN LOUISVILLE,KY40218	61-6057856	501(c)(3)	21,000	support for all children to reach their potential through professionall supported 1:1 relationships with volunteer mentors
(20) GREATER LOUISVILLE SPORTS COMMISSION 401 WEST MAIN ST LOUISVILLE,KY40202	61-1365860	501(c)(3)	20,000	Support for promoting healthy lifestyles
(21) 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.
(22) YMCA OF GREATER LOUISVILLE INC 545 SOUTH SECOND ST LOUISVILLE,KY40202	61-0444843	501(c)(3)	17,100	Support for safe shelters, youth nutrition program, and youth refugee integration program
(23) AMERICAN RED CROSS 510 E Chestnut St LOUISVILLE,KY40202	53-0196605	501(c)(3)	16,100	Support Red Cross efforts of emergency assistance, disaster relief and education
(24) AMERICAN LUNG ASSOCIATION 10168 LINN STATION RD LOUISVILLE,KY402233894	13-1632524	501(c)(3)	15,600	Support to improve lung health and preventing lung disease through education, advocacy and research
(25) 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
(26) ARTHRITIS FOUNDATION INC 1355 PEACHTREE ST NE ATLANTA,GA30309	58-1341679	501(c)(3)	15,000	Support cure research and general support through education and advocacy
(27) SOUTHEAST CHRISTIAN CHURCH OF JEFFERSON COUNTY KENTUCKY INC 920 BLANKENBAKER PKWY LOUISVILLE,KY40243	61-0850307	501(c )(3)	15,000	General program support
(28) JUNIOR ACHIEVEMENT OF KENTUCKIANAINC 1401 W MUHAMMAD ALI BLVD LOUISVILLE,KY402031745	61-0476694	501(c)(3)	12,500	support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
(29) BRAIN INJURY ALLIANCE OF KENTUCKY 7321 NEW LAGRANGE RD LOUISVILLE,KY40222	61-1128496	501(c)(3)	12,500	Support for outreach and education for patients with brain injuries
(30) NATIONAL KIDNEY FOUNDATION OF KENTUCKY 161 ST MATTHEWS AVE LOUISVILLE,KY40207	61-0673518	501(c)(3)	12,400	Supporting the awareness, prevention and treatment of kidney diesease
(31) COLON CANCER PREVENTION PROJECT PO BOX 4039 LOUISVILLE,KY40204	20-1510713	501(c)(3)	12,000	Support for colon cancer awareness initiatives
(32) VOLUNTEERS OF AMERICA OF KENTUCKY INC 570 S 4th ST LOUISVILLE,KY402022504	61-0480950	501(c)(3)	11,000	Support to provide affordable housing and other assistance to low income families
(33) LIFEHOUSE INC 2710 RIEDLING DR LOUISVILLE,KY40206	20-8514733	501(c)(3)	10,500	supporting emotional, spiritual, physical and intellectual needs of mother and baby
(34) ASSOCIATION OF PROFESSIONAL CHAPLAINS 2800 W HIGGINS RD HOFFMAN EST,IL601697221	36-3762667	501(c)(3)	10,500	Support education to sustain excellence in chaplaincy
(35) LOUISVILLE AREA CHAMBER OF COMMERCE INC 614 W MAIN ST LOUISVILLE,KY40202	61-0434089	501(c)(6)	10,100	General support for healthcare programs
(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) 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
(38) CHRISTIAN ACADEMY FOUNDATION INC 700 S ENGLISH STATION RD LOUISVILLE,KY402453912	61-1323813	501(c)(3)	10,000	general program support
(39) LOUISVILLEJEFFERSON CO METRO 531 COURT PLACE LOUISVILLE,KY402023396	32-0049006	Jefferson Co	10,000	Supporting hike bike and paddle- promotion of healthy lifestyle
(40) Simmons College of Kentucky 1000 S Fourth St LOUISVILLE,KY40203	20-5289168	501(c )(3)	10,000	Support general education
(41) NEIGHBORHOOD HOUSE INC 201 N 25TH ST LOUISVILLE,KY40212	61-0445842	501(c)(3)	9,200	Support children and families
(42) HOSPARUS INC 3532 EPHRAIM MCDOWELL DR LOUISVILLE,KY40205	61-0921718	501(c)(3)	9,000	Pediatric bereavement program
(43) NATIONAL MULTIPLE SCLEROSIS SOCIETY 1201 STORY AVE LOUISVILLE,KY40206	13-5661935	501(c)(3)	8,000	Support education and resources related to multiple sclerosis
(44) ST JOHN CENTER INC 700 E MUHAMMAD ALI BLVD LOUISVILLE,KY40202	61-1135907	501(c)(3)	8,000	Support homeless population
(45) KIDS CANCER ALLIANCE INC P O BOX 24337 LOUISVILLE,KY40224	61-1256743	501(c)(3)	8,000	Support pediatric cancer patients
(46) ELDERSERVE INC 215 W BRECKINRIDGE ST LOUISVILLE,KY40203	61-6024140	501(c ) (3)	8,000	support the empowerment of older adults to live independently with dignity
(47) THE CENTER FOR WOMEN AND FAMILIESINC PO BOX 2048 LOUISVILLE,KY402012048	61-0444846	501(c)(3)	7,500	Support for trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
(48) BRIDGEHAVEN INC 950 S FIRST ST LOUISVILLE,KY40203	61-0548949	501(c)(3)	7,500	Mental health support
(49) 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
(50) TELUGU ASSOCIATION OF KENTUCKIANA 18725 WEATHERFORD CIRCLE LOUISVILLE,KY40245	03-0528530	501(c)(3)	6,500	Support of telugu people in the community
(51) KENTUCKY CHAMBER OF COMMERCE 464 CHENAULT AVE FRANKFORT,KY40601	61-0405718	501(c)(6)	6,500	General support
(52) EPILEPSY FOUNDATION OF KENTUCKIANA INC 982 EASTERN PARKWAY LOUISVILLE,KY402171566	61-1314540	501(c)(3)	6,500	Epilepsy support groups and outreach
(53) LEADERSHIP KENTUCKY FOUNDATION INC 464 CHENAULT RD FRANKFORT,KY406019260	31-1096215	501(c)(3)	6,100	General program support for LKY programs
(54) MARCH OF DIMES FOUNDATION DONATIONS PROCESSING CENTER P O BOX 18819 ATLANTA,GA31126	13-1846366	501(c)(3)	6,000	Support outreach and education for families with premature babies
(55) REVOLUTION DEVELOPMENT CYCLING INC 1806 GRESHAM RD LOUISVILLE,KY40205	81-2907077	501(c)(3)	6,000	Support to promote healthy lifestyle
(56) Parkinson Support Center of Kentucky 315 TOWNEPARK CIRCLE LOUISVILLE,KY40243	61-1367576	501(c )(3)	5,800	Support programs and services for people with Parkinson's disease and provide public education adna wareness
(57) AMERICANA COMMUNITY CENTER 4801 SOUTHSIDE DR LOUISVILLE,KY40214	61-1251305	501(c)(3)	5,500	Support for education and outreach for Louisville's refugee, immigrant and underserved populations
(58) KENTUCKY DERBY MUSEUM 704 CENTRAL AVE LOUISVILLE,KY40208	31-1023459	501(c)(3)	5,450	General program support
(59) NATIVITY ACADEMY AT ST BONIFACE 529 E LIBERTY ST LOUISVILLE,KY40202	51-0450314	501(c)(3)	5,100	General education support
(60) THE ALS ASSOCIATION KY CHAPTER 13102 EASTPOINT PARK BLVD LOUISVILLE,KY40223	94-3124729	501(c)(3)	5,000	Support for ALS patient care services program
(61) SOS INTERNATIONAL INC 1500 ARLINGTON AVE LOUISVILLE,KY40206	27-2624272	501(c ) (3)	5,000	Support of providing medical supplies to areas of need
(62) WELLSPRING SPECIAL EVENT POBOX 1927 LOUISVILLE,KY402011927	31-1020023	501(c)(3)	5,000	Supporting mental health recovery
(63) MORTON CENTER INC 1028 BARRETT AVE LOUISVILLE,KY402041667	31-1068020	501(c)(3)	5,000	support and treatment for addiction
(64) PRP ALUMNI ASSOCIATION INC PO BOX 58051 LOUISVILLE,KY40268	32-0087730	501(c)(3)	5,000	Sponsorship of Excellence in Education Award for PRPAA
(65) HABITAT FOR HUMANITY Clark & Floyd Indiana Inc P O BOX 1814 NEW ALBANY,IN47150	35-1817055	501(c)(3)	5,000	General program support
(66) LOUISVILLE MEDICAL LEGAL COMMUNITY HEALTH PARTNERSHIP 600 W MAIN ST LOUISVILLE,KY40202	35-2079715	501(c)(3)	5,000	General program support
(67) UNIVERSITY OF LOUISVILLE EVPHA OFFICE 323 E CHESTNUT ST LOUISVILLE,KY40202	61-1014882	501(c)(3)	5,000	general education support
(68) PREGNANCY HELPLINE INC OF LOUISVILLE 515 WEST OAK ST LOUISVILLE,KY40203	61-1055060	501(c)(3)	5,000	General program support for pregnancy center
(69) KENTUCKY PEDIATRIC SOCIETY 420 CAPITAL AVE FRANKFORT,KY40601	61-1125554	501(c)(3)	5,000	Support for continuing medical education for KY pediatric physicians
(70) KENTUCKY HARVEST INC 7705 NATIONAL TURNPIKE LOUISVILLE,KY40214	61-1135269	501(c)(3)	5,000	Supporting nutritional needs of the community
(71) 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
(72) OVARIAN AWARENESS OF KENTUCKY 2300 HURSTBOURNE VILLAGE DR LOUISVILLE,KY40299	61-1393292	501(c)(3)	5,000	Support education and awarness of ovarian cancer and provide support women with ovarian cancer
(73) LYNNHURST UNITED CHURCH OF CHRIST 4401 TAYLOR BLVD LOUISVILLE,KY40215	61-6014324	501(c)(3)	5,000	Support after school educational programs

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

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	85	170,000
(2) Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances	110	75,470
(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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

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

2019

Open to Public Inspection

Name of the organization

Norton Healthcare Inc

Employer identification number

61-1028725

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on 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 .........

Yes

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 on Line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Russell F Cox President & CEO/Trustee	(i) (ii)	1,241,302 ------------- 0	626,112 ------------- 0	480,960 ------------- 0	160,027 ------------- 0	30,779 ------------- 0	2,539,179 ------------- 0	0 ------------- 0
2Stephen Williams Former CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	593,451 ------------- 0	0 ------------- 0	23,710 ------------- 0	617,161 ------------- 0	0 ------------- 0
3Robert B Azar Sr VP Chief Legal Officer/Secretary	(i) (ii)	483,956 ------------- 0	212,683 ------------- 0	111,085 ------------- 0	113,661 ------------- 0	13,502 ------------- 0	934,889 ------------- 0	64,572 ------------- 0
4Michael W Gough Exec VP and COO	(i) (ii)	841,376 ------------- 0	387,193 ------------- 0	1,334,771 ------------- 0	107,654 ------------- 0	28,651 ------------- 0	2,699,645 ------------- 0	1,110,136 ------------- 0
5Adam Kempf Sr VP, CFO/Treasurer	(i) (ii)	514,491 ------------- 0	175,229 ------------- 0	81,877 ------------- 0	117,543 ------------- 0	27,503 ------------- 0	916,643 ------------- 0	44,472 ------------- 0
6Charles Bohn Former SYS VP Chief HR Officer	(i) (ii)	0 ------------- 0	0 ------------- 0	699,625 ------------- 0	15,802 ------------- 0	17,708 ------------- 0	733,134 ------------- 0	537,186 ------------- 0
7Kenneth Wilson MD SYS VP Clinical Effectiveness	(i) (ii)	116,274 ------------- 0	83,140 ------------- 0	71,809 ------------- 0	13,527 ------------- 0	16,837 ------------- 0	301,586 ------------- 0	46,407 ------------- 0
8Gladys Abarca-Lopez Sr VP Chief HR Officer	(i) (ii)	400,921 ------------- 0	94,654 ------------- 0	40,030 ------------- 0	84,363 ------------- 0	16,658 ------------- 0	636,627 ------------- 0	0 ------------- 0
9Dana Allen Sys VP Chief Mktg & Communication Officer	(i) (ii)	253,279 ------------- 0	135,649 ------------- 0	294,479 ------------- 0	38,960 ------------- 0	12,113 ------------- 0	734,480 ------------- 0	74,406 ------------- 0
10Mary Jo Bean Sr VP Planning & Bus Analysis	(i) (ii)	322,923 ------------- 0	145,578 ------------- 0	86,738 ------------- 0	78,355 ------------- 0	19,184 ------------- 0	652,778 ------------- 0	43,116 ------------- 0
11Kathleen Exline Sys VP Perf Excel & Care Continium	(i) (ii)	296,073 ------------- 0	90,223 ------------- 0	61,102 ------------- 0	60,396 ------------- 0	23,552 ------------- 0	531,347 ------------- 0	32,384 ------------- 0
12James Frazier MD VP Medical Affairs	(i) (ii)	385,716 ------------- 0	122,423 ------------- 0	81,257 ------------- 0	82,015 ------------- 0	26,350 ------------- 0	697,761 ------------- 0	47,932 ------------- 0
13Shelly Gast Sys VP Mngd Care & Payor Strategy	(i) (ii)	291,243 ------------- 0	83,673 ------------- 0	46,885 ------------- 0	58,077 ------------- 0	15,073 ------------- 0	494,952 ------------- 0	31,584 ------------- 0
14Steven Heilman MD Sr VP & Chief Innovation Officer	(i) (ii)	387,114 ------------- 0	119,341 ------------- 0	79,816 ------------- 0	76,634 ------------- 0	27,464 ------------- 0	690,370 ------------- 0	46,724 ------------- 0
15Steven Hester MD Div President Provider Ops & Sys CMO	(i) (ii)	632,899 ------------- 0	277,798 ------------- 0	132,519 ------------- 0	165,241 ------------- 0	28,791 ------------- 0	1,237,248 ------------- 0	88,824 ------------- 0
16Mary Lynn Meyer Sr VP CDO	(i) (ii)	218,587 ------------- 140,398	0 ------------- 167,239	0 ------------- 72,958	0 ------------- 79,523	0 ------------- 17,991	218,587 ------------- 478,108	0 ------------- 49,020
17Jim Meyers Sys VP Revenue Cycle	(i) (ii)	286,174 ------------- 0	86,886 ------------- 0	48,186 ------------- 0	57,268 ------------- 0	26,162 ------------- 0	504,675 ------------- 0	34,016 ------------- 0
18Steve Ready Sr VP & CIO	(i) (ii)	479,208 ------------- 0	143,491 ------------- 0	89,491 ------------- 0	114,406 ------------- 0	86,327 ------------- 0	912,923 ------------- 0	53,828 ------------- 0
19Scott Watkins Sr VP Operations	(i) (ii)	400,983 ------------- 0	180,470 ------------- 0	97,144 ------------- 0	105,809 ------------- 0	28,236 ------------- 0	812,642 ------------- 0	57,704 ------------- 0
20Tracy Williams Sr VP & CNO & Learning Officer	(i) (ii)	362,065 ------------- 0	161,943 ------------- 0	86,599 ------------- 0	46,768 ------------- 0	18,863 ------------- 0	676,237 ------------- 0	0 ------------- 0
21Douglas Winkelhake Division President	(i) (ii)	587,778 ------------- 0	249,576 ------------- 0	119,467 ------------- 0	151,215 ------------- 0	26,472 ------------- 0	1,134,508 ------------- 0	79,800 ------------- 0
22Jennifer Evans MD Sys VP Women's & Pediatric Svc Line	(i) (ii)	390,159 ------------- 0	90,293 ------------- 0	50,205 ------------- 0	71,194 ------------- 0	19,448 ------------- 0	621,298 ------------- 0	32,400 ------------- 0
23Byron Lewis Sys VP Health Policy	(i) (ii)	308,615 ------------- 0	28,135 ------------- 0	76,785 ------------- 0	58,086 ------------- 0	23,277 ------------- 0	494,898 ------------- 0	0 ------------- 0
24Helena Schulz Sys VP Treasurer	(i) (ii)	284,884 ------------- 0	87,305 ------------- 0	42,913 ------------- 0	56,668 ------------- 0	23,669 ------------- 0	495,438 ------------- 0	0 ------------- 0
25Kimberly Tharp-Barrie Sys VP Nursing Inst/Outreach	(i) (ii)	252,170 ------------- 0	78,280 ------------- 0	56,384 ------------- 0	52,434 ------------- 0	10,155 ------------- 0	449,423 ------------- 0	0 ------------- 0
26Stephen Wyatt MD Chief Research Executive	(i) (ii)	336,189 ------------- 0	75,530 ------------- 0	24,666 ------------- 0	21,725 ------------- 0	5,108 ------------- 0	463,218 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 2019: 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 Gladys Abarca-Lopez - $15,000 Charles Bohn - $14,808 Steve Ready - $10,000 James Frazier - $10,000 Steve Heilman - $10,000 Shelly Gast - $10,000 Douglas Winklehake - $17,500 Dana Allen - $15,000 Mary Jo Bean - $15,000 Kimberly Tharp-Barrie - $10,000 Helena Schulz - $10,000 Jennifer Evans - $10,000 Kathleen Exline - $10,000 Jim Meyers - $10,000 Bryon Lewis - $15,000
Schedule J, Part I, Line 4a Severance or change-of-control payment	Severance payment was received during 2019 by former Key Employees, Charles Bohn in the amount of $359,557 . 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-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 - $141,621 Michael W. Gough - $89,896 Robert Azar - $97,041 Adam Kempf - $102,103 Mary Lynn Meyer - $63,627 Dana Allen - $22,016 Mary Jo Bean - $62,232 Charles Bohn - $4,602 Jennifer Evans - $57,194 Shelly Gast - $41,652 Kathleen Exline - $43,851 James Frazier - $65,462 Steven Heilman - $60,068 Steven Hester - $145,200 Jim Meyers - $41,616 Steve Ready - $93,953 Scott Watkins - $86,532 Tracy Williams - $29,529 Douglas Winkelhake - $132,528 Stephen Wyatt - $7,725 Kimberly Tharp-Barrie - $35,784 Helena Schulz - $41,840 Bryon Lewis - $44,086 Gladys Abarca-Lopez $70,363 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2019 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Russell F. Cox - $133,455 Michael W. Gough - $1,201,977 Robert Azar - $67,016 Adam Kempf - $43,053 Mary Lynn Meyer - $50,068 Dana Allen - $249,363 Mary Jo Bean - $43,394 Charles Bohn - $344,581 Jennifer Evans - $33,093 Shelly Gast - $32,259 Kathleen Exline - $33,076 James Frazier - $45,245 Steven Heilman - $46,724 Steven Hester - $90,723 Jim Meyers - $34,743 Steve Ready - $53,960 Scott Watkins - $56,936 Tracy Williams - $40,407 Kenneth Wilson - $63,931 Douglas Winkelhake - $78,414 Kimberly Tharp-Barrie - $30,494 Helena Schulz - $30,371 Byron Lewis - $37,877
Schedule J, Part I, Line 7 Non-fixed payments	In 2019, 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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

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

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.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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		18,780,000		16,800,000		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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 ....	2.09 %		0 %				1.25 %
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 .........	0.79 %		0 %				0.79 %
6 Total of lines 4 and 5 .............	2.88 %		0 %		0 %		2.04 %
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) 2019

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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

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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

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.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	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		18,780,000		16,800,000		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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 ....	2.09 %		0 %				1.25 %
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 .........	0.79 %		0 %				0.79 %
6 Total of lines 4 and 5 .............	2.88 %		0 %		0 %		2.04 %
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) 2019

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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	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	12,703		No	Yes		Yes





Total ............... $						12,703

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) 2019

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Jessica Lloyd	Family member of Adam Kempf, Officer	54,307	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 59 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 247 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 992 GRADUATES. Since 2014, 823 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2019, 176 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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

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

2019

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 2019, NHC, through its affiliate, Community Medical Associates, Inc., had approximately 2.3 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 76,825 inpatients, 596,249 outpatients, and 261,206 emergency room visits. In addition NHC hospitals' operating rooms cared for 21,224 inpatient surgical patients and 37,219 outpatient surgical patients. Additionally, 7,912 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 2019, under its charity care program, NHC provided free care to 10,522 patients, at a cost of $14.6 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, 14,820 patients were provided care at discounted rates. Other contributions to the community were the unpaid cost of Medicaid services of $66.0 million and educational support of $54.7 million primarily to the University of Louisville's School of Medicine. Also community health improvement services totaled $10.2 million, and contributions to community groups were $1.7 million. As Norton Healthcare representatives, our employees donated 54,079 hours of community service, a benefit valued at more than $1 million. In addition, many employees self-reported personal volunteer activities. Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2019 calendar year, 178 residents completed clinical rotations in 41 specialties at Norton Healthcare facilities. Residency programs are part of the $54.7 million in educational support and clinical funding provided to the school. Contributions to the community * Norton Healthcare employees and physicians gave nearly $976,073 to the 2019-2020 Combined Giving Campaign to help support community organizations that also are committed to improving the health and well-being of community residents. Supported organizations include WHAS Crusade for Children, Metro United Way, Fund for the Arts, and our own Norton Children's Hospital Foundation and Norton Healthcare Foundation. * More than 125 Norton Healthcare employees "raised the roof" on a Habitat for Humanity house on Broadleaf Drive in Louisville, Kentucky. This is the 12th Habitat home Norton Healthcare employees have built. * In 2019, more than 3,000 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 498 employees and their 1,138 children/dependents by providing for their families at Christmas. * More than 44,000 pounds of usable surplus medical supplies valued at more than $717,000 and over $93,000 in equipment were donated for use locally and around the world. Community Education and Workforce Development As one of Kentucky's largest health care systems, Norton Healthcare has established a culture of continual, lifelong learning. Opportunities are available through our Human Resource's Workforce Development team and our Learning and Development Department. Workforce Development encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of the organization. Norton Healthcare encourages and supports the career goals of employees and their dependents by providing financial assistance and scholarships as well as other advancement opportunities. Established in the early 2000s, Workforce Development has assisted more than 6,000 students (69% front-line workers) with tuition assistance. In 2019, Workforce Development financially supported 679 students with nearly $5.2 million in educational assistance programs. * Workforce Development's career coaching has served over 1,400 students. Each program participant worked directly with a certified career management coach. Coaches offer 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 nonemployees, provides educational funding to students interested in pursuing designated health care careers. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. Since 2014, this program has had 992 graduates continue their careers with Norton Healthcare. * In 2018, Norton Healthcare was one of the founding partners in Jefferson County Public Schools' Academies of Louisville, a strategic pipeline development program in conjunction with the public school system. Jefferson County Public Schools created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. Norton Healthcare transformed its summer program and previous high school scholarship offerings into a comprehensive, three-tiered apprentice program for students on the health care academy track. Beginning in a student's junior year, health care academy students explore career pathways in one of four key areas: Patient Care, Medical Office, Allied Health and Pharmacy Technician. Norton Healthcare primarily focused on Patient Care and Medical Office in 2019. Each phase offers a rigorous curriculum, business acumen and professional development, as well as hands-on learning opportunities in the students' chosen career fields. To date, Norton Healthcare has transitioned more than 52 students into staff positions with our organization after completion of the program, and offers tuition assistance for these new employees to continue their academic and career pursuits while working in the field of their choice. * In 2019, Norton Healthcare announced a strategic partnership program with UPS. Norton Healthcare-UPS Health Care Career Tracks provides a 2+2 method, splitting a four years bachelor's degree into two parts. Typically, the first two years are spent working with UPS in a general or pre-clinical designation and the last two years is when the student begins their clinical program and becomes a Norton Scholar. This program helps to support career readiness in a health care-related field. The combined tuition assistance offers students a debt-free way to get a college education while working with two of the leading companies in the region. * The Student Nurse Apprenticeship Program is a 12 to 18-month apprenticeship in which nursing students work and engage in hands-on learning with an experienced mentor while becoming integrated with Norton Healthcare. 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. Leadership for this program is through Norton Healthcare Institute for Nursing. * In 2019, Norton Healthcare launched new apprenticeship programs. The Surgical Tech Apprentice Program and the Respiratory Therapy Apprenticeship Program allow students to work and learn with tuition assistance as they grow their careers with Norton Healthcare. Development of the Medical Assistant Program also occurred in 2019, and this program launched in spring 2020. Learning and Development consists of continuing education, continuing medical education, E-Learning, EPIC, Institute for Nursing, media services, and Norton University, which 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 2019, Norton University held 295,578 learning events, an average of 18 trainings per employee. In 2019, 46,227 attendees completed instructor-led courses and 175, 441 web-based training courses were completed. * Programs such as Elevating First-Line Employees, School at Work, College at Work and career coaching expose entry-level staff to health care careers and help them obtain a higher-level position, GED or college degree. * Leadership development programs support the development of leaders across the continuum (physicians, nurses, physician practice staff and system staff). * Organizational development activities assist in creating a more effective and efficient workplace with highly engaged employees.
Form 990, Part III, Line 4a Program Service Accomplishment	Norton Faith & Health Ministries Norton Faith & Health Ministries works with faith communities to weave health and faith together, promoting the intentional integration of faith, healing and wellness through the development of health ministries. Norton Faith & Health Ministries provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses in ministering to their churches. In 2019, the department mentored and served nearly 200 multidenominational faith communities with active health ministry programs, and assisted others with health and wellness efforts. * Norton Faith & Health Ministries nurtured relationships with faith communities through participation in events held by the Episcopal Diocese of Kentucky, Kentucky Annual Conference of The United Methodist Church, Central District Baptist Association, Kentucky Tri-Presbytery Meeting and others. * In order to advance congregational health ministries, faith community nursing and other health-related programs, Norton Faith & Health Ministries made 33,000 contacts by distributing 21 electronic newsletters. At 63 regional faith community events, people were provided health literacy education using educational tools loaned from Norton Faith & Health Ministries. At 108 events, 1,500 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 315 individuals. Pastoral Care Department Norton Healthcare's 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 2019, 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 death; end-of-life and goals-of-care conversations; education about and enacting advance directives; offering religious rituals and literature; discussing ethical dilemmas; and providing comfort and conversation with patients who are lonely, afraid, conflicted or struggling. Chaplains care for people, regardless of their religious or spiritual backgrounds and beliefs, to help them use and strengthen their spiritual, emotional and relational resources to 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 children died at Norton Children's Hospital. 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 families and friends learn how to better care for the grieving parents. In addition to the visits 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 department staff when a co-worker dies, and blessing newly renovated units. Through teaching, committee involvement, ethics consultations and many other ways, chaplains are fully integrated into the life of the Norton Healthcare system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute provides care to more than 250,000 unique patients a year, including completing more than 11,500 surgical procedures and 18,850 noninvasive cardiovascular diagnostic tests each year. As the area's leading provider of cardiovascular care, the institute is committed to meeting the needs of the community, including providing education and support to reduce cardiovascular lifestyle risk factors that can improve the heart health of those we serve. * In 2019, Norton Heart & Vascular Institute offered the area's most comprehensive education and prevention program including the following activities at no cost to participants or the community: - In the Kitchen With Norton Healthcare is a series of heart-healthy cooking classes, including demonstrations and instruction that help attendees learn to prepare heart-healthy meals. Participants receive samples and recipes to take home to continue their journey to a heart-healthy diet. 14 classes were offered and 274 people attended in 2019. - Tai Chi for Heart Health is a free class series offered several times a year. It is designed for those with heart issues to help improve quality of life, psychological well-being, blood pressure, balance, flexibility, stress and depression. 89 separate classes were completed and served 1,365 total attendees in 2019. - A-fib Education Workshops were offered three times in 2019. Patients facing an atrial fibrillation (A-fib) diagnosis learned more about the latest in treatment and medication options, steps to lower their risk of stroke, and how to live better with A-fib. Total attendees for 2019 was 130. - Heart Failure Education Workshops were offered to patients and their families four times in 2019. These workshops help them learn about ways to live a full life and reduce side effects while managing heart failure. Total attendees for 2019 was 94. - Circle of Hearts is a series of classes for patients with heart and vascular disease. Classes focus on various topics, including prevention, heart health education and other wellness issues. Total attendees for the 2019 class series was 31. * Norton Heart & Vascular Institute offers a one-of-a-kind patient support program through Advocates for Healthy Hearts. This unique group of eight advocates gives men and women a chance to connect with others who are heart disease survivors themselves to provide individual support and resources for recovery. Advocates visit those preparing to undergo cardiac surgeries or other procedures, and those who are in the recovery phase of their cardiac event. Patient visits are completed at Norton Healthcare's three centers for cardiac and pulmonary rehabilitation patients. The program provided support to 64 heart patients in 2019. * Connecting Hearts for Support, the only group of its kind in Kentucky, provides a monthly opportunity for men and women living with a heart condition to connect for support and education. The monthly group is offered at Marshall Women's Health & Education Center on the Norton Healthcare - St. Matthews campus. It is led by the eight trained Advocates for Healthy Hearts and a designated cardiovascular nurse navigator from the Norton Heart & Vascular Institute Resource Center. The group provides emotional support as well as education on healthy nutrition, exercise and stress management. In 2019, 10 support group classes were offered and 187 heart patients attended. * Norton Heart & Vascular Institute is an 11-year active supporter of the American Heart Association's Go Red For Women movement. In 2019, a free breakout session called "Heart Healthy Cooking" was offered prior to the annual Go Red For Women luncheon to more than 45 attendees. * In 2019, Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigators attended 11 heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. More than 1,290 participants attended the events. * Heart-healthy lifestyle consultations are offered to the community for one-on-one instruction with the Norton Heart & Vascular Institute Resource Center cardiovascular nurse navigator. In 2019, six people participated in this offering. Norton Orthopedic Institute 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 Norton Healthcare's hospitals and physicians' offices. * Norton Orthopedic & Hand Center on the Norton Brownsboro Hospital campus is a state-of-the-art facility where Norton Healthcare specialists, including those from Norton Orthopedic Institute and Norton Sports Health, provide a multidisciplinary approach to innovative orthopedic care. The facility supports research, training and education. * Housed in the same building as Norton Orthopedic & Hand Center are 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.
Form 990, Part III, Line 4a Program Service Accomplishments	Norton Women's Care * In 2019, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's & Children's Hospital provided care and medical services for 7,912 deliveries. * Norton Hospital and Norton Women's & Children's Hospital offer free childbirth education classes, hosting a total of 555 in 2019. Norton Children's Prevention & Wellness * Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2019, 266 car seats were given to families in need through the community events and hospital admissions. Additionally, 53 special needs car seats were loaned to children with body casts and premature infants who would not fit in a conventional car seat. Certified car seat technicians completed 696 car seat inspections. 109 new car seat technicians were trained and certified locally and throughout the state. * The Norton Children's Hospital Bike Safety Rodeo program held 126 rodeo events to teach bicycle safety to 13,837 students from grades three through five throughout Kentucky. * Following interactive classroom lessons on pedestrian safety, 430 elementary school students and teachers participated in "Safe Kids Walk This Way," a program led by Norton Children's Hospital. The program is designed to reduce the number of pedestrian injuries. * Norton Children's Hospital's "Just for Kids" Transport Team transports babies and children from across the region to Norton Children's Hospital. Transportation is provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). In 2019, 2,389 transportation trips were completed. * More than 3,300 kindergarten students, teachers, chaperones and nursing students participated in the 36th annual Children & Hospitals Week event. The program was held at Louisville Slugger Field and supported by a Kohl's Cares grant. Children & Hospitals Week, held each year in the spring, is designed to teach safe decisions and behaviors to help lessen the fear and anxiety children may have about coming to a hospital. Kentucky Poison Control Center of Norton Children's Hospital Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2019, 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 30,000 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 at (800) 222-1222, available 24 hours a day, 7 days a week. Norton Neuroscience Institute Founded in 2009, Norton Neuroscience Institute is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. Norton Neuroscience Institute allows patients to be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists and other neurological-related specialists have joined the growing institute. These physicians and advanced practice providers offer expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS), brain tumors, headaches, concussions, spine care, endovascular and cerebrovascular neurosurgery and many other neurological conditions. * Kentucky is considered to be part of the stroke belt, a region of the United States that sees a high number of stroke cases. As a result, Norton Neuroscience Institute has committed to being a leader in stroke care. Norton Brownsboro Hospital is a designated Comprehensive Stroke Center, while Norton Audubon Hospital and Norton Hospital are certified Primary Stroke Centers, and Norton Women's & Children's Hospital is an Acute Stroke Ready certified center. * Neurosurgeons with Norton Neuroscience Institute were the first in Kentucky to use minimally invasive surgery techniques, including robotic surgery, laser ablation and steroelectroencephalography (SEEG) in the treatment of brain tumors and epilepsy for adult and pediatric patients. * Norton Neuroscience Institute offers treatment for nearly all neurological disorders. Much of the focus is on working together for the patient, providing multidisciplinary programs for brain tumors, ALS, movement disorders, epilepsy, trigeminal neuralgia (face pain) and stroke. * Norton Leatherman Spine offers advanced treatment options for spine conditions such as Chiari malformation, degenerative disc diseases, scoliosis and spinal stenosis, as well as tumors and infections of the spine. * Norton Leatherman Spine brings leading spine specialists together for a comprehensive approach to treating all spine issues. Through a multidisciplinary team approach, neurosurgeons, orthopedic spine surgeons, general surgeons, pain management specialists, neurologists, physical therapists, neuroradiologists and nurses work together to create a plan that meets the specific needs of each patient, leading to better patient outcomes. 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. * In 2019, Norton Neuroscience Institute pediatric neurosurgeons came together with the University of Louisville School of Medicine's child neurology team to create Norton Children's Neuroscience Institute. While both groups having been working together for decades, the creation of Norton Children's Neuroscience Institute, allows for leading experts to work together to treat the full spectrum of pediatric spine and brain conditions. Norton 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. Norton Healthcare Prevention & Wellness * In 2019, Norton Healthcare Prevention & Wellness staff provided preventive screenings aboard the Norton Healthcare Mobile Prevention Center in collaboration with various community partners. Due to a major retrofit of the mobile unit, no screenings were available until April 15. Almost 1,800 women received mammograms and/or wellness exams, including cervical cancer screenings, aboard the mobile unit. Of those, approximately 9% had not been screened in the past five years and 1% had never had a mammogram. Fourteen individuals were diagnosed and treated for preinvasive and invasive breast cancer. Of the almost 150 Norton Healthcare Mobile Prevention Center events, over half took place in underserved communities and over 60% of patients came from medically underserved areas. * Education on cardiovascular health, effects of smoking, prostate health, breast and women's health, colon health, and more was given to 4,471 community members at various events such as health fairs and presentations. If eligible and interested, participants were offered referrals for colonoscopy or given an at-home testing kit that they could mail to the lab and later receive their results. Colonoscopy referrals were made for 34 people, and 35 people received at-home testing kits. To help eliminate barriers to care, Prevention & Wellness implemented (502) 446-WELL, a number that links eligible patients to colonoscopy or in-home tests. * In collaboration with many community partners, staff provided over 9,600 cardiovascular screenings (blood pressure, BMI, glucose and cholesterol) for approximately 4,100 participants in multiple locations throughout Jefferson and surrounding counties, including Southern Indiana. Each participant received education on healthy lifestyle choices such as diet and exercise. Group education on various health and wellness information was provided throughout the year. * Prevention & Wellness conducted 19 Freedom From Smoking classes in 2019. One class was taught in Spanish. Research * Norton Healthcare guides one of the largest portfolios of clinical research of any community health care system in the United States. At any given time, more than 750 clinical studies are active or pending at Norton Healthcare. These studies engage more than 300 Norton Healthcare staff and significantly impact our patients and their families. * Focus areas for clinical research include pediatrics, oncology, cardiology, orthopedics and spine, neurology, neurosurgery, maternal-fetal medicine and pulmonology.
Form 990, Part III, Line 4a Program Service Accomplishments	* Norton Healthcare Research Office partnered with Norton University to continue to offer research education to all researchers in Louisville Metro and beyond. In 2019, two education programs were offered, and attendees included staff from a large number of area health care institutions. The Children's Hospital Foundation The Children's Hospital Foundation raises funds to support programs, equipment and facilities, research, advocacy and education for Norton Children's Hospital, Norton Women's & Children's Hospital and Norton Children's Medical Center. The Children's Hospital Foundation is motivated to ensure that children in Greater Louisville have the medical care they need when they need it, while keeping kids as close to their home as possible. Support from The Children's Hospital Foundation allows the pediatric specialists of Norton Children's Hospital and others working in the Norton Healthcare's pediatric service line, 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, Louisville's only Level I Pediatric Trauma Center and the primary teaching facility for University of Louisville School of Medicine's Department of Pediatrics. To continue to address the community's need for specialized pediatric care and meet the ever-growing needs served by Norton Children's Hospital, 2019 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric heart care, neonatal care, intensive care, our transport team, prevention and wellness team and more. 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 (such as child life, expressive and music therapies), continue to be areas of funding and priority for Norton Children's Hospital Foundation to ensure a truly "Just for Kids" experience for patients and families. The Children's Hospital Foundation continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The foundation awarded $9.9 million in grants for capital, programs and patient financial assistance to the hospitals in 2019, including: * Construction of the Jennifer Lawrence Cardiac Intensive Care Unit at Norton Children's Hospital. * Renovation and upgrades of the neonatal intensive care unit and "Just for Kids" Critical Care Center (pediatric intensive care unit). * Creation of a new healing garden at Norton Children's Hospital. * Continued funding for a new surgical theater virtual reality technology for pediatric neurosurgery. * Purchase of a new "Just for Kids" Transport Team ambulance. * Continued funding of Norton Children's Prevention & Wellness, which helps provide safety and outreach information in support of the hospital's health and wellness prevention initiatives. * Establishment of the Ulmer Family Wellness Program at Norton Children's Medical Associates - Broadway, providing expanded programming to assist families, including a full-time social worker. * Funding the addition of a child life specialist/facility dog handler to our Heel, Dog, Heal facility dog program. * Funding for staff educational opportunities and advanced certifications. Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare's adult-service hospitals: Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital and Norton Women's & Children's Hospital. The Norton Healthcare Foundation raises funds each year to improve programs, equipment and facilities, and research and education, enabling the hospitals to stay up to date with medical advances and technology, and maintaining the community's access to health care. Community support through the Norton Healthcare Foundation allows caregivers to continue making a difference for patients served by Norton Healthcare. The foundation awarded $4.6 million in grants for capital, programs and patient financial assistance to the hospitals in 2019, including: * The purchase of a new Norton Healthcare Mobile Prevention Center to provide screening mammograms and wellness exams to women ages 40 and over in underserved areas of our community. * Establishment of a genomics platform and precision medicine clinic to better tailor cancer treatments to individuals. * Renovation of the diagnostic Breast Center in Norton Healthcare Pavilion. * Renovation of the Wade Mountz Auditorium in Norton Hospital. * Funding participation in the HepConnect program to address the increase in hepatitis C infections. * Creating a family comfort garden on the third floor of Norton Hospital. * Refurbishment of an ambulance for the Norton Healthcare Adult Transport Team. * Purchase of equipment for the Norton Neuroscience Institute Telestroke System. * Purchase of natural labor equipment and supplies such as disposable birthing pools. * Support for nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. * Continued funding of the adult facility dog program. Philanthropy plays an increasingly important role at Norton Healthcare as caregivers strive to continuously improve the health of the community.
Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2019 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 1049. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 139 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2019. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 795 VENDORS ON FORM 1096 FOR 2019.
Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED TWO FORM W-2Gs 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 2,753 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 17,903 EMPLOYEES ON FORM W-3 FOR 2019.
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 1, 2020 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 8, 2020 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)/Gallagher, 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/Gallagher consultants presented and discussed this comparability data in 2018 for the 2019 compensation review and met in 2019 for the 2020 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 2019.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Proceeds from Passport - Total Revenue: 6909807, Related or Exempt Function Revenue: 6909807, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Outside Services - Total Expense: 64664305, Program Service Expense: 51648943, Management and General Expenses: 13015362, Fundraising Expenses: ; Other expenses - Total Expense: 1775587, Program Service Expense: 665187, Management and General Expenses: 1110400, Fundraising Expenses: ; Contract Labor - Total Expense: 3128984, Program Service Expense: 3012915, Management and General Expenses: 116069, Fundraising Expenses: ; Professional Fees - Total Expense: 558558, Program Service Expense: 558558, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	AFFILIATE TRANSFER - -326441; SWAP MARK TO MARKET ADJUSTMENT - 742234; CHANGE IN MINIMUM PENSION LIABILITY - 7309122; CHANGE IN NET PERIODIC PENSION COST - -10081059;
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, 2019. The other components of net periodic pension cost was $10.1 million for year ended December 31, 2019.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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	40,541,687	3,848,434	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?
(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	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) 2019

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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?
(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		Yes	No
(1) NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE,KY40202 61-1054301	PROVIDE NURSING AND PATHOLOGY SERVICES	KY	NA	C Corporation	48,790,426	40,837,162	100 %	Yes

Schedule R (Form 990) 2019

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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	1,885,538,707	FMV
(2) Norton Hospitals Inc	S	2,006,988,491	FMV
(3) Community Medical Associates Inc	R	527,129,982	FMV
(4) Community Medical Associates Inc	S	388,893,818	FMV
(5) Norton Properties Inc	R	77,942,394	FMV
(6) Norton Properties Inc	S	36,714,969	FMV
(7) The Children's Hospital Foundation Inc	R	5,807,555	FMV
(8) The Children's Hospital Foundation Inc	S	11,921,813	FMV
(9) Norton Healthcare Foundation Inc	R	1,527,811	FMV
(10) Norton Healthcare Foundation Inc	S	2,018,630	FMV
(11) Norton Enterprises Inc	R	29,042,061	FMV
(12) Norton Enterprises Inc	S	19,293,090	FMV
(13) Norton Healthcare Foundation Inc	C	841,702	FMV
(14) The Children's Hospital Foundation Inc	C	351,625	FMV

Schedule R (Form 990) 2019

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

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) 2019

Additional Data

Software ID:	19010655
Software Version:	2019v5.0

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
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 2019 (Part V, line 2a) ......	5	2,753
6	Total number of volunteers (estimate if necessary) .............	6	3
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	120,731
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	5,673

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	964,807	1,193,327
9	Program service revenue (Part VIII, line 2g) .........	321,907,901	374,047,414
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	63,201,899	42,615,359
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,350,141	9,706,703
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	389,424,748	427,562,803
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,312,212	7,783,882
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)	179,647,109	186,667,340
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	152,411,384	196,428,728
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	335,370,705	390,879,950
19	Revenue less expenses. Subtract line 18 from line 12.......	54,054,043	36,682,853
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,830,303,653	1,935,993,288
21	Total liabilities (Part X, line 26).............	2,296,959,083	2,220,822,221
22	Net assets or fund balances. Subtract line 21 from line 20.....	-466,655,430	-284,828,933

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 321,291,916 including grants of $ 7,783,882 ) (Revenue $ 383,691,790 )
	NORTON HEALTHCARE, INC. (NHC) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2019 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 expenses321,291,916

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	18,741,429	380,594	2,600,933

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,193,327
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,193,327

		Business Code
2a	Management fees	900099	328,260,093	328,260,093
b	Net Patient Revenue	621999	36,614,515	36,614,515
c	Clinical Research Trials	900099	8,971,230	8,971,230
d	Education Programs	900099	201,576	201,576
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		374,047,414

3 Investment income (including dividends, interest, and othersimilar amounts) ......			32,942,596		7,764	32,934,832
4 Income from investment of tax-exempt bond proceeds			650,910			650,910
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		-50,640	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)	0	-50,640	6c
d	Net rental income or (loss).......			-50,640			-50,640
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		227,726,893	7a
b	Less: cost or other basis and sales expenses		218,705,040	7b
c	Gain or (loss)	0	9,021,853	7c
d	Net gain or (loss).........			9,021,853			9,021,853
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Credit Card Rebate		900099	757,849	757,849
b	Employee Emergency Fund		900099	281,349	281,349
c	Miscellaneous Income		900099	1,808,338	1,695,371	112,967
d	All other revenue ....			6,909,807	6,909,807	0	0
e	Total. Add lines 11a–11d ......			9,757,343
12	Total revenue. See instructions.....			427,562,803	383,691,790	120,731	42,556,955

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	7,538,412	7,538,412
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	245,470	245,470
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	15,050,162	8,448,918	6,601,244
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	54,307	54,307
7	Other salaries and wages........	137,451,392	121,120,246	16,331,146
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,134,945	5,448,031	686,914
9	Other employee benefits .......	16,680,714	14,983,365	1,697,349
10	Payroll taxes ...........	11,295,820	9,773,540	1,522,280
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,970,550	4,236,537	734,013
c	Accounting ...........	707,200	282,880	424,320
d	Lobbying ...........	110,000	44,000	66,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	4,432,348		4,432,348
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	70,127,434	55,885,603	14,241,831	0
12	Advertising and promotion ....
13	Office expenses .......	2,131,223	1,773,439	357,784
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	9,569,093	7,617,054	1,952,039
17	Travel ............	1,430,043	1,142,139	287,904
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	35,817,627		35,817,627
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	19,130,620	101,321	19,029,299
23	Insurance ...	24,039,077	20,678,927	3,360,150
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	52,528,763	47,733,356	4,795,407
b	Pharmacy Drugs	32,690,399	32,636,958	53,441
c	Interest allocation	-39,970,611		-39,970,611
d	Insurance allocation	-23,621,570	-20,314,550	-3,307,020
e	All other expenses	2,336,532	1,861,963	474,569	0
25	Total functional expenses. Add lines 1 through 24e	390,879,950	321,291,916	69,588,034	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			-14,208,413	1	49,952,722
2	Savings and temporary cash investments .........			208,661,448	2	59,685,528
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			9,592,183	4	15,829,189
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				22,139	5	12,703
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			848,618	8	3,213,635
9	Prepaid expenses and deferred charges ......			43,190,144	9	45,545,275
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	469,731,867
b	Less: accumulated depreciation	10b	395,001,821	89,306,507	10c	74,730,046
11	Investments—publicly traded securities .			1,017,378,856	11	1,153,881,863
12	Investments—other securities. See Part IV, line 11 .....			423,869,660	12	480,808,167
13	Investments—program-related. See Part IV, line 11 ..			21,749,558	13	21,673,409
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			29,892,953	15	30,660,751
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,830,303,653	16	1,935,993,288

17	Accounts payable and accrued expenses .....	160,544,958	17	174,112,992
18	Grants payable ...	1,188,803	18	4,030,130
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,065,947,166	20	1,035,039,166
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	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	1,069,278,156	25	1,007,639,933
26	Total liabilities. Add lines 17 through 25..	2,296,959,083	26	2,220,822,221

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-466,910,591	27	-284,976,389
28	Net assets with donor restrictions ...........	255,161	28	147,456
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	-466,655,430	32	-284,828,933
33	Total liabilities and net assets/fund balances ........	1,830,303,653	33	1,935,993,288

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No