Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
NORTON HOSPITALS INC |
610703799 | 3 | Yes | 0 | 2,407,177,281 | |
| (B)
COMMUNITY MEDICAL ASSOCIATES INC |
611276316 | 9 | No | 0 | 986,527,930 | |
| (C)
NORTON HEALTHCARE FOUNDATION INC |
310914919 | 7 | No | 0 | 4,109,508 | |
| (D)
THE CHILDREN'S HOSPITAL FND INC |
616027530 | 7 | No | 0 | 17,488,028 | |
| (E)
Norton Healthcare - Indiana Inc |
850513259 | 3 | No | 0 | 18,983,357 | |
| (F)
Norton - King's Daughters' Health Inc |
350895832 | 3 | No | 0 | 8,311,308 | |
|
Total 6
|
0 | 3,442,597,412 | ||||
Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 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 0.035 | 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| 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 | Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc. and the other four 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 organization that are operated to promote the general health of the community in conjunction with Norton Hospitals. |
| 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 five 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 A, Line 5a Added, Substituted, or Removed Sup. Org. | Norton Healthcare - Indiana (EIN: 85-0513259) was added as a supported organization. In 2023, Norton Healthcare - Indiana acquired 100% interest in The Regional Health Network of Kentucky and Southern Indiana, LLC which controls Norton Clark Hospital, LLC, Norton Clark Physician Practices, LLC, Norton Scott Hospital, LLC, and Norton Scott Physician Practices, LLC. In accordance with the filing organization's bylaws, Norton Healthcare, Inc, in furtherance of its exempt purpose, has the authority to add supported organizations. |
| 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. |
| Software ID: | 23017437 |
| Software Version: | 2023v5.1 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a Program Service Accomplishment #2 | NHC donated 210 syringe pumps to Smiths Medical (Smith's) in 2023. Smith's is a leading global manufacturer of specialty medical devices that provides innovative and lifesaving solutions for the world's health care markets. The company specializes in infusion therapy, vascular access and vital care. Additionally, NHC donated 18 ventilators and one anesthesia machine. The Institute for Health Equity (IHE), a Part of NHC was formed in 2020 to address health and racial inequities in our community. IHE"s main office, located in The Village @ West Jefferson in the Russell neighborhood of West Louisville, provides community meeting spaces for mental health services, support for chronic disease management, and access to prevention and wellness resources. NHC's community medical directors, all practicing physicians, are rooted within IHE to provide services and health education in communities and neighborhoods with the largest needs. The IHE also serves as a resource for physicians and other caregivers by strengthening knowledge of social drivers of health inequity and advocating for policy changes to improve social determinants of health for underserved populations. Norton West Louisville Hospital, opening in late 2024, will offer comprehensive services, including adult and pediatric primary care physician offices, emergency room services, inpatient services and outpatient functions. Imaging services, including X-rays and CT scans, will be available, along with specialty services such as women's health, cardiology, neurology and endocrinology. Some physician offices will offer evening hours. This hospital, the first to be built in West Louisville in more than 150 years, will be unlike any other medical facility in that community and will create more than 200 new jobs. The new hospital is part of the NHC Goodwill Opportunity Campus, a $100 million investment in West Louisville that will bring a collection of life-enhancing programs and services to one of Kentucky's most underserved communities. The project was announced on Feb. 23, 2022, by NHC, Goodwill Kentucky and Kentucky Gov. Andy Beshear. The groundbreaking ceremony for the campus took place on June 28, 2022. Community education and workforce development As one of Kentucky's largest health care systems, NHC has established a culture of continual, lifelong learning. Opportunities are available through our human resources department's workforce development (Workforce Development) team and our NHC Institute for Education & Development (IED). The workforce development team encourages continuing education, offers programs to improve job performance and provides financial assistance for educational programs aimed toward key areas of workforce need within the organization. NHC encourages and supports the career goals of employees and their dependents by providing tuition assistance and scholarships, as well as other advancement opportunities. Established in the early 2000s, workforce development has assisted more than 6,000 students with tuition assistance. In 2023, workforce development financially supported nearly 950 students with over $7.6 million in educational assistance programs. * In 2023, the workforce development team provided nearly 1,700 career coaching sessions to employees and students. Each program participant worked directly with a career management coach. Coaches offer services in resume writing, career and education exploration, financial assistance opportunities and interviewing skills. * The accelerated NHC Scholars Program, a student loan program for employees and nonemployees, provides educational funding to students interested in pursuing health care-related degrees in key areas of workforce need. It is an affiliation between NHC and over 100 colleges and universities nationally. Since 2014, this program has assisted more than 1,200 graduates continue their careers with NHC. * The Student Nurse Apprenticeship Program (SNAP) is a 12- to 18-month apprentice model let by NHC Center for Nursing Practice, a part of IED. Student nurses in the program engage in hands-on learning with an experienced nurse while living the mission of NHC. * Starting in 2018, NHC was one of the founding partners and continuing through 2023 participates in the Jefferson County Public Schools' (JCPS) Academies of Louisville, a strategic pipeline development program established in conjunction with the local public school system. JCPS created an academy model in which students have the opportunity to select career-focused education and earn industry-recognized credentials while in high school. NHC transformed its summer program and previous high school scholarship offerings into a comprehensive internship program for students on the health care academy track. * In 2019, NHC announced a strategic partnership program that is ongoing through 2023 with UPS and its Metropolitan College program. NHC-UPS Health Care Career Tracks provides a two-plus-two method, splitting a four-year bachelor's degree into two parts. * In 2019, NHC launched and has continued through 2023 the Surgical Technologist Apprenticeship Program and the Respiratory Therapy Apprentice Program that allow students to work and learn with tuition assistance as they grow their careers with NHC. The Medical Assistant Training Program launched in 2020 with a goal of offering internal training programs to produce quality, prepared medical assistants to introduce into the NHC workforce. Several apprenticeship cohorts run throughout each year including 2023. |
| Form 990, Part III, Line 4a Program Service Accomplishment #3 | * In 2022, NHC Center for Nursing Practice (CNP), a part of IED, created the student healthcare assistant employment opportunity. Continuing through 2023 college students enrolled in a health care discipline have the opportunity to learn about providing direct patient care while enrolled in their academic program, with emphasis on schedule flexibility and clinical experience. IED provides learning opportunities to enhance the professional and personal aspects of student and employee growth. It consists of eight centers: Academic & Scholarly Affairs, Allied Health Education, Continuing Medical Education, eLearning & Clinical Documentation Support, Nursing Practice, Philanthropy, Professional Growth and System Nursing & Ancillary Education. Offerings include general enrichment courses, personal and professional development and formal programming, all while honoring NHC's commitment to lifelong learning. A variety of online, hybrid and instructor-led sessions create a unique learning environment for each person's needs. Below are a few highlight examples. * As the first prelicensure registered nurse apprenticeship program in Kentucky, and the first of its kind in the United States, SNAP is a 12- to 18-month hybrid readiness for nursing practice program developed and led by the Center for Nursing Practice. System-employed student nurses engage in clinical and human skills development through three tiers: culture, clinical and confidence. Graduates of SNAP retain as NHC nurses at 90%, with first-year registered nurse retention at 92%. Of six complete cohorts, 27 SNAP graduates were promoted to formal NHC leadership positions. From SNAP's inception in 2017, to the end of cohort 6 in 2023, SNAP prevented $39+ million in first-year registered nurse turnover costs, decreased registered nurse new graduate orientation length on average two to three weeks, and created a recruitment pipeline for NHC nurses. * Consistency, ease of use and system support drove the 2020 decision to streamline all NHC undergraduate nursing and paramedic clinical placements to the CNP. Group and individual learning opportunities are facilitated by the schools of nursing team. On average, this team supports 800+ student encounters per week, six hospital locations, 50+ ambulatory locations, 21 academic institutions, two academic-practice partnerships, joint and dual employee clinical instructor appointments, and dedicated education units. From one academic-practice partnership alone, a 16.2% increase was gained in student graduates to NHC registered nurse position acceptance. * In 2023, the CNP created the student healthcare assistant employment opportunity. System-employed students who are enrolled in a collegiate health care discipline track leverage a core set of competencies to provide patient care within NHC hospitals. Spanning 13 health care disciplines, the role highlights schedule flexibility, professional accountability and clinical competency, all while directly supporting our patient care needs. In the first five months of 2024, student healthcare assistants averaged 51 FTE per month in patient care support for six of our NHC hospitals. For retention, 71% of eligible student healthcare assistant graduates transition to NHC career positions. Norton Faith & Health Ministries Norton Faith & Health Ministries (NHFM) partners with faith communities to weave together health and wellness promotion with intentional care of the spirit. Mentoring, educational resources and networking opportunities are provided to assist health ministry coordinators and faith community nurses in their ministry. In 2023, NHFM celebrated 20 years of service and engaged in 152 events with faith partners. Initiatives included, but were not limited to: * Promoting whole-person health and wellness, providing health education tools, offering health screenings and providing one-on-one health ministry mentoring. * Coordinating an annual faith leader conference called 'Resources for Faith Leaders: Considerations Following Trauma'. * Sponsoring health ministry networking programs on health education displays, support for those with cancer and holding a special blessing service for faith partners. * Partnering with the Kentucky Heart Disease and Stroke Prevention Task Force to provide cardiovascular assessments, risk-reduction information and education on the blood pressure awareness program. NFHM continued to serve as a trusted source for health and wellness information by coordinating subject matter experts and speakers for a variety of health topics. It also distributed electronic correspondence to a network of health ministries, a newsletter to 1,400 subscribers, and multiple issues of the "Health Ministries Connection" newsletter to faith communities, NHC employees and more. Pastoral care department Chaplains are a vital part of the holistic care provided at NHC. In 2023, staff chaplains worked with chaplains in training through the Clinical Pastoral Education Program, bringing comfort and hope to NHC patients, families and staff 24 hours a day, 7 days a week. |
| Form 990, Part III, Line 4a Program Service Accomplishment #4 | The largest growth area for the chaplains was in the outpatient services areas as one of the staff chaplains traveled the region to support staff, participate in support groups and offer education to patients and families. Chaplain referrals and employee resources continue to be regularly highlighted in leadership communications as chaplains offer creative ways to help staff increase resilience and find meaning in their work. Chaplains provided care in nearly 29,000 documented patient encounters, in addition to serving thousands of family members. Some of the many reasons chaplains became involved in the care of patients and families included: * Grief support and facilitation of decision-making at the time of death * Family support for pediatric trauma patients * Conversations about end-of-life decisions and goals of care * Education about and enacting advance directives * Offering religious rituals and literature * Discussing ethical dilemmas * Providing comfort and conversation with patients who were lonely, afraid, conflicted, struggling or celebrating good news Chaplains care for people, regardless of their religious or spiritual backgrounds and beliefs, helping them use and strengthen their spiritual, emotional and relational resources to better cope and to thrive. Through formal and informal staff support efforts, teaching, committee involvement, ethics consultations and many other ways, chaplains are fully integrated into the life of the NHC system. Norton Heart & Vascular Institute Norton Heart & Vascular Institute (NHVI), a part of NHC, is the Louisville area's leading cardiovascular disease prevention and treatment program. Each year, NHVI provides diagnostic, medical, interventional and surgical care for thousands of patients from Kentucky and Southern Indiana. A team of specialists treats patients at NHC's four adult acute-care hospitals in Louisville and numerous diagnostic outpatient and specialty centers throughout Greater Louisville. All four of the hospitals are accredited by the American College of Cardiology's Accreditation Services as Chest Pain Centers. Three of them - Audubon, NBH and Norton - serve as American Heart Association award-winning regional percutaneous coronary intervention receiving centers. Audubon has been recognized year after year with the American College of Cardiology's HeartCare Center: National Distinction of Excellence accreditation. It is the only hospital in Louisville with this distinction. NHVI offers a nationally recognized advanced heart failure and recovery program, with expertise in the management of end-stage heart failure, mechanical circulatory support implantation and support of patients who require heart transplantation. The NHVI Heart Rhythm Center provides state-of-the-art monitoring and a comprehensive suite of treatment options for all types of heart arrhythmias. Our experienced team of cardiothoracic and vascular surgeons provides surgical capabilities that include ventricular assist device implantation, minimally invasive treatments for atrial fibrillation, cardiac valve repair and replacement, and repair of life-threatening vascular conditions. Vascular surgeons treat the spectrum of arterial and venous disease with both endovascular and open surgical procedures. More information is available at NortonHeartAndVascularInstitute.com. Norton Orthopedic Institute Norton Orthopedic Institute (NOI) provides advanced orthopedic care for all bones and joints, and for people of all ages. NOI is made up of board-certified physicians - many of whom are fellowship trained - who work together with therapists, physical rehabilitation specialists, primary care physicians, neurologists, certified athletic trainers and other care providers to offer a full range of multidisciplinary orthopedic services. These specialists practice a team approach in the diagnosis, treatment and rehabilitation of bone and joint conditions and injuries. NOI"s hip and knee replacement program has been certified as an Orthopaedic Center of Excellence by DNV, as meeting guidelines of the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons. With locations throughout Greater Louisville, including Southern Indiana, NOI offers several specialty centers focused on providing expertise in general orthopedics, joint replacement, injuries, trauma, pediatrics, oncology, spinal conditions and sports health. Norton Women's Care Norton Women's Care (NWC) offers a complete range of services with an emphasis on caring for the whole person - mind, body and spirit. Services focus on the health and wellness at all stages of life - adolescence, prepregnancy, pregnancy, motherhood, midlife and beyond. More patients choose NWC at Norton and NWCH to deliver their babies than any other facility in the region. Specialty services include full gynecologic care; a pelvic health program; obstetrics, including high-risk pregnancy care; cardio-obstetrics; support from certified nurse midwives and doulas; newborn care with access to Level III and IV neonatal intensive care units; cancer prevention and treatment, including a comprehensive breast health program; a dedicated women's heart and vascular care, education and support program; a bone health program addressing osteoporosis, rheumatology and prevention of other orthopedic diseases; and Norton Women's Mental Health Services for evaluation and treatment of issues including depression, premenstrual dysphoric disorder, infertility and menopause. |
| Form 990, Part III, Line 4a Program Service Accomplishment #5 | NWC also offers a variety of educational wellness programs through the Marshall Women's Health & Education Center on the NHC - St. Matthews campus. More information is available at NortonWomensCare.com. In 2023, NWC birthing facilities at Norton, NWCH, NKDH, and Clark provided care and medical services for 9,092 deliveries. NWC was recognized as High Performing in Adult Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report. Norton Children's Prevention & Wellness Norton Children's Prevention & Wellness (NCPW) is supported by CHF, which raises funds exclusively for the not-for-profit NCH and its sister facilities. Through donations, volunteerism and community support, the foundation is able to provide funding for equipment, new technologies, clinical research, child advocacy and health education for patients, families, medical staff and the community. * Child passenger safety technicians check car and booster seats and also provide car and booster seats at free checkup clinics statewide. In 2023, 650 virtual and in-person car seat checks were completed. Additionally, 90 new child passenger safety technicians were certified on how to properly install car seats. * More than 9,500 third and fourth graders across Kentucky learned about bicycle safety through the NCH Bike Safety Rodeo in 2023. * The Safety City program welcomed over 5,500 second-grade students to learn about bike and pedestrian safety. * In a virtual program, more than 6,200 kindergarten students participated in the 40th annual Building Health Superheroes (renamed) event. Building Healthy Superheroes is designed to teach healthy and safe lifestyle choices for children. This superhero-themed virtual option provides teachers with resources to administer the course, and students graduate as a "healthy superhero" at the conclusion of the class. * NCH Food Pantries served over 23,000 individuals with food insecurity needs, a more than 10% increase compared to 2022. * NCPW provided oral education and supplies to over 1,500 community members. * Virtual classes continued in 2023, serving over 1,000 individuals with prevention and wellness programming. Events included cooking workshops, child safety classes and safe grandparenting classes. * The new Safety Care-a-van program launched and distributed over 500 pieces of safety equipment and educational materials to families. In exchange, over 200 Safety Surveys were collected to help NCPW tailor their programming to community need. * The "Just for Kids" Transport Team transports babies and children from across the region to NCH. Transportation is provided by helicopter and five specially equipped ambulances known as mobile intensive care units. In 2023, 2,904 transportation trips were completed. Kentucky Poison Control Center of NCH NCH is home to the Kentucky Poison Control Center (Poison Control). In 2023, the center managed nearly 40,000 individual cases from more than 40,000 calls and provided assistance available 24 hours a day, 365 days a year through more than 40,000 follow-up calls to concerned families in all 120 counties in Kentucky, as well as to physicians and other health care providers from every health care facility in the state. The primary mission of Poison Control of NCH is to reduce illness and death from poisoning in Kentucky. Poison Control provides 24/7 free and confidential access to specially trained nurses, pharmacists and physicians who are certified in toxicology. They are specialists in communicating advice to health care professionals, first responders, patients, parents, family members, the general public and the media. Some of the more common calls received involve medications, tobacco products, household cleaning products, plants and personal care items. Calls also are answered about work-related exposures in farming and industry, food poisoning, insect bites and snakebites, and a variety of other potential hazards. On average, Poison Control's hotline at (800) 222-1222 receives more than 40,000 calls annually, 24 hours a day, 365 days a year. Three of every four patients from those calls are successfully managed safely and inexpensively at home, reducing unnecessary emergency room visits and/or shortening hospital stays. More information is available at KYPoisonControl.com. Norton Neuroscience Institute Established in early 2009, Norton Neuroscience Institute (NNI) is the region's leading provider of neurologic care. The multidisciplinary comprehensive program has more than 120 subspecialty fellowship-trained neurosurgeons, neurologists, neuropsychologists and advanced practice providers. These specialists are trained to provide patients and their families with advanced treatment for complex neurologic disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; memory and dementia disorders, movement disorders, including Parkinson's disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. Patients also have access to NNI Cressman Neurological Rehabilitation, which offers advanced technology and specialized services in one location. NNI provides leadership for a regional stroke care network. All four of NHC's adult-service hospitals in Louisville are certified by DNV, with NBH designated as a Comprehensive Stroke Center, representing the highest level of stroke care. In addition, the American Heart Association's Get With The Guidelines program has certified the same four hospitals, with Silver Plus level for Audubon and NWCH, and Gold Plus level for NBH and Norton. |
| Form 990, Part III, Line 4a Program Service Accomplishment #1 | (Continued from Part III, Line 4A) Clark is a 236-bed acute care facility located on a 22-acre campus that also includes two medical office buildings and an outpatient surgery center. Scott is a 25-bed critical access hospital with a 24-hour physician-staffed emergency department and a comprehensive list of inpatient and outpatient services. In 2023, NHC, through its affiliates, Norton Hospitals Inc. and Norton Healthcare - Indiana Inc., had a total of 2,254 licensed beds: Norton Audubon Hospital (Audubon), 432 beds; Norton Brownsboro Hospital (NBH), 197 beds; Norton Children's Hospital (NCH), 300 beds; Norton Hospital (Norton), 605 beds; Norton Women's & Children's Hospital, (NWCH) 373 beds; NKDH, 86 beds; Clark, 236 beds; Scott, 25 beds. These eight hospitals operate 24 hours a day, seven days a week. Norton Pharmacies PLLC, a disregarded entity of NHC, operates five retail pharmacies and one specialty pharmacy that dispense medications for the convenience of Norton Healthcare's patients and employees. In 2023, NHC, through its affiliate, Community Medical Associates Inc. (CMA), had approximately 3.3 million patient encounters. NHC's hospitals, diagnostic centers and Norton Cancer Institute (NCI) served 71,897 inpatients and 796,514 outpatients, and saw 291,491 emergency room visits. In addition, NHC hospitals' operating rooms cared for 18,118 inpatient surgical patients and 45,291 outpatient surgical patients. Additionally, 9,092 babies were delivered at NHC birthing facilities. NHC's commitment to the community NHC is committed to improving the health of our community and provides funding for a wide array of lifesaving and life-enhancing services that benefit the communities we serve. In 2023, under its charity care program, NHC provided free care to 4,407 patients at a cost of $21.1 million. NHC also grants a discount from billed charges to any patients who have no access to private health insurance or do not qualify for government assistance or charity care. Under this program, 6,812 patients were provided care at discounted rates. Another contribution to the community was educational support of $76.1 million, primarily to the University of Louisville (UofL) School of Medicine. Community health improvement services totaled $48.0 million and contributions to community groups were $2.3 million. NHC employees donated more than 211,000 hours of community service , a benefit valued at more than $1.5 million in salaries. In addition, many employees self-reported personal volunteer activities. NHC provides programmatic support to the UofL School of Medicine through funding and facilities. During the 2023 calendar year, 206 residents completed clinical rotations in 53 specialties at NHC facilities. Residency programs are part of the $76.1 million in educational support and clinical funding provided to the medical school. Contributions to the community NHC employees and physicians gave nearly $844,249.20 in the 2023-2024 Combined Giving Campaign to help support nonprofit 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 The Children's Hospital Foundation, Inc. (CHF) and Norton Healthcare Foundation (NHF). In 2023, 68 employees helped "raise the roof" on NHC's 18th Habitat for Humanity home at 6421 Hackel Dr. in Louisville, Kentucky. In 2023, an estimated 1,650 NHC employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 840 employees and their 1,789 children by providing for their families at Christmas. |
| Form 990, Part III, Line 4a Program Service Accomplishment #6 | NNI is a leader in the region for providing innovative surgery technology, such as NeuroPace, NeuroBlate and ROSA (a robotic surgical assistant) and cutting-edge treatment for brain tumors, including TruBeam and Optune therapies. As part of the comprehensive care provided by NNI, patients and their families have access to support resources to manage their diagnoses through two NNI Resource Centers. The resource centers offer dedicated patient navigators, support groups, exercise programs and extensive educational resources. CMA CMA offices provide primary care for adults in Louisville, Southern Indiana and surrounding areas at over 35 locations . Offices are staffed by teams of experienced providers who help manage short- and long-term health goals, offer guidance on disease prevention, management of chronic conditions and diagnosis of medical concerns, and provide support navigating specialized care when needed. Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. In December 2021, CMA - La Clinica Preston, NHCs first 100% bilingual practice, opened in the Okolona area of Louisville. The staff and providers all speak English and Spanish and understand the unique concerns of Louisville's Hispanic community and families. Norton Prevention & Wellness Norton Prevention & Wellness (NPW) is supported in part by NHF, which raises funds exclusively for NHC's adult-service hospitals and services. * In 2023, NPW staff provided preventive screenings aboard the NPW Mobile Prevention Center (MPC) in collaboration with various community partners. Mammograms and wellness exams, including cervical cancer screenings, were provided to 1,567 women. Of those, approximately 13% had not been screened in the past five years and 11% had never had a mammogram. Of the 162 MPC 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 health and women's health, colon health and more was provided to over 7,300 community members at various events, such as health fairs and presentations. * If eligible and interested, participants were offered referrals for a 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 88 people and 90 people received at-home testing kits. To help eliminate barriers to care, NPW implemented a dedicated phone number, (502) 446-WELL, that links eligible patients to colonoscopy scheduling or requesting in-home tests. * In collaboration with many community partners, staff provided 4,203 health screenings (blood pressure, body mass index, glucose and cholesterol levels) for 2,068 participants in multiple locations throughout Jefferson County and surrounding counties, including in Southern Indiana. New in 2023, HgbA1C screening is now available for participants with abnormal glucose levels. Each participant received education on healthy lifestyle choices, such as diet and exercise. * Over 30 group education/presentations on various health and wellness topics was provided throughout the year, reaching 2,182 participants. * NPW conducted 12 American Lung Association Freedom From Smoking classes in 2023. Nearly half of the attendees reported being tobacco-free. * In 2023, the Get Healthy Walking Club increased by over 2,900 members and reached over 10,400 total members. With a membership card, club members have free access to walk at the Louisville Zoo each day from March through October, from 8 to 9:30 a.m. * In 2023, NPW began offering Hands-Only CPR classes in the community in collaboration with community partners. More than 85 people received this instruction at five events. * NPW was the primary coordinator for the Hispanic Health Fair and the Get Healthy Walking Club Expo, bringing together many vendors and services in one location to serve all ages. * All participants who had abnormal results from any of our health screening events also received navigation assistance with a registered nurse to connect them to resources within NHC or the community, and assist them in overcoming barriers to access care. Norton Research Institute NHC guides one of the largest portfolios of clinical research of any community health care system in the United States. Originally opened in 2001 as NHC Research Office, Norton Research Institute (NRI) is dedicated to conducting high-quality, cutting-edge research that brings new treatments to those who need it most. NRI supports our community's medical providers who are at the leading edge of advancements and discoveries. NRI includes over 300 clinical research professionals providing support for active studies, including translational research, device studies, health outcome studies, biorepository and bench lab research, data collection and Phase 1, Phase 2 and Phase 3 clinical trials. Our portfolio of more than 500 studies stretches over more than 30 specialties across the spectrum of adult care. NRI is focused on conducting research in a manner that protects the rights and well-being of all who participate in clinical trials and is dedicated to upholding ethical standards in our research practices. |
| Form 990, Part III, Line 4a Program Service Accomplishment #7 | * Areas of clinical research focus include pediatrics, oncology, cardiology, orthopedics and spine, infectious diseases, neurology, neurosurgery and pulmonology. * The pediatric research portfolio through Norton Children's Research Institute, affiliated with the UofL School of Medicine, is critical to the mission of the only pediatric hospital in our service area; NCH * NHC invests significantly in clinical research to benefit our community and patients, and to support clinical science by participating in the development of new clinical interventions (drugs, devices, procedures) that will become generalized and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * In 2023 NHC started building research capacity and infrastructure (including a research laboratory) to address Parkinson's disease, movement disorders and memory disorders. NCI As the leading provider of cancer care in Louisville and Southern Indiana, NCI's mission is to blend comprehensive treatment and services with compassion, hope and healing for patients and their families. Through a multidisciplinary approach, its team offers patients the latest in treatments and technology focused on cancer prevention, diagnosis, care and survivorship. The institute's specialists cover a broad range of oncology subspecialties, including behavioral, breast medical and radiation, gastrointestinal medical and radiation, genitourinary medical and radiation, gynecologic, head and neck medical and surgical, neurologic, orthopedic, sarcoma and connective tissue medical, and thoracic medical and radiation oncology, as well as cancer genetics, hematology and oncologic dermatology. NCI offers state-of-the-art medical, surgical and radiation therapies, including minimally invasive robotic surgery, stereotactic radiosurgery (Novalis Tx and TrueBeam STx) and advanced brachytherapy. Patients have access to groundbreaking research through its participation in dozens of innovative National Cancer Institute and industry-sponsored clinical trials. Extensive educational, physical and emotional support services, including support groups, seminars, art and music therapy, massage therapy, yoga and nutritional counseling are available through five NCI Resource Centers. NCI is designated by the American College of Surgeons Commission on Cancer as the only accredited Integrated Network Cancer Program in Kentucky. More information is available at NortonCancerInstitute.com. Community support from our foundations In 2023, CHF and NHF raised $30.9 million in support of care at NCH and its sister facilities, and NHC's adult-service facilities. Grants totaling more than $24.5 million were invested in NHC facilities to improve access to care and spur innovation in services. The grants supported a wide range of initiatives to expand workforce, enhance facilities, establish new programs and provide advanced facilities. * Creation of the NCH's Autism Center playground * Vans for neonatal-pediatric mobile outreach and Norton Children's Medical Group cardiology outreach * The Heel, Dog, Heal facility dog program across NHC facilities, including 12 trained dogs and their handlers * Transition to Adult Diabetes Program at Wendy Novak Diabetes Institute * Creation of NRI * Equipment for NHC Bioskills Lab * Norton eCare School Telehealth * Expressive therapists for NCI Pat Harrison Resource Center * NWC's Doula Program |
| Form 990, Part V, Line 1a COMMON PAYING AGENT 1099S | NORTON HEALTHCARE, INC. (NHC), EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NHC, 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 NHC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2023 BY NHC WAS 1,257. NHC HAS 132 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2023. NHC, THE COMMON PAYING AGENT, REPORTED 798 VENDORS ON FORM 1096 FOR 2023. |
| Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT | NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED THREE FORM W-2Gs ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION, INC. AND FILED ONE FORM W-2G ON BEHALF OF NORTON HEALTHCARE FOUNDATION, INC. |
| Form 990, Part V, Line 1c COMMON PAYING AGENT FOR VENDORS | NORTON HEALTHCARE, INC. (NHC), EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NHC AND ALL AFFILIATES. NHC 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. (NHC) EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON KING'S DAUGHTERS' HOSPITAL, NORTON HEALTHCARE - INDIANA, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NHC. ON BEHALF OF THESE NAMED ENTITIES. NHC HAS APPROXIMATELY 5,806 EMPLOYEES. NHC, THE COMMON PAYING AGENT, REPORTED 24,988 EMPLOYEES ON FORM W-3 FOR 2023. |
| 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, Steve Heilman, Douglas Winkelhake - Business relationship, Russell F. Cox, Michael W. Gough, Robert B. Azar (Officers, Norton Enterprise, Inc.) - Business relationship |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | At the October 3, 2024 Norton Healthcare, Inc. (NHC) Finance Committee meeting and at the October 17, 2024 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., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, 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, Gallagher, to provide comparability data, including review of other health systems and hospital organizations that have filed Form 990s, 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. Gallagher consultants presented and discussed this comparability data in 2022 for the 2023 compensation review and met in 2022 for the 2023 compensation review with the 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 | CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE HERE: HTTPS://NORTONHEALTHCARE.COM/ABOUT-US/FINANCIAL-INFORMATION/. GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| 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., The Children's Hospital Foundation, Inc., Norton King's Daughters' Health, Inc., and Norton Healthcare-Indiana, 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 on the Form 990 as reportable compensation to the Trustee receiving stipends in 2023. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | All other revenue - Total Revenue: -7742559, Related or Exempt Function Revenue: -7742559, 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: 58204479, Program Service Expense: 48018695, Management and General Expenses: 10185784, Fundraising Expenses: ; Other expenses - Total Expense: 2582901, Program Service Expense: 1015080, Management and General Expenses: 1567821, Fundraising Expenses: ; Contract Labor - Total Expense: 1815268, Program Service Expense: 1555685, Management and General Expenses: 259583, Fundraising Expenses: ; Professional Fees - Total Expense: 155233, Program Service Expense: 155233, Management and General Expenses: , Fundraising Expenses: ; Research Department Fees - Total Expense: 602997, Program Service Expense: 602997, Management and General Expenses: , Fundraising Expenses: ; Collection Fees - Total Expense: 1967268, Program Service Expense: 1504960, Management and General Expenses: 462308, Fundraising Expenses: ; Marketing Fees - Total Expense: 6337294, Program Service Expense: 2534284, Management and General Expenses: 3803010, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | AFFILIATE TRANSFER - 430065; SWAP MARK TO MARKET ADJUSTMENT - 18234994; CHANGE IN MINIMUM PENSION LIABILITY - 13699491; CHANGE IN NET PERIODIC PENSION COST - -5170818; LOSS ON DEBT REFINANCING - -4301408; OTHER - -3441151; |
| 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, 2023. The other components of net periodic pension cost was $5.2 million for year ended December 31, 2023. |
| Software ID: | 23017437 |
| Software Version: | 2023v5.1 |