2017-11-13T11:07:49-06:00 2016-12-31 350921680 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2016-01-01 611028725 Norton Healthcare Inc NORT 5026298249 Accounting 224 E Broadway 5th Fl Louisville KY 40202 Michael W Gough TREASURER & CFO 2017-11-07 true Rachel Spurlock P00520729 5023263996 2016 2017-02-10 21:41:12Z RUSSELL F COX 4967 US HIGHWAY 42 SUITE 100 Louisville KY 40222 394731614 false X WWW.NORTONHEALTHCARE.COM X 1983 KY 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. 23 22 2142 3 0 803490 832896 161573948 162981857 45328375 27139114 9942859 8446642 217648672 199400509 1579718 2293714 0 135214532 143082879 0 0 109495914 114769185 246290164 260145778 -28641492 -60745269 1259945526 1723698889 1645334708 2150187394 -385389182 -426488505 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. false false 210530216 2293714 171178476 NORTON HEALTHCARE, INC. (NHI) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2016 NHI, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 LICENSED BEDS: NORTON HOSPITAL - 605 BEDS; NORTON CHILDREN'S HOSPITAL - 300 BEDS; NORTON AUDUBON HOSPITAL - 432 BEDS; NORTON WOMEN'S AND CHILDREN'S HOSPITAL - 373 BEDS; AND NORTON BROWNSBORO HOSPITAL - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. (CONTINUED IN SCHEDULE O) 210530216 true true false true false false false false false false true true false false true false false true false false true false false false false false false true true true true false true false false false true false false true false false false false false false true true true false false true 554 4 true 2142 true false false false false false false false false false false X 23 22 true false false false false false false true true false false true true true true true true true true false X X Helena Schulz 5026298263 Accounting 224 E BROADWAY 5th Fl LOUISVILLE KY 402022025 Stephen A Williams CEO/Trustee 30.0 20.0 X X 2140771 0 85700 Donald H Robinson Chair 12.0 2.5 X 0 0 0 Gary L Stewart Vice Chair & Chair Elect 4.0 3.5 X 1600 0 0 Maria L Bouvette Trustee 1.0 2.5 X 1600 0 0 Brendan Canavan Trustee 1.0 2.5 X 1600 0 0 Sue Davis EdD RN Trustee 1.0 2.5 X 1600 0 0 Lee K Garlove Trustee 1.0 3.5 X 1600 0 0 Maria Gerwing Hampton Trustee 4.0 2.5 X 1600 0 0 Craig D Grant Trustee 1.0 2.5 X 1600 0 0 Louis Heuser Trustee ( partial year) 1.0 2.5 X 0 0 0 Martha K Heyburn MD Trustee 3.0 2.5 X 1600 0 0 Richard R Ivey Trustee 1.0 2.5 X 1600 0 0 Ronald Lehocky MD Trustee 3.0 2.5 X 1600 0 0 Gail Lyttle Trustee 1.0 2.5 X 1600 0 0 Gregory E Mayes Trustee 5.0 2.5 X 1600 0 0 Joseph J McGowan EdD Trustee (partial year) 1.0 2.5 X 0 0 0 Maureen McGowan Trustee 1.0 2.5 X 0 0 0 Edie Nixon Trustee 4.0 2.5 X 1600 0 0 Barry Pennybaker Trustee 1.0 2.5 X 1600 0 0 Erwin Roberts Trustee 1.0 2.5 X 1600 0 0 G Hunt Rounsavall Jr Trustee 4.0 3.5 X 1600 0 0 Dr Rita Hudson Shourds Trustee 1.0 2.5 X 0 0 0 Rev William J Schultz Trustee 3.0 2.5 X 1600 0 0 James L Sublett MD Trustee 1.0 2.5 X 1600 0 0 Richard S Wolf MD Honorary Chair Emeritus 1.0 3.5 X 1600 0 0 Russell F Cox President 30.0 20.0 X 1332366 0 381368 Michael W Gough Sr VP CFO/Treasurer 30.0 20.0 X 1114894 0 317579 Robert B Azar Sys VP Chief Legal Officer/Secretary 30.0 20.0 X 680749 0 121650 Steve Hester Sr VP, CMO 50.0 0 X 955018 0 192287 Douglas Winkelhake Division President Adult Services 50.0 0 X 814511 0 168805 Steve Ready Sys VP CIO 50.0 0 X 590274 0 130932 Charles Bohn SYS VP Chief HR Officer 50.0 0 X 579482 0 112459 Scott Watkins Division VP COO 50.0 0 X 577576 0 124586 James Frazier SYS VP Medical Affairs 50.0 0 X 553268 0 106668 Steve Heilman Sys VP Ancillary Serv & CMIO 50.0 0 X 541264 0 147666 Tracy Williams Sr VP, CNO 50.0 0 X 534867 0 105796 Mary Jo Bean Sr VP Planning & Bus Analysis 50.0 0 X 482183 0 90092 Michael Esposito Sys VP Chief Network Development Officer 50.0 0 X 463748 0 102460 Thomas Johnson Sys VP PR-Chief Communication Officer 50.0 0 X 445495 0 418078 Adam Kempf Sys VP Finance 50.0 0 X 442112 0 91678 Mary Lynn Meyer Sr VP CDO 30.0 20.0 X 200981 330618 111888 Jim Meyers Sys VP Revenue Cycle 50.0 0 X 379681 0 90372 Maureen Capalbo Sys VP Nursing Systems 50.0 0 X 374761 0 51862 Alfonso Cornish Sys VP Learning & Org Dev 50.0 0 X 371125 0 44388 Dana Allen Sys VP Chief Mktg & Communication Officer 50.0 0 X 370241 0 71099 Kathleen Exline VP Perf Excel & Care Continium 50.0 0 X 364374 0 82056 Kenneth Wilson SYS VP Clinical Effectiveness 0.0 0 X 464291 0 61986 14804433 330618 3211455 227 true true true Firstsource Solutions USA LLC 6455 Reliable Pkwy Chicago IL 60686 Professional Service 5954675 Doe-Anderson Inc 620 W Main Street Louisville KY 40202 Professional Services 2262105 Dinsmore & Shohl LLP P O Box 639038 Cincinnati OH 452639038 Legal services 1095923 Brooksource PO Box 55767 Indianapolis IN 46205 Professional Services 1020686 Press Ganey Associates Inc PO Box 88335 Milwaukee WI 40202 Professional Services 950951 92 X 832896 832896 Management fees 900099 157479679 157479679 Clinical Research Trials 900099 5327397 5327397 Education Programs 900099 174781 174781 0 0 0 0 162981857 15354123 15354123 1522882 1522882 244955 244955 0 244955 244955 205593214 195331105 10262109 0 10262109 10262109 Credit Card Rebate 900099 996361 996361 Employee Emergency Fund 900099 374112 374112 net gain on debt extinguishment 900099 5644176 5644176 1187038 1181970 0 5068 8201687 199400509 171178476 0 27389137 X 2163714 2163714 130000 130000 13236881 7402750 5834131 38718 38718 104359792 91592605 12767187 5076539 4702955 373584 11701000 10921072 779928 8669949 7538755 1131194 2553527 2272639 280888 586700 234680 352020 234583 93833 140750 2977319 2977319 43453693 38683061 4770632 0 2923974 2411887 512087 6861143 5466515 1394628 1395366 1118165 277201 33818802 33818802 17971724 21773 17949951 18221684 16220422 2001262 Equipment rental & repair 36754747 34356652 2398095 Recruitment 861334 769610 91724 Interest allocation -36660627 -36660627 Insurance allocation -18437161 -16409073 -2028088 1252377 799483 452894 0 260145778 210530216 49615562 0 -11544487 -826266 276468067 161629132 8561162 10709708 0 6276 0 662313 656187 25778351 25350419 428196762 335579826 77582673 92616936 625315227 1063546599 218619416 338934391 0 38502804 31075507 1259945526 1723698889 176345745 198202859 1842926 1640544 844124150 1124709451 0 623021887 825634540 1645334708 2150187394 X -385547307 -426650440 158125 161935 -385389182 -426488505 1259945526 1723698889 X -60745269 32940198 -13294252 X false true X true false X X 4 NORTON HOSPITALS INC 610703799 3 true 1406260544 0 COMMUNITY MEDICAL ASSOCIATES INC 611276316 9 false 368070372 0 NORTON HEALTHCARE FOUNDATION INC 310914919 7 false 1828337 0 THE CHILDREN'S HOSPITAL FND INC 616027530 7 false 6481408 0 4 1782640661 0 false false false false false true false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name Norton Hospitals, Inc. is named as a supported organization in the Articles of Incorporation of Norton Healthcare, Inc., and the other three supported organizations are identified by class or purpose. Specifically, the Articles of Incorporation of Norton Healthcare, Inc. provide that the organization will support (in addition to Norton Hospitals, Inc.) the operations and activities of other affiliated publicly supported organizations that are operated to promote the general health of the community in conjunction with Norton Hospitals. Schedule A, Part IV, Section C, Line 1 Majority director detail As a supporting organization, Norton Healthcare, Inc. is supervised or controlled in connection with the supported organizations, and therefore, is designated as a Type II supporting organization. Norton Healthcare, Inc. meets this classification because the management of Norton Healthcare, Inc. is vested in the same persons that control and manage the supported organizations. Specifically, the organizations share the same Chief Executive Officer, Chief Legal Officer, President/Chief Operating Officer, and Chief Financial Officer. This common control allows Norton Healthcare, Inc. and its four supported organizations to function collectively as a health system, with Norton Healthcare, Inc. providing management and administrative support to the supported organizations. The fact that the core leadership team of each of the supported organizations is also the core leadership team of Norton Healthcare, Inc. assures that Norton Healthcare, Inc. is responsive to the needs and demands of the supported organizations and that Norton Healthcare, Inc. constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 8978 false true 234583 243561 false 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: Government Strategies totaling $114,583, and Rotunda Group LLC totaling $120,000. 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 legistlative 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 $8,978 2125807 2125807 50220808 39269655 10951153 340506939 295591707 44915232 35343208 718464 34624744 92616936 ALTERNATIVE INVESTMENTS MASTER TRUST UNITS 253105951 REAL ESTATE MASTER TRUST UNITS 77267539 Private Equity Master Trust 8560901 338934391 PAYABLE TO AFFILIATES 606768997 SELF INSURANCE TRUST 107287066 OTHER LIABILITIES 41170433 INTEREST RATE SWAP LIABILITY OTHER INSURANCE 1766965 Pension 56416128 Capital Lease Deferred Income LT 12224951 825634540 Central America and the Caribbean 0 0 Investments 275917777 0 0 0 0 0 0 275917777 0 275917777 true false true false false false true BELLARMINE UNIVERSITY 2001 NEWBURG RD LOUISVILLE KY 40205 610482955 501(c)(3) 1032500 General program support and support Nursing, sports medicine, healthcare analytics and student health services Jefferson County Public Schools 546 SOUTH FIRST ST LOUISVILLE KY 40202 616001316 Jefferson Co 292500 Program support to ensure that trainers and sports mediciane experts are available in the county and support of baseline concussion testing by providing specilized football helmets. UNIVERSITY OF KENTUCKY 800 ROSE ST C1 LEXINGTON KY 40536 616001218 state of KY 210000 general program support of university and Pharmacy school NAFC School Corp POBox 1087 NEW ALBANY IN 471511087 356005953 501(c)(3) 117440 Support Community project intended to protect, diagnose and treat student athletes from concussions and other sports related injuries Habitat for Humanity 1620 BANK ST LOUISVILLE KY 40203 581735528 501(c)(3) 90000 support home building for those in need METRO UNITED WAY OF KENTUCKY 3949 ZONETON RD SHEPHERDSVILLE KY 40165 610444680 501(c)(3) 55000 support health and human services LEADERSHIP LOUISVILLE FOUNDATION 732 W MAIN ST LOUISVILLE KY 40202 310958491 501(c)(3) 52300 general program support for educating leaders in community Catholic Education Foundation Inc 401 W Main St LOUISVILLE KY 40202 611294640 501(c)(3) 45000 general event & program support AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS TX 752841750 135613797 501(c)(3) 40000 support heart health awareness Family Community Clinic Inc 1406 E Washington St LOUISVILLE KY 40206 272994215 501(c)(3) 40000 Meet the healthcare needs of uninsured patients in the Louisville Community FUND FOR THE ARTS 623 W MAIN ST LOUISVILLE KY 40202 610479626 501(c)(3) 38000 General program support WHAS Crusade for Children 520 W CHESTNUT ST LOUISVILLE KY 402022235 237075524 501(c)(3) 35000 promote support for special needs children ARTHRITIS FOUNDATION KY CHAPTER 2908 Brownsboro Rd LOUISVILLE KY 40206 610492349 501(c)(3) 30000 Program support to assist people with arthritis and related diseases LouisvilleJefferson Co Metro 611 WEST JEFFERSON ST LOUISVILLE KY 40202 320049006 Jefferson Co 30000 general program support JUNIOR ACHIEVEMENT 1401 W MUHAMMAD ALI BLVD LOUISVILLE KY 40203 610476694 501(c)(3) 27600 General program support KENTUCKY PHYSICIANS HEALTH FOUNDATION 9000 WESSEX PLACE STE 305 LOUISVILLE KY 40222 611242062 501(c)(3) 21500 Supporting healthcare professionals CYSTIC FIBROSIS FOUNDATION 1941 Bishop Ln LOUISVILLE KY 40218 131930701 501(c)(3) 20500 Cystic Fibrosis patient support COLON CANCER PREVENTION PROJECT PO BOX 4039 LOUISVILLE KY 40204 201510713 501(c)(3) 17500 Support for colon cancer awareness initiatives YMCA OF GREATER LOUISVILLE 545 SOUTH SECOND ST LOUISVILLE KY 40202 610444843 501(c)(3) 16695 support youth development & healthy living AMERICAN CANCER SOCIETY 5250 VOGEL RD STE A EVANSVILLE IN 47715 131788491 501(c)(3) 16500 Supporting people with cancer by helping them get well, finding cures Integrating Woman Leaders Inc 47 W 96TH ST INDIANAPOLIS IN 46260 272546534 501(c)(3) 15000 Supporting advancement of women into higher levels of leadership KENTUCKY LIFT INC 614 W MAIN ST STE 6000 LOUISVILLE KY 40202 464048816 501(c)(4) 15000 Support provisions of economic development and civic betterment SUPPLIES OVER SEAS 1500 ARLINGTON AVE LOUISVILLE KY 40206 272624272 501(c)(3) 15000 support donations of supplies to needy countries COMMUNITY MEDICAL ASSOCIATES INC 224 E BROADWAY ACCOUNTING LOUISVILLE KY 40202 611276316 501(c)(3) 12943 Support of a nurse practitioner for the Bellarmine Student Health Clinic UNIVERSITY OF LOUISVILLE 401 CHAMPIONS WAY SIMPSONVILLE KY 40067 311106941 115(1) 14950 General program support INDIA COMMUNITY FDTN OF LOUISVILLE 12505 VALLEY PINE DR LOUISVILLE KY 40299 610989811 501(c)(3) 14000 Support promotion of cultural and educational knowledge about Telugu people A WOMAN'S CHOICE RESOURCE CENTER 101 WEST MARKET LOUISVILLE KY 40202 611142823 501(c)(3) 12500 Support for pregnancy center BRAIN INJURY ALLIANCE OF KY 7321 NEW LAGRANGE RD STE 100 LOUISVILLE KY 40222 611128496 501(c)(3) 12500 Outreach, education and support for patients with brain injuries CENTER FOR WOMEN AND FAMILIES PO BX 2048 LOUISVILLE KY 402012048 610444846 501(c)(3) 11000 support services for victims of domestic abuse AMERICAN DIABETES ASSOCIATION PO BOX 930850 ATLANTA GA 311930850 131623888 501(c)(3) 10000 Program support for African American outreach re: diabetes education, prevention CHRIST IN YOUTH INC 2201 N MAIN JOPLIN MO 64801 431303328 501(c)(3) 10000 employee match- general program support HOSPARUS 3539 EPHRAIM MCDOWELL DR LOUISVILLE KY 40205 610921718 501(c)(3) 10000 Pediatric bereavement program KENTUCKIANS FOR PROGRESS INC 6060 DUTCHMANS LN STE 110 LOUISVILLE KY 40205 274218549 501(c)(3) 10000 Support the development and promotion of the social and economic welfare of KY area LEUKEMIA AND LYMPHOMA SOCIETY 301 E MAIN SUITE 100 LOUISVILLE KY 40202 135655916 501(c)(3) 10000 supporting mission to cure leukemia, lymphoma, hodgkin's disease and myeloma, improve patient & family quality of life LOUISVILLE MEDICAL LEGAL 100 DISCOVERY WAY ACTON MA 01720 352079715 501(c)(3) 10000 general program support RONALD MCDONALD HOUSE 550 S 1ST ST LOUISVILLE KY 40202 311053467 501(c)(3) 10000 support home assistance for families in need WELLSPRING SPECIAL EVENT POBOX 1927 LOUISVILLE KY 402011927 311020023 501(c)(3) 10000 Supporting adults with severe and persistent mental illness Young Professionals 657 S Hurstbourne Pkwy LOUISVILLE KY 40222 450483455 501(c)(3) 10000 provides leadership development, educational opportunities and philanthropic support to Louisville's Young Professionals for the benefit of the local community EPILEPSY FOUNDATION KENTUCKIANA 982 EASTERN PARKWAY LOUISVILLE KY 402171566 611314540 501(c)(3) 9900 Epilepsy support groups and outreach LEADERSHIP SOUTHERN INDIANA 8204 HWY 311 SELLERSBURG IN 47172 351644080 501(c)(3) 9000 general program support for educating leaders in community NEIGHBORHOOD HOUSE 201 N 25TH ST LOUISVILLE KY 40212 610445842 501(c)(3) 9000 provide opportunities for individuals to enhance quality of heir lives THE HEALING PLACE 1020 W MARKET ST LOUISVILLE KY 40202 611164775 501(c)(3) 8000 promotes social support and medical assistance to the homeless KOMEN KENTUCKY 1201 STORY AVE STE 205 LOUISVILLE KY 40206 752855046 501(c)(3) 7500 support breast cancer awareness MARCH OF DIMES FOUNDATION P O BOX 932852 ATLANTA GA 311932852 131846366 501(c)(3) 7500 premature birth support SHIVELY AREA MINISTRIES 4415 DIXIE HWY LOUISVILLE KY 40216 611134579 501(c)(3) 7500 general program support American Lung Association of the Midland States 4100 CHURCHMAN AVE LOUISVILLE KY 40215 314379531 501(c)(3) 7000 Support mission of preventing lung disease and improving lung health KY CHAMBER OF COMMERCE 464 CHENAULT AVE FRANKFORT KY 40601 610405718 501(c)(3) 7000 Support prosperous business climate in Commonwelath of KY KENTUCKY DERBY MUSEUM 704 CENTRAL AVE LOUISVILLE KY 40208 311023459 501(c)(3) 6400 Support the endowment and safeguards the future of the KY Derby Museum REVOLUTION DEVELOPMENT CYCLING INC 1806 GRESHAM RD LOUISVILLE KY 40205 812907077 501(c)(3) 6000 supporting healthy lifestyles through bicycle riding PARKINSON'S SUPPORT CENTER OF KENTUCKIANA 315 TOWNEPARK CIR STE 100 LOUISVILLE KY 40243 611367576 501(c)(3) 5800 promote parkinson support FAMILY SCHOLAR HOUSE 403 REG SMITH CIRCLE LOUISVILLE KY 40208 611285124 501(c)(3) 5500 support education initiatives ASSOCIATION OF PROFESSIONAL CHAPLIANS 2800 W HIGGINS RD STE 295 HOFFMAN EST IL 601697221 363762667 501(c)(3) 5000 support pastoral education Be Their Diffence Inc 17513 POPE DALE RD LOUISVILLE KY 40245 812316399 501(C)(3) 5000 General program support BRIDGEHAVEN P O BOX 950270 LOUISVILLE KY 402950270 610548949 501(c)(3) 5000 general programs support CENTER FOR INTERFAITH RELATION 415 W MULHAMMED ALI BLVD LOUISVILLE KY 40202 611149619 501(c)(3) 5000 General Program support CEREBRAL PALSY KIDS CENTER 982 EASTERN PKWY LOUISVILLE KY 40217 610492378 501(c)(3) 5000 Support for children with cerebral palsy CHRISTIAN ACADEMY OF LOUISVILLE 700 S ENGLISH STATION RD LOUISVILLE KY 402453912 610907309 501(c)(3) 5000 General program support CLOUT C/O FR JOE GRAFFIS LOUISVILLE KY 40203 611202173 501(c)(3) 5000 Program support of interfaith relations and social justice FAMILY & CHILDRENS COUNSELING 525 ZANE ST LOUISVILLE KY 40203 610549561 501(c)(3) 5000 general program support FRIEND FOR LIFE 4003 KRESGE WAY STE 100 LOUISVILLE KY 40207 611139410 501(c)(3) 5000 Program support for peer-to-peer cancer patient counseling/relationships JM OUTDOORS LLC 131 ST MATTHEWS AVE LOUISVILLE KY 40207 331178847 5000 supporting active lifestyle through bycicle riding KENTUCKIANA HEALTH COLLABORATIVE 1930 BISHOP LN STE 1023 LOUISVILLE KY 40218 450700087 501(c)(3) 5000 Program support of Healthcare Value- lowering costs & improving outcomes KENTUCKY PEDIATRIC SOCIETY 420 CAPITAL AVE FRANKFORT KY 40601 611125554 501(c)(3) 5000 Support for continuing medical education for KY pediatric physicians KIDS CANCER ALLIANCE INC 607 W MAIN ST STE 200 LOUISVILLE KY 40202 611256743 501(c)(3) 5000 supporting children battling cancer LEADERSHIP KENTUCKY FOUNDATION 464 CHENAULT RD FRANKFORT KY 406019260 311096215 501(c)(3) 5000 General donation to sustain LKY programs MORTON CENTER 1028 BARRETT AVE LOUISVILLE KY 402041667 311068020 501(c)(3) 5000 Supporting mission to improve lives of families and individuals who are affected by alcohol and chemical dependencies NATIONAL KIDNEY FND OF KY 8920 STONE GREEN WAY 100 LOUISVILLE KY 402204072 610673518 501(c)(3) 5000 kidney diesease awareness NEW ALBANYFLOYD CO HABITAT 711 E 8TH ST POBOX 1814 NEW ALBANY IN 47150 351817055 501(c)(3) 5000 Funding for a home build project OVARIAN AWARENESS OF KENTUCKY 2300 HURSTBOURNE VILLAGE DRIVE LOUISVILLE KY 40299 611393292 501(c)(3) 5000 Support education and awarness of ovarian cancer and provide support women with ovarian cancer PARK DUVALLE COMMUNITY 3015 WILSON AVE LOUISVILLE KY 40211 610666209 501(c)(3) 5000 general program support PRP ALUMNI ASSOCIATION PO BOX 58051 LOUISVILLE KY 40268 320087730 501(c)(3) 5000 general education support THE ALS ASSOCIATION KY CHAPTER 8640 HAINES DR STE F FLORENCE KY 41017 943124729 501(c)(3) 5000 Support for ALS patient care services program UNIVERSITY OF LOUISVILLE 500 S PRESTON ST INSTRUCTIONAL BLDG RM 311 LOUISVILLE KY 40292 611014882 Section 115 5000 Supporting community education 70 3 undergraduate scholarships for students pursuing education for a career in the healthcare field 95 130000 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. X X true true X X X X X false true false false false false false true false Stephen A Williams CEO/Trustee 1100643 0 648812 0 391317 0 58375 0 27325 0 2226472 0 156533 0 Russell F Cox President 775652 0 300166 0 256549 0 350179 0 31188 0 1713734 0 105296 0 Michael W Gough Sr VP CFO/Treasurer 637892 0 253405 0 223597 0 294872 0 22707 0 1432473 0 88892 0 Robert B Azar Sys VP Chief Legal Officer/Secretary 417886 0 167415 0 95448 0 109086 0 12564 0 802399 0 55868 0 Kenneth Wilson SYS VP Clinical Effectiveness 303009 0 84633 0 76649 0 43224 0 18762 0 526277 0 9854 0 Steve Hester Sr VP, CMO 601610 0 234175 0 119234 0 163395 0 28892 0 1147305 0 79572 0 Douglas Winkelhake Division President Adult Services 540881 0 161643 0 111987 0 143985 0 24820 0 983316 0 68812 0 Steve Ready Sys VP CIO 413356 0 101933 0 74985 0 104933 0 25999 0 721206 0 41984 0 Charles Bohn SYS VP Chief HR Officer 368706 0 115647 0 95130 0 86669 0 25790 0 691942 0 49232 0 Scott Watkins Division VP COO 393452 0 106682 0 77442 0 97280 0 27307 0 702163 0 44488 0 James Frazier SYS VP Medical Affairs 375137 0 101655 0 76476 0 79691 0 26977 0 659936 0 43864 0 Steve Heilman Sys VP Ancillary Serv & CMIO 366034 0 99574 0 75656 0 120416 0 27251 0 688930 0 42648 0 Tracy Williams Sr VP, CNO 337624 0 109066 0 88177 0 87603 0 18193 0 640663 0 46432 0 Mary Jo Bean Sr VP Planning & Bus Analysis 282183 0 66130 0 133871 0 73463 0 16630 0 572275 0 66177 0 Michael Esposito Sys VP Chief Network Development Officer 307342 0 86780 0 69627 0 77842 0 24618 0 566208 0 35608 0 Thomas Johnson Sys VP PR-Chief Communication Officer 247988 0 71917 0 125590 0 393307 0 24772 0 863574 0 60832 0 Adam Kempf Sys VP Finance 299595 0 83429 0 59088 0 73222 0 18456 0 533790 0 0 0 Mary Lynn Meyer Sr VP CDO 200981 135900 0 127393 0 67325 0 94334 0 17554 200981 442506 0 44860 Jim Meyers Sys VP Revenue Cycle 266830 0 70338 0 42512 0 64158 0 26214 0 470052 0 0 0 Maureen Capalbo Sys VP Nursing Systems 246615 0 68151 0 59995 0 38716 0 13146 0 426623 0 20389 0 Alfonso Cornish Sys VP Learning & Org Dev 224099 0 62864 0 84162 0 33825 0 10563 0 415512 0 32441 0 Dana Allen Sys VP Chief Mktg & Communication Officer 246419 0 65870 0 57953 0 53761 0 17338 0 441340 0 29252 0 Kathleen Exline VP Perf Excel & Care Continium 264254 0 57349 0 42770 0 52372 0 29684 0 446429 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INTERESTED PERSONS LISTED BELOW AT TIME OF PAYMENT. PAYMENTS ARE IN ACCORDANCE WITH EXISTING COMPENSATION POLICY. GROSS-UP PAYMENTS SHALL BE MADE ONLY WHEN SPECIFIED IN AN EMPLOYEE'S EMPLOYMENT CONTRACT, OR AS APPROVED IN WRITING BY THE PRESIDENT AND CEO OF NORTON HEALTHCARE, EXECUTIVE VICE PRESIDENT OR CFO. DURING 2016, GROSS-UP PAYMENTS WERE PROCESSED AS OUTLINED IN THE EMPLOYMENT CONTRACT FOR THE CEO. SEE NARRATIVE PROVIDED IN SCHEDULE O, REFERENCING PART VI, LINE 15, WHICH DESCRIBES THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. DISABILITY COVERAGE (AND ASSOCIATED GROSS-UP) FOR MR. WILLIAMS - DURING 2016 NET DISABILITY COVERAGE PREMIUMS TOTALED $18,087, AND THE ASSOCIATED GROSS-UP OF SUCH PREMIUMS TOTALED $9,654. THUS, THE TOTAL OF THESE AMOUNTS - $27,741 - WAS INCLUDED IN THE TAXABLE COMPENSATION OF MR. WILLIAMS IN 2016. 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 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 2016: Stephen A. Williams -$32,427 Russell F. Cox - 59,434 Michael G. Gough - 52,208 Robert B. Azar - 17,500 Tracy Williams - 17,500 Steve Hester - 17,500 Scott Watkins - 10,000 Michael Esposito - 10,000 Charles Bohn - 17,500 Steve Ready - 10,000 James Frazier - 10,000 Steve Heilman - 10,000 Kenneth Wilson - 10,000 Douglas Winklehake - 17,500 Dana Allen - 10,000 Thomas Johnson - 10,000 Mary Jo Bean - 10,769 Adam Kempf - 10,000 Kathleen Exline - 10,000 Jim Meyers - 10,000 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INTERESTED PERSONS PARTICIPATED IN OR RECEIVED PAYMENT FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AS DESCRIBED IN IRC SECTION 457(F). THE INTERESTED PERSONS BELOW MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS: THE EXECU-FLEX BENEFIT PLAN, THE EXECU-PLUS BENEFIT PLAN, DEFINED BENEFIT AND DEFINED CONTRIBUTION RESTORATION PLANS, AND THE PHYSICIAN DEFERRED PLAN. THE "PAY CREDIT" OUTLINED BELOW REPRESENTS A REASONABLE ESTIMATE OF THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLANS; AND THEREFORE, REPRESENTS THE ORGANIZATION'S CONTRIBUTION TO THE VALUE OF THE BENEFITS. NAME - PAY CREDIT Stephen A. Williams - $ 37,614 Russell F. Cox - 184,624 Michael W. Gough - 151,419 Robert Azar - 89,124 Mary Lynn Meyer - 70,315 Dana Allen - 37,508 Mary Jo Bean - 49,507 Charles Bohn - 70,769 Maureen Capalbo - 15,972 Alfonso Cornish - 14,287 Michael Esposito - 53,673 Kathleen Exline - 36,126 James Frazier - 63,606 Steven Heilman - 61,727 Steven Hester - 140,441 Thomas Johnson - 18,452 Adam Kempf - 51,108 Jim Meyers - 41,951 Steve Ready - 79,315 Scott Watkins - 73,169 Tracy Williams - 67,807 Kenneth Wilson - 23,108 Douglas Winkelhake - 119,512 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2016 AND CAN BE COMPRISED OF Current and or PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED Stephen A. Williams - $ 269,688 Russell F. Cox - 110,639 Michael W. Gough - 91,441 Robert Azar - 56,519 Mary Lynn Meyer - 44,860 Dana Allen - 28,645 Mary Jo Bean - 118,493 Charles Bohn - 48,561 Maureen Capalbo - 43,438 Alfonso Cornish - 60,049 Michael Esposito - 35,096 Kathleen Exline - 26,400 James Frazier - 44,006 Steven Heilman - 43,739 Steven Hester - 78,678 Thomas Johnson - 86,388 Adam Kempf - 28,948 Jim Meyers - 29,152 Steve Ready - 40,961 Scott Watkins - 45,385 Tracy Williams - 46,432 Kenneth Wilson - 39,416 Douglas Winkelhake - 72,364 Schedule J, Part I, Line 7 Non-fixed payments In 2016, NHI 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 NHI'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. A LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAL8 2011-08-10 75000000 SEE SUPPLEMENTAL INFORMATION false false false B LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 2011-08-24 23775000 SEE SUPPLEMENTAL INFORMATION false false false C LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 2012-10-31 21100000 SEE SUPPLEMENTAL INFORMATION false false false D LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT 320049006 54659LAW4 2013-09-26 200000887 SEE SUPPLEMENTAL INFORMATION false false false A 0 0 75000300 0 0 0 953000 2000 0 74045259 41 0 2011 false false true true B 10730000 0 23775000 0 0 0 150000 0 0 0 23625000 0 true false true true C 12100000 0 21100000 0 0 0 171313 0 0 0 20928687 0 true false true true D 0 0 200060571 0 0 0 0 0 31048 200029523 0 2014 false false true true A false true true true true true 0.0239 0.0075 0.0314 false false true B 0.0 C 0.0 D false true true true true true 0.0177 0.0075 0.0252 false false true A false true true false false NONE false true B false true true false false NONE false true C false true false false false NONE false true D false true true false false NONE false true A true B true C true D true 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 and 2016 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 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 A LouisvilleJefferson County Metro Government 320049006 54659LBV5 2016-08-11 612775838 SEE SUPPLEMENTAL INFORMATION false false false B LouisvilleJefferson County Metro Government 320049006 2016-08-11 100075000 SEE SUPPLEMENTAL INFORMATION false false false A 0 0 613383944 0 0 0 0 0 4276705 72386096 308563977 228157166 true false false true B 10920000 100075000 100075000 true false true true A false true true true true true 0.0178 0.0075 0.0253 false false true B false false false false 0.0 false false true A false true false false false false true B false true true false false false true A true B true Kathleen Exline Norton Healthcare, Inc. highly compensated employee Norton Healthcare, Inc Scholar Program (Disclosure continued below) X 6276 6276 false true true 6276 Jessica Lloyd Family member of Adam Kempf, Key Employee 38718 Compensation false Schedule L, Part II, Column (a) Purpose of Loan NORTON HEALTHCARE SCHOLARS PROGRAM IS A STUDENT LOAN PROGRAM THAT PROVIDES EDUCATIONAL FUNDING TO STUDENTS INTERESTED IN PURSUING DESIGNATED HEALTHCARE CAREERS. IT IS AN AFFILIATION BETWEEN NORTON HEALTHCARE AND OVER 100 COLLEGES AND UNIVERSITIES NATIONALLY. THIS PROGRAM WAS STARTED BY NORTON HEALTHCARE AS A RESULT OF THE HEALTHCARE WORKER SHORTAGE AND WAS BEGUN AS A WORKFORCE DEVELOPMENT INITIATIVE TO ENSURE THE COMMUNITY HAS ENOUGH HEALTHCARE WORKERS. UPON GRADUATION, NORTON HEALTHCARE SCHOLARS BEGIN CAREERS WITH NORTON HEALTHCARE AND ARE ELIGIBLE TO HAVE THEIR LOAN FORGIVEN. CURRENTLY NORTON HEALTHCARE HAS 293 SCHOLARS IN SCHOOL. THIS PROGRAM HAS 2,572 GRADUATES AND 2,061 OF THESE GRADUATES HAVE CONTINUED THEIR CAREERS WITH NORTON HEALTHCARE. APPLICANTS ARE REVIEWED EACH YEAR FOR THIS PROGRAM. FOR 2016, 246 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 Form 990, Part III, Line 4a Program Service Accomplishment (Continued from Part III) In 2016, NHI, through its affiliate, Community Medical Associates, Inc., encountered approximately 1.8 million visits. Norton Healthcare's hospitals, diagnostic centers and Norton Cancer Institute served 68,189 inpatients, 508,353 outpatients, and 246,963 emergency room visits. In addition Norton Healthcare hospitals' operating rooms cared for 20,391 inpatient surgical patients and 35,415 outpatient surgical patients. Additionally, 7,932 babies were delivered at Norton Healthcare birthing centers. As part of our commitment to improving the health of our community, Norton Healthcare provides funding for a wide array of practical life-saving and life-enhancing services that benefit the communities we serve. In 2016, under its charity care program, NHI provided free care to 22,707 patients, at a cost of $9.3 million. Also, NHI 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, 14,603 patients were provided care at discounted rates. Other contributions to the community were charity care and the unpaid cost of Medicaid services of $97.2 million, community cancer initiatives were $3.7 million, the Kentucky Poison Control Center was $1.0 million, and the Child Guidance and advocacy program was $388 thousand. As NHI representatives, our employees donated 86,552 hours of community service, a benefit valued at more than $1.4 million. In addition, many employees self-reported personal volunteer activities, which totaled more than 6,000 hours of service. Norton Healthcare provides programmatic support to the University of Louisville School of Medicine through funding and facilities. During the 2016 calendar year, 564 residents completed clinical rotations in 45 specialties at Norton Healthcare facilities. Residency programs are part of the $35.0 million in educational support and clinical funding provided to the school. Contributions to the Community * Norton Healthcare employees and physicians gave more than $988,000 to the 2016 Combined Giving Campaign to help support community organizations also committed to improving the health and well-being of community residents. Supported organizations include, the WHAS Crusade for Children, Metro United Way, Fund for the Arts, Children's Hospital Foundation and Norton Healthcare Foundation. * More than 100 Norton Healthcare employees "Raised the Roof" on a Habitat for Humanity house on Brentwood Avenue in Louisville, Ky. This is the ninth Habitat home Norton Healthcare employees have built. * In 2016, more than 1,000 Norton Healthcare employees donated time and funds to plan, purchase and deliver gifts, food and clothing for the Caring Tree program. The program assisted 357 employees and their 813 children by providing for their families at Christmas. * More than 41,700 pounds of usable surplus medical supplies valued at more than $668,000 and $92,000 in equipment were donated for use locally and around the world. Community Education and Workforce Development As one of Kentucky's largest healthcare systems, Norton Healthcare, Inc. has established a culture of continual, lifelong learning through the departments of Workforce Development, Norton Institute for Nursing and Norton University. Workforce Development, encourages continuing education, improves job performance and provides financial assistance for designated educational programs related to the business operations of the organization. Norton Healthcare encourages and supports employees and dependents career goals by providing financial assistance and scholarships as well as other advancement opportunities. In 2016, Workforce Development financially supported more than 800 students with nearly $6 million in educational assistance programs. * Workforce Development Career Center served over 1,350 students. Each program participant worked directly with a Certified Career Management Coach, offering services in resume writing; career and educational exploration; financial assistance opportunities for educational pursuit; interviewing skills and mentoring. * Norton Scholars Accelerated Program, a student loan program, for employees and non-employees, provides educational funding to students interested in pursuing designated healthcare careers. It is an affiliation between Norton Healthcare and over 100 colleges and universities nationally. This program has 2,572 graduates and 2,061 of these graduates have continued their careers with Norton Healthcare. * Norton Healthcare, through Workforce Development, continues to partner with the city of Louisville through a summer job and internship program known as the Mayor Summers Work Program, to give young adults an opportunity to be employed in our healthcare environment during the summer months. * The Student Nurse Apprenticeship program (SNAP) is a 12-to-18-month apprenticeship in which nursing students will work and engage in hands-on learning with an experienced mentor, in addition to becoming acclimated to 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. Norton University provides learning opportunities to enhance the professional, educational, and personal development of all employees. Norton University's Value Proposition states "Norton University nurtures learning and relations to inspire change that leads to exceptional experiences for both patients and employees." In 2016, Norton University held 300,275 learning events, an average of 20 trainings per employee. In 2016, 139,372 web-based training courses and 62,769 instructor-led courses were completed by leaders and staff of all disciplines. * Elevating the First Line Employee, School at Work and College at Work programs expose entry-level staff to healthcare careers and help them obtain a higher level position, GED or college degree. * Leadership development programs that support the development of leaders (Nursing, Physician Practices, Physician and System) across the continuum. * Organizational development activities that assist in creating a more effective and efficient workplace with highly engaged employees. Norton Faith and Health Ministries Norton Faith and Health Ministries (FHM) works with churches and faith communities to weave health and faith together, promoting the intentional integration of faith, healing and wellness through the development of health ministries. FHM provides mentoring, educational resources and networking opportunities to assist health ministry coordinators and faith community nurses minister to their churches. In 2016, the office mentored and served nearly 200 multi-denominational faith communities with active health ministry programs, and assisted many others with health and wellness efforts. * FHM nurtured relationships with faith communities through participation in events by the Mid-Kentucky Presbytery, Lutheran Church, Central District Baptist Association, African American Episcopal Church Conference and the Episcopal Diocese of Kentucky Annual Convention, and consulted with United Methodist clergy regarding the development of a mobile medical unit. * In order to advance congregational health ministries, faith community nursing and other health-related programs, FHM reached more than 40,850 contacts by distributing 22 electronic informational newsletters. At 74 faith community events, 5,780 people were provided health literacy education using educational tools loaned from FHM. At 176 events, 1,375 people were screened for asthma, blood glucose, blood pressure, body mass index and/or cholesterol, and often received counseling and referrals by faith community nurses. Twelve formal educational and networking events were held reaching 331 individuals. * Promoting awareness of Norton Healthcare's faith heritage and mission, 21,000 were reached by three editions of our seasonal printed newsletters, Health Ministries Connection. * Four faith community nurses earned a new certification available through the American Nurses Credentialing Center (ANCC). Through a Norton Healthcare Foundation grant of $4,650.00, certification fees were covered. Mentored closely by FHM, all four earned the faith community nurse certification. Through Norton Faith and Health Ministries, a total of nine nurses have earned their RN-BC. Form 990, Part III, Line 4a Program Service Accomplishment Norton Heart Care Norton Heart Care provides the region's most comprehensive screening, education and prevention program and is committed to educating our community about heart health and risk factor management. In 2016: * Norton Women's Heart & Vascular Center offered its free Circle of Hearts program, a quarterly heart disease and prevention class that focuses on heart health education and other wellness issues of interest to women, also offered Yoga and Tai Chi classes. * Norton Women's Heart & Vascular Center attended heart health community events, including health fairs, presentations and speaking engagements representing businesses, churches, women's groups and health care professionals. * At Norton Women's and Norton Children's Hospital, women who had experienced pregnancy-related complications were visited by a registered nurse who provided heart health education, resource referrals and a baby blanket, including a Go Red for Women message. * Norton Women's Heart & Vascular Center offers the only WomenHeart Support group in Kentucky, and Norton Heart Care is the only hospital in Kentucky to be a WomenHeart National Hospital Alliance Member. WomenHeart is the national coalition for women living with cardiovascular disease and is the only patient-centered program offering support and education for women living with cardiovascular disease. Norton Heart Care supported two women heart survivors and sent them to the Mayo Clinic to be trained at the WomenHeart Symposium to provide support and education to our Norton Heart Care patients and to the women in our community living with cardiovascular disease. In 2016, the WomenHeart program provided: * The monthly WomenHeart Support Group is offered at the Marshall Women's Health and Education Center. It is led by the WomenHeart Champions and a nurse from the Women's Heart and Vascular Center, who provide emotional support as well as education on healthy nutrition, exercise, and stress management. * The WomenHeart Champions provide support and education to women preparing to undergo cardiac surgeries or procedures and also to women who were in the recovery phase of their cardiac surgery or procedure. * The WomenHeart Champions attend community events, health fairs, and provide educational presentations to businesses, churches, women groups, and healthcare professionals. Norton Orthopaedic Care * Norton Orthopaedic Care earned The Joint Commission's Gold Seal of Approval for knee and hip replacement. This recognition confirms Norton Orthopaedic Care provides a consistently high level of quality care, expert training on best practices, a team approach to patient care and a culture of excellence throughout Norton Healthcare hospitals and doctors' offices. * Norton Orthopaedic & Hand Center near the campus of Norton Brownsboro Hospital is a state-of-the-art facility with specialists of Norton Orthopaedic Care, Norton Sports Health and Norton Healthcare to provide a multidisciplinary approach to innovative orthopaedic care. The facility supports research, training and education. It also offers patients subspecialized trained orthopaedists, a Norton Immediate Care Center with a focus on orthopaedics, rehabilitation services, advanced sports training and primary care services with an emphasis on orthopaedics. Women's services * In 2016, Norton Women's Care birthing facilities at Norton Hospital and Norton Women's and Children's Hospital provided the care and medical services for 7,932 deliveries. * Free childbirth education classes are provided at Norton Hospital and Norton Women's and Children's Hospital. Office of Child Advocacy * Norton Children's Hospital is home to the Kentucky Poison Control Center. In 2016, the center received more than 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 1,400 packets of materials to individuals who called the toll-free Poison Help Line, (800) 222-1222, available 24 hours a day, 7 days a week. * Child passenger safety technicians from Norton Children's Hospital check car and booster seats and also provide car and booster seats at free checkup clinics statewide. * Norton Children's Hospital's Bike Rodeo Program saw students from grades three through five throughout Kentucky and provided bike safety "rodeos." * Following interactive classroom lessons on pedestrian safety 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 was provided by airplane, helicopter and specially equipped ambulances (mobile intensive care units). * Kindergarten students, teachers, chaperones and nursing students participated in the 33rd annual Children & Hospitals Week event led by Norton Children's Hospital. The program was held at Louisville Slugger Field and supported by a Kohl's Cares grant. Children & Hospitals Week, held each year in March, is designed to teach safe decisions and behaviors and help lessen the fear and anxiety children may have about coming to a hospital. Norton Neuroscience Institute Norton Neuroscience Institute is continuing its quest to be the regional and national leader in treatment, research and academic training for adult and pediatric neuroscience disciplines. Norton Neuroscience Institute allows patients to be treated for neurological disorders without having to leave the region for care. Subspecialty neurosurgeons, neurologists and other neurological-related specialists have joined the growing institute. These physicians and advanced level practitioners provide expertise in stroke care, epilepsy, Parkinson's disease, multiple sclerosis, ALS, brain tumors, headaches, concussions, spine care and many other neurological conditions. The following services also are available to our community as a result of Norton Healthcare's significant commitment to the best neurological care: * An endovascular neurosurgery team is available at two Norton Healthcare facilities, making advanced stroke, aneurysm and arteriovenous malformation (random brain hemorrhage or rupture) treatment possible for our patients. Neurosurgery teams are on call and cover all facilities for emergency situations. * A state-of-the art epilepsy center at Norton Brownsboro Hospital provides the region's most advanced epilepsy monitoring unit and is dedicated to providing accurate diagnoses and quality care for individuals living with seizures and epilepsy. As part of Norton Neuroscience Institute's multidisciplinary approach to epilepsy care, the Norton Brownsboro Hospital epilepsy monitoring unit is a specialized inpatient unit designed to evaluate and diagnose seizure disorders. Norton Neuroscience Institute has expanded the treatment options in neurosurgery treatment for patients with brain tumors, lesions and epilepsy to offer less invasive surgical options. With the use of a robotic neurosurgery technology a robotic arm assists the neurosurgery in pinpointing a trajectory in the brain of where their treatment needs to be targeted. Taking that technology a step further, once the trajectory is set, the neurosurgeon can use image-guided laser technology to treat brain tumors and lesions in the brain. All of this is done through a small incision about the size of a spaghetti noodle. It is more comfortable for the patient and reduces the recovery time. * A centralized Norton Neuroscience Institute Resource Center is available to patients, offering free education and support services. The resource center offers support services and resources to bridge the gap between managing a neurological condition and improving the quality of life. The center offers support groups, educational, therapeutic and exercise programs. The center may also assist with access to medical care and medical equipment and referrals to community and home health services. In addition, patients have access to National Institutes of Health clinical trials through the center. * The region's first rehabilitation program focused on treating patients with orthopedic, neurological and spine disorders has the only Lokomat system and the DIERS formetric scanner. Lokomat assists with walking movements for patients receiving therapy for paralysis or movement disorders and Norton Healthcare is the only facility in Louisville to offer this treatment. Form 990, Part III, Line 4a Program Service Accomplishments DIERS formetric scanner is used for spine and posture analysis. Norton Healthcare is the only healthcare system in the region to provide this state of the art technology. Community Medical Associates * Provided physicians and a chaplain who make house calls for elderly patients who have difficulty leaving home for medical care. * Physicians are involved in medical screening, community outreach and community education activities to promote wellness and early interventions. Prevention and Wellness * In 2016, the Norton Healthcare Prevention & Wellness staff provided cancer screenings and/or cardiovascular screenings involving the Norton Healthcare Mobile Prevention Center. Approximately 2400 women received mammograms and/or Pap smears aboard the Mobile Prevention Center. Of them, approximately 22 percent had not been screened in the past five years. 15 individuals were diagnosed and treated for pre-invasive and invasive breast cancer. Approximately 52% percent of these locations were in underserved communities and 64 percent of patients came from medically underserved areas. * Screenings were performed for high blood pressure, diabetes, high cholesterol and osteoporosis. In addition, our staff provided education on smoking cessation, diet and exercise Research * Our research benefits Norton Healthcare patients and develops results that will become generalizable to and shared with a wide number of patient populations and medical professionals. These new, innovative treatments expand the medical community's knowledge and potentially improve the quality of medical care now and in the future. * Norton Healthcare Office of Research Administration partnered with Norton University to offer research education to all researchers in Metro Louisville and beyond. In 2016, se programs were offered, and attendees included Norton Healthcare, KentuckyOne Health, University of Louisville Hospital, Floyd Memorial Hospital, Cincinnati Children's Hospital Medical Center, St. Vincent Health, University of Kentucky, University of Louisville and various community-based practices. Children's Hospital Foundation The Children's Hospital Foundation raises funds to support programs, equipment and facilities, research, advocacy and education for Norton Children's Hospital, Norton Women's and Norton Children's Hospital - and Norton Children's Medical Center. The Children's Hospital Foundation is motivated to ensure that children in the Louisville area have the medical care they need when they need it, while keeping kids as close to home as possible. Thanks to support from the community, Norton Children's Hospital has some of the most talented and dedicated pediatric specialists and clinical and caregiving teams in the country ready to care for children. This 265-bed hospital is the only full-service, free-standing pediatric hospital in Kentucky, level 1 pediatric trauma center in Kentucky, and the primary teaching facility for the University of Louisville School of Medicine Department of Pediatrics. In order to continue to exceed the community's need for specialized pediatric care and meet the ever-growing needs at Norton Children's Hospital, 2016 brought several specific fundraising initiatives forward to donors and the community at large. These efforts focused on raising funds for pediatric cancer, neurology and neurosurgery, Type I diabetes, trauma and emergency care to name a few. While the foundation's "Just for Kids" campaign concluded in 2011, the three general areas of development from the campaign - workforce, research and facilities - continue to guide fundraising growth in each of the aforementioned pediatric services. Additionally, ongoing areas of need, such as child advocacy; pediatric pastoral care and bereavement programs; endowed research chairs; and specialty therapies, including child life, expressive and music therapies, continue to be areas of funding and priority for the Children's Hospital Foundation to ensure a truly "Just for Kids" experience for patients and families. The foundation continues to expand partnerships within the community and enhance the hospital's ability to serve all children regardless of their families' ability to pay. The strength and value of the community's support for the hospital are visible through funding and support of many projects in 2016, including: * Nearly $9 million in investments granted to Norton Children's Hospital, to benefit dozens of areas of care. * The Children's Hospital Foundation Office of Child Advocacy of Norton Children's Hospital, which helps provide safety and outreach information aimed at keeping kids out of the hospital. * Funding for the Wendy Novak Diabetes Center at Norton Children's Hospital for workforce, expansion of technology and accreditation. * Remodeling of a Teen Room at the Addison Jo Blair Cancer Center. * Research for a Pediatric Immunotherapy research program, including the development of a chemo-immunotherapy approach for relapsed Neuroblastoma. * Expansion of neonatal intensive care unit. * Purchase of a pediatric echocardiography machine. * Modernization and safety upgrades to heliport. * Staff educational opportunities and advanced certifications that can lead to improved patient treatment. Support from the Children's Hospital Foundation allows the pediatric specialists at Norton Children's Hospital to continue to respond to the unique medical needs of children from birth to age 18. It also helps the hospital work to keep children out of the hospital. Norton Healthcare Foundation The Norton Healthcare Foundation is the philanthropic arm of the not-for-profit Norton Healthcare adult-service hospitals: Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital and Norton Women's and Norton Children's Hospital. The foundation raises funds each year to improve programs, equipment and facilities, research and education, enabling the hospitals to stay up-to-date with medical advances and technology, and maintaining the community's access to health care. Community support through the Norton Healthcare Foundation allows caregivers to continue making a difference for patients served by Norton Healthcare Inc. In 2016, that support helped the foundation provide funding to: * Norton Healthcare Foundation funds granted more than $4 million to benefit dozens of areas of care throughout the facilities. * Purchase of a NeuroBlate Laser for Norton Cancer Institute. * Purchase of equipment for Dr. Cressman Critical Care at Norton Women's & Children's Hospital. * Hire a Fellowship Director for Norton Leatherman Spine Center * Support pastoral care services for patients, their families and staff members at all Norton Healthcare adult-service facilities. * Provide educational opportunities for the community and caregivers, such as the Gail Klein Garlove Lectureship series, with 166 attendees and Nixon Lectureship series with 345 attendees, which focus on topics related to cancer care, prevention and research. * Support nurses to obtain oncology-certified nurse designation, enabling them to provide the most advanced and comprehensive care to cancer patients. 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 2016 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 554. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 92 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2016. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 996 VENDORS ON FORM 1096 FOR 2016. Form 990, Part V, Line 1b W-2 G COMMON PAYING AGENT NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED THREE FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION AND 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., 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 2,142 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 15,729 EMPLOYEES ON FORM W-3 FOR 2016. 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 5, 2017 Norton Healthcare, Inc. (Norton) Finance Committee meeting and at the October 26, 2017 Norton Board of Trustees meeting , the 990s were discussed and committee members and Trustees had an opportunity to ask questions. Coinciding with the Finance Committee meeting, electronic copies of the 990s were made available to all members of the Finance Committee and the Board of Trustees through the Director's portal site, prior to the fiing with the IRS. Norton is the parent of Community Medical Associates, Inc., Norton Hospitals, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY DISTRIBUTING A QUESTIONNAIRE THAT REQUIRES OFFICERS, TRUSTEES, AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT MAY GIVE RISE TO CONFLICTS. IF A CONFLICT ARISES, THE POLICY PROVIDES PROCEDURES FOR ADDRESSING CONFLICTS TO ENSURE DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION Form 990, Part VI, Line 15a Process to establish compensation of top management official Please see explanation provided for Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization takes all necessary steps to ensure that compensation for all officers, directors and key employees is reasonable and appropriate for the services provided to the organization. The organization provides a total compensation package that is on par with compensation provided by similar organizations and which conforms to the policies and guidelines set out by the Board of Trustees. Norton Healthcare, Inc. (NHI) engages an outside independent compensation consultant, Integrated Healthcare Strategies (IHS), to provide comparability data for NHI's officers and key employees on total compensation for similar positions at health systems and hospital organizations similar in size, scope of services, and circumstances. In addition, the organization participates in third party surveys which provide aggregate, comparative compensation data for officers and key employees in similar positions at similar organizations. IHS consultants presented and discussed this comparability data in 2015 for the 2016 compensation review and met in 2016 for the 2017 compensation review with the committee of board leadership (now Executive Committee) of the Board of Trustees (Board) The Committee reviewed the executive compensation and benefits program, determined total compensation for the CEO, and approved compensation for other officers and key employees. The Committee reviewed NHI's variable compensation program and determined appropriate awards for performance relative to goals set for the year. After the Committee determined appropriate compensation and benefits for officers and key employees, the Board approved their total compensation. Form 990, Part VI, Line 19 Required documents available to the public FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A, Line 1a, Column (D) Board Member Stipend Payments Norton Healthcare, Inc. (NHI) and affiliates (Norton Hospitals, Inc., Community Medical Associates, Inc., Norton Properties, Inc., Norton Healthcare Foundation, Inc., and The Children's Hospital Foundation, Inc.) encourages and facilitates board member attendance at educational programs and conferences on subjects relevant to NHI. NHI's travel policy for Board of Trustees provides that for each trustee that attends at least one out of town educational conference, a lump sum stipend will be paid to cover unreimbursed travel expense and other miscellaneous expenses associated with conference preparation, attendance or follow up. In compliance with IRS regulations, NHI provides a form 1099 to any trustee that receives a stipend. These amounts have been reported in Part VII or the form 990 as reportable compensation to the trustee receiving stipends in 2016. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Employee Fitness Center - Total Revenue: 1187038, Related or Exempt Function Revenue: 1181970, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5068; Miscellaneous income - Total Revenue: , Related or Exempt Function Revenue: , 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: 41534448, Program Service Expense: 37041482, Management and General Expenses: 4492966, Fundraising Expenses: ; Other expenses - Total Expense: 741681, Program Service Expense: 607907, Management and General Expenses: 133774, Fundraising Expenses: ; Contract Labor - Total Expense: 550135, Program Service Expense: 406243, Management and General Expenses: 143892, Fundraising Expenses: ; Professional Fees - Total Expense: 627429, Program Service Expense: 627429, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances AFFILIATE TRANSFER - -460420; SWAP MARK TO MARKET ADJUSTMENT - -10288898; CHANGE IN MINIMUM PENSION LIABILITY - -3624998; NCAC Income/Expense - 1080064; NORTON HOSPITALS INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 610703799 PROVIDE HOSPITAL SERVICES KY 501(c)(3) 3 NA true COMMUNITY MEDICAL ASSOCIATES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611276316 OPERATES A NETWORK OF PHYSICIAN PRACTICES KY 501(c)(3) 9 NA true NORTON PROPERTIES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611028724 MAINTAINS OFFICE AND PARKING FACILITIES KY 501(c)(3) Type I NA true THE CHILDREN'S HOSPITAL FOUNDATION INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 616027530 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 NA true NORTON HEALTHCARE FOUNDATION INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 310914919 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES KY 501(c)(3) 7 NA true NORTON ENTERPRISES INC 224 E BROADWAY 5TH FLOOR LOUISVILLE KY 40202 611054301 PROVIDE NURSING AND PATHOLOGY SERVICES KY NA C Corporation 35213899 40273865 1 true false false false false false false false false false false true false false false false false false true true Norton Hospitals Inc R 1406260544 FMV Norton Hospitals Inc S 1650045093 FMV Community Medical Associates Inc R 368070372 FMV Community Medical Associates Inc S 305732222 FMV Norton Properties Inc R 52550490 FMV Norton Properties Inc S 48305595 FMV The Children's Hospital Foundation Inc R 6481408 FMV The Children's Hospital Foundation Inc S 6341288 FMV Norton Healthcare Foundation Inc R 1828337 FMV Norton Healthcare Foundation Inc S 2390598 FMV Norton Enterprises Inc R 8448400 FMV Norton Enterprises Inc S 16543948 FMV