NORTON HEALTHCARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: NORTON HEALTHCARE INC (EIN 61-1028725)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-11
IRS object ID: 201443159349302334
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-11T14:00:49-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 BROWNSBORO ROAD	AddressLine1
Address Line2	SUITE 400	AddressLine2
City	LOUISVILLE	City
State	KY	State
ZIP Code	402411122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611028725	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTON HEALTHCARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	5026298249	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	224 E BROADWAY 5TH FLOOR	AddressLine1
City	LOUISVILLE	City
State	KY	State
ZIP Code	40202	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL W GOUGH	PersonNm
Person Title	TREASURER	PersonTitleTxt
Signature	2014-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	STEPHEN A WILLIAMS	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4967 US Highway 42 Suite 100	AddressLine1
City	LOUISVILLE	City
State	KY	State
ZIP Code	40222	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$592,928,650	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTONHEALTHCARE.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	NORTON HEALTHCARE'S PURPOSE IS TO PROVIDE QUALITY HEALTH CARE TO ALL THOSE WE SERVE, IN A MANNER THAT RESPONDS TO THE NEEDS OF OUR COMMUNITIES AND HONORS OUR FAITH HERITAGE.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	1913	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$970,147	PYContributionsGrantsAmt
CY Contributions Grants	$862,509	CYContributionsGrantsAmt
PY Program Service Revenue	$163,066,375	PYProgramServiceRevenueAmt
CY Program Service Revenue	$161,469,775	CYProgramServiceRevenueAmt
PY Investment Income	$14,573,651	PYInvestmentIncomeAmt
CY Investment Income	$41,495,121	CYInvestmentIncomeAmt
PY Other Revenue	$1,623,084	PYOtherRevenueAmt
CY Other Revenue	$2,399,590	CYOtherRevenueAmt
PY Total Revenue	$180,233,257	PYTotalRevenueAmt
CY Total Revenue	$206,226,995	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,839,274	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,443,621	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$113,423,699	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$125,463,544	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$118,837,763	PYOtherExpensesAmt
CY Other Expenses	$123,463,377	CYOtherExpensesAmt
PY Total Expenses	$234,100,736	PYTotalExpensesAmt
CY Total Expenses	$251,370,542	CYTotalExpensesAmt
PY Revenues Less Expenses	-$53,867,479	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$45,143,547	CYRevenuesLessExpensesAmt
Total Assets BOY	$941,573,437	TotalAssetsBOYAmt
Total Assets EOY	$1,131,948,403	TotalAssetsEOYAmt
Total Liabilities BOY	$1,127,687,311	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,365,269,544	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$186,113,874	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$233,321,141	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NORTON HEALTHCARE'S PURPOSE IS TO PROVIDE QUALITY HEALTH CARE TO ALL THOSE WE SERVE, IN A MANNER THAT RESPONDS TO THE NEEDS OF OUR COMMUNITIES AND HONORS OUR FAITH HERITAGE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$205,529,634	ExpenseAmt
Grant	$2,443,621	GrantAmt
Revenue	$163,451,483	RevenueAmt
Desc	NORTON HEALTHCARE, INC. (NHI) IS A NOT-FOR-PROFIT CORPORATION BASED IN LOUISVILLE, KY. IN 2013, NHI, THROUGH ITS AFFILIATE, NORTON HOSPITALS, INC., HAD A TOTAL OF 1,837 LICENSED BEDS: NORTON HOSPITAL - 640 BEDS; KOSAIR CHILDREN'S HOSPITAL - 265 BEDS; NORTON AUDUBON HOSPITAL - 432 BEDS; NORTON SUBURBAN HOSPITAL - 373 BEDS; AND NORTON BROWNSBORO HOSPITAL - 127 BEDS. THESE FIVE HOSPITALS OPERATE 24 HOURS A DAY, SEVEN DAYS A WEEK. NHI, THROUGH ITS AFFILIATE, COMMUNITY MEDICAL ASSOCIATES, INC. HAD MORE THAN 100 PHYSICIAN PRACTICE LOCATIONS AND 12 IMMEDIATE CARE CENTERS OPERATING IN SEVENTEEN COUNTIES IN KENTUCKY AND FIVE COUNTIES IN SOUTHERN INDIANA. (CONTINUED IN SCHEDULE O)	Desc
Total Program Service Expenses	$205,529,634	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	519	IRPDocumentCnt
IRP Document W2 G	2	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1913	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HELENA SCHULZ	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5026298263	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	224 E BROADWAY 5TH FLOOR	AddressLine1
City	LOUISVILLE	City
State	KY	State
ZIP Code	402022025	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN A WILLIAMS
CEO/Trustee	30.00	20.00	Yes (X)	Yes (X)	$2,426,731	$0	$213,713
CAROLYN GATZ
Chair Emeritus	1.00	2.50	Yes (X)		$1,500	$0	$0
CRAIG D GRANT
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
DONALD H ROBINSON
Trustee (partial year)	3.00	2.50	Yes (X)		$0	$0	$0
EDIE NIXON
Trustee	2.00	2.50	Yes (X)		$1,500	$0	$0
ERWIN ROBERTS
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
G H NIXON
Chair Emeritus	1.00	2.50	Yes (X)		$0	$0	$0
G HUNT ROUSAVALL
Trustee (partial year)	3.00	3.50	Yes (X)		$1,500	$0	$0
GAIL LYTTLE
Trustee	1.00	2.50	Yes (X)		$0	$0	$0
GARY L STEWART
Trustee	2.00	3.50	Yes (X)		$1,500	$0	$0
GREGORY E MAYES
Trustee	5.00	2.50	Yes (X)		$1,500	$0	$0
JAMES L SUBLETT MD
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
JOSEPH J MCGOWAN EDD
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
JOSEPH PARADIS III
Trustee	4.00	2.50	Yes (X)		$0	$0	$0
KEVIN J HABLE
Trustee	1.00	2.50	Yes (X)		$0	$0	$0
LOUIS S HEUSER MD
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
MARIA GERWING HAMPTON
Chair	11.00	2.50	Yes (X)		$1,500	$0	$0
MARIA L BOUVETTE
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
MARTHA K HEYBURN MD
Trustee	3.00	2.50	Yes (X)		$1,500	$0	$0
MITCH NICHOLS
Trustee	1.00	2.50	Yes (X)		$0	$0	$0
R K GUILLAUME
Vice Chair	4.00	2.50	Yes (X)		$1,500	$0	$0
REV WILLIAM J SCHULTZ
Trustee (partial year)	3.00	2.50	Yes (X)		$1,500	$0	$0
RICHARD R IVEY
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
RICHARD S WOLF MD
Honorary Chair Emeritus	1.00	3.50	Yes (X)		$1,500	$0	$0
ROBERT R GOODIN MD
Chair Emeritus	1.00	2.50	Yes (X)		$1,500	$0	$0
RONALD LEHOCKY MD
Trustee	3.00	2.50	Yes (X)		$0	$0	$0
WENDELL P WRIGHT
Trustee	1.00	2.50	Yes (X)		$1,500	$0	$0
MICHAEL W GOUGH
Sys Sr VP CFO/Treasurer	30.00	20.00		Yes (X)	$1,050,457	$0	$484,459
ROBERT B AZAR
Sys VP Chief Legal Officer/Secretary	30.00	20.00		Yes (X)	$536,159	$0	$95,391
RUSSELL F COX
President and COO	30.00	20.00		Yes (X)	$1,287,478	$0	$635,804
CHARLES BOHN
SYS VP Chief HR Officer	50.00	0			$528,298	$0	$100,444	Yes (X)
DOUGLAS WINKELHAKE
Division President Adult Services	50.00	0			$694,166	$0	$146,251	Yes (X)
JAMES FRAZIER
SYS VP Medical Affairs	50.00	0			$468,728	$0	$96,926	Yes (X)
KENNETH WILSON
SYS VP Clinical Effectiveness	50.00	0			$496,228	$0	$92,626	Yes (X)
MARY LYNN MEYER
Sys VP and CDO	30.00	20.00			$185,526	$311,170	$96,335	Yes (X)
MICHAEL ESPOSITO
SYS VP Business Development	50.00	1.00			$418,771	$0	$91,496	Yes (X)
SANDRA BROOKS
VP Research & Prevention	50.00	0			$536,630	$0	$98,183	Yes (X)
SCOTT WATKINS
Division VP COO	50.00	0			$502,363	$0	$107,795	Yes (X)
STEVE HEILMAN
Sys VP CMIO	50.00	0			$506,610	$0	$129,657	Yes (X)
STEVE HESTER
Sys Sr VP, CMO	50.00	0			$773,906	$0	$283,560	Yes (X)
STEVE READY
Sys VP CIO	50.00	0			$485,350	$0	$84,421	Yes (X)
TRACY WILLIAMS
Sys Sr VP, CNO	50.00	0			$438,296	$0	$85,648	Yes (X)
JIM M MEYERS
Sys VP Revenue Cycle	50.00	0			$334,747	$0	$76,085		Yes (X)
MARY CORBETT
SYS VP CHIEF GOV'T RELATIONS OFFICER	50.00	0			$335,801	$0	$68,272		Yes (X)
MARY JO BEAN
SYS VP Planning & Bus Analysis	50.00	0			$348,136	$0	$67,143		Yes (X)
MAUREEN CAPALBO
Sys VP/CNIO	50.00	0			$379,621	$0	$67,079		Yes (X)
WILLIAM RITCHIE
Sys VP Outpatient Services/ICC	50.00	1.00			$339,592	$0	$86,794		Yes (X)
KAREN BOLIN
Former VP Women's Services	0.00	0			$206,908	$0	$33,042			Yes (X)
KIMBERLY THARP-BARRIE
Former VP Institute of Nursing	50.00	0			$325,451	$0	$71,670			Yes (X)
RICHARD CARRICO
Former VP & Associate CFO		0			$126,307	$0	-$10,791			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,760,762	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$311,170	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,302,004	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	189	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	532880314	SOFTWARE AND SERVICES	$11,677,994
THE CSI COMPANIES INC
PO BOX 890841	CHARLOTTE	NC	282890841	PROFESSIONAL SERVICES	$8,308,159
PARTNER PROFESSIONAL STAFFING
4605 GALBRAIGH RD STE 200	CINCINNATI	OH	45236	PROFESSIONAL SERVICES	$5,747,800
FIRSTSOURCE SOLUTIONS USA LLC
6455 RELIABLE PKWY	CHICAGO	IL	60686	PROFESSIONAL SERVICES	$4,799,605
RIGHT PLACE MEDIA LLC
437 LEWIS HARGETT CIR STE 130	LEXINGTON	KY	40503	PROFESSIONAL SERVICES	$2,621,617

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	95	CntrctRcvdGreaterThan100KCnt
Related Organizations	$862,509	RelatedOrganizationsAmt
Total Contributions	$862,509	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL RESEARCH TRIALS	900099	$2,987,787	$2,987,787
MANAGEMENT FEES	900099	$157,859,854	$157,859,854
INSURANCE ALLOCATION	900099	$565,403	$565,403
EDUCATION PROGRAMS	900099	$56,731	$56,731
		$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$161,469,775	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,606,255	TotalRevenueColumnAmt
Exclusion	$9,606,255	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$184,733	TotalRevenueColumnAmt
Exclusion	$184,733	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$284,175	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$284,175	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,175	TotalRevenueColumnAmt
Exclusion	$284,175	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$418,404,988	SecuritiesAmt
Other	$800	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$384,082,853	SecuritiesAmt
Other	$2,618,802	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$34,322,135	SecuritiesAmt
Other	-$2,618,002	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,704,133	TotalRevenueColumnAmt
Exclusion	$31,704,133	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CREDIT CARD REBATE	900099	$1,564,036	$1,564,036
EMPLOYEE EMERGENCY FUND	900099	$176,949	$176,949
		$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$374,430	TotalRevenueColumnAmt
Related Or Exempt Func Income	$240,723	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$133,707	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,115,415	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,226,995	TotalRevenueColumnAmt
Related Or Exempt Func Income	$163,451,483	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$41,913,003	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,223,621	TotalAmt
Program Services	$2,223,621	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$220,000	TotalAmt
Program Services	$220,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,338,240	TotalAmt
Program Services	$6,670,595	ProgramServicesAmt
Management And General	$4,667,645	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$159,279	TotalAmt
Program Services	$146,710	ProgramServicesAmt
Management And General	$12,569	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$90,644,174	TotalAmt
Program Services	$79,485,501	ProgramServicesAmt
Management And General	$11,158,673	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,071,882	TotalAmt
Program Services	$3,710,328	ProgramServicesAmt
Management And General	$361,554	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,095,642	TotalAmt
Program Services	$10,186,872	ProgramServicesAmt
Management And General	$908,770	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,154,327	TotalAmt
Program Services	$7,084,315	ProgramServicesAmt
Management And General	$1,070,012	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,282,535	TotalAmt
Program Services	$3,768,631	ProgramServicesAmt
Management And General	$513,904	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$663,660	TotalAmt
Program Services	$265,464	ProgramServicesAmt
Management And General	$398,196	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$221,250	TotalAmt
Program Services	$194,700	ProgramServicesAmt
Management And General	$26,550	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,742,991	TotalAmt
Management And General	$1,742,991	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,737,230	TotalAmt
Program Services	$48,128,154	ProgramServicesAmt
Management And General	$6,609,076	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,574,586	TotalAmt
Program Services	$3,204,827	ProgramServicesAmt
Management And General	$369,759	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,128,809	TotalAmt
Program Services	$4,834,892	ProgramServicesAmt
Management And General	$1,293,916	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,255,121	TotalAmt
Program Services	$1,016,290	ProgramServicesAmt
Management And General	$238,831	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,279,862	TotalAmt
Management And General	$27,279,862	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,317,375	TotalAmt
Program Services	$34,382	ProgramServicesAmt
Management And General	$20,282,993	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & REPAIR	$31,443,545	$29,171,408	$2,272,137
RECRUITMENT	$617,222	$537,129	$80,092
DEBT EXTINGUISHMENT	$3,804,215	$3,804,215
INTEREST ALLOCATION	-$33,820,353		-$33,820,353

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,215,329	TotalAmt
Program Services	$841,599	ProgramServicesAmt
Management And General	$373,731	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$251,370,542	TotalAmt
Program Services	$205,529,634	ProgramServicesAmt
Management And General	$45,840,909	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$4,873,834	BOYAmt
EOY	-$4,200,823	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$111,858,689	BOYAmt
EOY	$199,639,918	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,164,390	BOYAmt
EOY	$7,529,306	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$3,528	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,732,586	BOYAmt
EOY	$1,083,969	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,172,013	BOYAmt
EOY	$19,481,031	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$369,669,860	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$282,092,295	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$89,679,353	BOYAmt
EOY	$87,577,565	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$540,237,484	BOYAmt
EOY	$609,031,310	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$117,879,552	BOYAmt
EOY	$163,176,778	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$59,719,676	BOYAmt
EOY	$48,629,349	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$941,573,437	BOYAmt
EOY	$1,131,948,403	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$169,946,781	BOYAmt
EOY	$178,456,423	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,676,479	BOYAmt
EOY	$2,558,022	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$734,744,899	BOYAmt
EOY	$886,242,756	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,319,152	BOYAmt
EOY	$298,012,343	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,127,687,311	BOYAmt
EOY	$1,365,269,544	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$186,503,895	BOYAmt
EOY	-$233,727,257	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$390,021	BOYAmt
EOY	$406,116	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$186,113,874	BOYAmt
EOY	-$233,321,141	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$941,573,437	BOYAmt
EOY	$1,131,948,403	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$45,143,547	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$17,537,777	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,601,497	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Certification	Yes (X)	CertificationInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEIN	Organization TypeOrganizationTypeDesc	Governing Document ListedGoverningDocumentListedInd	Supported Org NotifiedSupportedOrgNotifiedInd	US OrganizedUSOrganizedInd	SupportSupportAmt
NORTON HOSPITALS INC
610703799	3	Yes (true)	Yes (true)	Yes (true)	$1,284,167,637
COMMUNITY MEDICAL ASSOCIATES INC
611276316	9	Yes (true)	Yes (true)	Yes (true)	$273,468,253
NORTON HEALTHCARE FOUNDATION INC
310914919	7	Yes (true)	Yes (true)	Yes (true)	$1,695,015
THE CHILDREN'S HOSPITAL FND INC
616027530	7	Yes (true)	Yes (true)	Yes (true)	$4,614,116

Field	Value	IRS element (for citing)
Supported Organizations Total	4	SupportedOrganizationsTotalCnt
Support Sum	$1,563,945,021	SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,935	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$221,250	OtherActivitiesAmt
Total Lobbying Expenditures	$228,185	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i	FormAndLineReferenceDesc
Explanation	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 $125,000, ROTUNDA GROUP, LLC TOTALING $96,250. PART II-B, LINE 1(G) AND (H): EMPLOYEES OF NORTON HEALTHCARE, INC. ARE ENGAGED IN LOBBYING HEALTH POLICY ISSUES AT THE STATE LEVEL TO LOBBY THE EXECUTIVE AND LEGISLATIVE BRANCHES OF KENTUCKY'S GOVERNMENT. NORTON HEATLHCARE, INC. IS NOT REGISTERED TO LOBBY AT THE FEDERAL LEVEL. LOBBYING COMPENSATION PAID AS REPORTED TO THE KENTUCKY LEGISLATIVE ETHICS COMMITTEE IS $6,935.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,125,807	OtherCostOrOtherBasisAmt
Book Value	$2,125,807	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,625,273	OtherCostOrOtherBasisAmt
Depreciation	$35,635,952	DepreciationAmt
Book Value	$13,989,321	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$258,082,092	OtherCostOrOtherBasisAmt
Depreciation	$245,760,927	DepreciationAmt
Book Value	$12,321,165	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$59,836,689	OtherCostOrOtherBasisAmt
Depreciation	$695,417	DepreciationAmt
Book Value	$59,141,272	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,577,565	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ALTERNATIVE INVESTMENTS MASTER TRUST UNITS	$129,348,619	F
REAL ESTATE MASTER TRUST UNITS	$33,828,159	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$163,176,778	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATES	$135,036,872
SELF INSURANCE TRUST	$118,104,536
OTHER LIABILITIES	$35,764,636
INTEREST RATE SWAP LIABILITY	$6,396,829
OTHER INSURANCE	$2,259,470
CAPITAL LEASE	$450,000

Field	Value	IRS element (for citing)
Total Liability	$298,012,343	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	NORTON HEALTHCARE, INC. AND AFFILIATES (COMMUNITY MEDICAL ASSOCIATES, INC., NORTON ENTERPRISES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.) COMPLETED AN ANALYSIS OF ITS TAX POSITIONS AT DECEMBER 31, 2013 AND 2012, AND DETERMINED THAT NO UNCERTAIN TAX PROVISIONS WERE REQUIRED TO BE RECOGNIZED UNDER ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES, IN THE COMBINED FINANCIAL STATEMENTS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$152,354,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Total Spent	$152,354,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements	CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL
Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements	CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (59 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
BELLARMINE UNIVERSITY
2001 NEWBURG ROAD	LOUISVILLE	KY	40205	610482955	501(C)(3)	$615,000	GENERAL SUPPORT OF THE UNIVERSITY'S PROGRAMS AND SUPPORT UNIVERSITY'S NURSING PROGRAM AND TO ENDOWMENT OF CHAIR OF DOCTOR OF PHYSICAL THERAPY/SPORTS MEDICINE PROGRAM
UNIVERSITY OF LOUISVILLE
CONTROLLERS OFFICE	LOUISVILLE	KY	40292	611014882	501(C)(3)	$200,000	PROGRAM SUPPORT FOR PEDIATRIC SURGERY RESEARCH	UNIVERSITY OF LOUISVILLE
UNIVERSITY OF KENTUCKY PHARMACY
789 S LIMESTONE ST STE 114	LEXINGTON	KY	40536	616001218	501(C)(3)	$200,000	PROGRAM SUPPORT FOR PHARMACY EXTERNSHIPS
JEFFERSON CO PUBLIC SCHOOLS
3332 NEWBURG RD	LOUISVILLE	KY	40218	611021128	GOV'T ORGANIZATION	$150,000	PROGRAM SUPPORT TO ENSURE THAT TRAINERS AND SPORTS MEDICINE EXPERTS ARE AVAILABLE IN THE COUNTY
JCTC FOUNDATION INC
109 EAST BROADWAY	LOUISVILLE	KY	40202	237035648	501(C)(3)	$138,000	HELP ESTABLISH AN ASSOCIATES DEGREE IN CLINICAL LAB TECHNICIAN PROGRAM
SCOLIOSIS RESEARCH SOCIETY
555 E WELLS	MILWAUKEE	WI	53202	237181863	501(C)(3)	$125,000	GENERAL SUPPORT RESEARCH STUDY OF SPINAL DEFORMITY SURGERY	SUITE 1100
KENTUCKY CANCER FOUNDATION
P O BOX 21741	LEXINGTON	KY	40522	201510713	501(C)(3)	$100,000	GENERAL SUPPORT COMMONWEALTH KY STATEWIDE COLON CANCER SCREENINGS
METRO UNITED WAY INC
DEPT 52860 PO BOX 950148	LOUISVILLE	KY	40295	610444680	501(C)(3)	$53,000	GENERAL PROGRAM SUPPORT
HABITAT FOR HUMANITY METRO LOU
2777 S FLOYD ST	LOUISVILLE	KY	40209	581735528	501(C)(3)	$45,000	GENERAL SUPPORT OF COSTS TO BUILD A HABITAT HOME
21ST CENTURY PARKS INC
471 W MAIN ST	LOUISVILLE	KY	40202	201780317	501(C)(3)	$30,000	GENERAL SUPPORT PARKS INITIATIVE AND HEALTHY OUTDOOR LIVING
LEADERSHIP LOUISVILLE CENTER
732 W MAIN ST	LOUISVILLE	KY	40202	310958491	501(C)(3)	$30,000	GENERAL SUPPORT OF LEADERSHIP DEVELOPMENT
FUND FOR THE ARTS
623 W MAIN ST	LOUISVILLE	KY	40202	610479626	501(C)(3)	$30,000	GENERAL PROGRAM SUPPORT
PREGNANCY HELPLINE INC OF LOUISVILLE
515 WEST OAK ST	LOUISVILLE	KY	40203	611055060	501(C)(3)	$25,000	GENERAL SUPPORT OF SERVICES FOR EXPECTANT MOTHERS
A WOMEN'S CHOICE RESOURCE CENTER
101 WEST MARKET	LOUISVILLE	KY	40202	611142823	501(C)(3)	$25,000	GENERAL SUPPORT OF SERVICES FOR EXPECTANT MOTHERS
DREPUNG GOMANG INSTITUTE
411 N HUBBARDS LN	LOUISVILLE	KY	40207	611399694	501(C)(3)	$25,000	GENERAL SUPPORT FOR THE 2013 VISIT FROM HIS HOLINESS THE DALAI LAMA
KENTUCKY PHYSICIANS HEALTH FOUNDATION
9000 WESSEX PL STE 305	LOUISVILLE	KY	40222	611242062	501(C)(3)	$21,500	GENERAL SUPORT OF INTERVENTIION, THERAPY, ETC FOR IMPARIED PHYSICIANS
THE CENTER FOR COURAGEOUS KIDS
1501 BURNLEY RD	SCOTTSVILLE	KY	42164	201789905	501(C)(3)	$20,000	GENERAL SUPPORT OF CAMP FOR PEDIATRIC PATIENTS
WHAS CRUSADE FOR CHILDREN INC
520 W CHESTNUT ST	LOUISVILLE	KY	40202	237075524	501(C)(3)	$20,000	GENERAL PROGRAM SUPPORT
LOUISVILLE AREA CHAMBER OF COMMERCE
614 W MAIN ST	LOUISVILLE	KY	40202	610434089	501(C)(6)	$20,000	GENERAL PROGRAM SUPPORT
LOUISVILLE METRO PARKS FOUNDATION
611 WEST JEFFERSON ST	LOUISVILLE	KY	40202	204372292	501(C)(3)	$15,000	GENERAL SUPPORT FOR ANNUAL HEALTH & FITNESS EVENT
KY CHAMBER OF COMMERCE
464 CHENAULT AVE	FRANKFORT	KY	40601	610405718	501(C)(6)	$15,000	GENERAL PROGRAM SUPPORT
YMCA OF GREATER LOUISVILLE
545 S 2ND ST	LOUISVILLE	KY	40202	610444843	501(C)(3)	$15,000	GENERAL SUPPORT FOR SAFE PLACE AND FOR PHYSICAL FITNESS/THERAPY FOR CANCER PATIENTS
JUNIOR ACHIEVEMENT
1401 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	40203	610476694	501(C)(3)	$14,800	GENERAL SUPPORT OF YOUTH LEADERSHIP DEVELOPMENT
AMERICAN CANCER SOCIETY
701 W MUHAMMAD ALI BLVD	LOUISVILLE	KY	40202	237040934	501(C)(3)	$14,500	GENERAL SUPPORT
COLON CANCER PREVENTION PROJECT
PO BOX 4039	LOUISVILLE	KY	40204	201510713	501(C)(3)	$13,500	GENERAL SUPPORT OF COLON CANCER PREVENTION AND OUTREACH
BRAIN INJURY ASSOCIATION OF KY
7431 NEW LAGRANGE RD STE 100	LOUISVILLE	KY	40222	611128496	501(C)(3)	$11,500	GENERAL SUPPORT EDUCATION FOR BRAIN INJURIES AND DISEASE
KENTUCKY COUNTRY DAY SCHOOL
4100 SPRINGDALE RD	LOUISVILLE	KY	40241	610731998	501(C)(3)	$10,821	GENERAL PROGRAM SUPPORT
INDIAN COMMUNITY OF KENTUCKY
9709 WHITE BLOSSOM BLVD	LOUISVILLE	KY	40241	000769349	501(C)(3)	$10,000	GENERAL SUPPORT CULTURAL AWARENESS
AMERICAN DIABETES ASSOCIATION
161 ST MATTHEWS AVE 3	LOUISVILLE	KY	40207	131623888	501(C)(3)	$10,000	GENERAL SUPPORT OF DIABETES PREVENTION AND OUTREACH FOR AFRICAN AMERICANS
CYSTIC FIBROSIS FOUNDATION
1230 S HURSTBOURNE PKWY STE 255	LOUISVILLE	KY	40222	131930701	501(C)(3)	$10,000	GENERAL SUPPORT FOR CYSTIC FIBROSIS RESEARCH AND OUTREACH
PENTECOSTAL FIRE CONF AMERICA
1710 CAMPBELLSVILLE RD	HODGENVILLE	KY	42748	261301145	501(C)(3)	$10,000	GENERAL SUPPORT OF PROGRAM SUPPORT FOR CHRISTIAN LIVING TOOLS FOR ADOLESCENTS
RONALD MCDONALD HOUSE
550 S 1ST ST	LOUISVILLE	KY	40202	311053467	501(C)(3)	$10,000	GENERAL SUPPORT TO HELP HOUSE FAMILIES AND PATIENTS WITH LONG-TERM TREATMENTS/HOSPITAL STAY
MARYHURST
1015 DORSEY LANE	LOUISVILLE	KY	40223	311542209	501(C)(3)	$10,000	GENERAL SUPPORT
LEADERSHIP SOUTHERN INDIANA
8204 HWY 311	SELLERSBURG	IN	47172	311644080	501(C)(3)	$10,000	GENERAL SUPPORT OF LEADERSHIP DEVELOPMENT
AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES
4100 CHURCHMAN AVE	LOUISVILLE	KY	40215	314379531	501(C)(3)	$10,000	GENERAL SUPPORT FOR LUNG HEALTH OUTREACH
KENTUCKIANA HEALTH COLLABORATIVE
1930 BISHOP LN STE 1023	LOUISVILLE	KY	40218	450700087	501(C)(3)	$10,000	GENERAL SUPPORT TO COORDINATE ACTION-ORIENTED COMMUNITY EFFORTS FOR HEALTH AND WELL-BEING EFFORTS TO MOBILIZE THE COMMUNITY TO IMPROVE HEALTH AND WELL-BEING.
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1201 STORY AVE STE 200	LOUISVILLE	KY	40208	610702202	501(C)(3)	$10,000	GENERAL SUPPORT OF MULTIPLE SCLEROSIS RESEARCH
HOSPARUS
3532 EPHRAIM MCDOWELL DR	LOUISVILLE	KY	40205	610921718	501(C)(3)	$10,000	GENERAL SUPPORT PEDIATRIC BEREAVEMENT PROGRAM
SHIVELY AREA MINISTRIES
4415 DIXIE HWY	LOUISVILLE	KY	40216	611134579	501(C)(3)	$10,000	GENERAL SUPPORT OF EMERGENCY ASSISTANCE FOR RESIDENTS OF SHIVELY AREA
MARCH OF DIMES
P O BOX 932852	ATLANTA	GA	31193	131846366	501(C)(3)	$8,500	GENERAL SUPPORT OF PRE-AND-POSTNATAL EDUCATION FOR FAMILIES WITH PREMATURE BABIES
THE HEALING PLACE
1020 W MARKET ST	LOUISVILLE	KY	40202	611164775	501(C)(3)	$8,500	GENERAL SUPPORT OF INDIVIDUALS IN THERAPY FOR ADDICTION RECOVERY
FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLE	LOUISVILLE	KY	40208	611285124	501(C)(3)	$8,000	GENERAL SUPPORT OF SINGLE PARENTS SEEKING COLLEGE EDUCATION
CORE COMMITTEE INC
P O BOX 1621	ELIZABETHTOWN	KY	42702	208105293	501(C)(3)	$7,500	GENERAL SUPPORT OF EFFORTS AT FORT KNOX BASE REALIGNMENT
EPILEPSY FOUNDATION KENTUCKIANA
982 EASTERN PKWY	LOUISVILLE	KY	40217	611314540	501(C)(3)	$7,500	GENERAL SUPPORT OF EPILEPSY EDUCATION AND OUTREACH
SOUTHEAST CHRISTIAN CHURCH
920 BLANKENBAKER PKWY	LOUISVILLE	KY	40243	610850307	501(C)(3)	$7,000	GENERAL PROGRAM SUPPORT
LOUISVILLE YOUTH TRAINING CENTER
2040 METAL LN	LOUISVILLE	KY	40206	611380344	501(C)(3)	$7,000	GENERAL SUPPORT OF YOUTH FITNESS INITIATIVES
LEADERSHIP KENTUCKY FOUNDATION
464 CHENAULT RD	FRANKFORT	KY	40601	311096215	501(C)(3)	$6,000	GENERAL SUPPORT OF LEADERSHIP DEVELOPMENT
HOSPITAL HOSPITALITY HOUSE
120 W BROADWAY	LOUISVILLE	KY	40202	611256969	501(C)(3)	$6,000	GENERAL SUPPORT TO HELP HOUSE FAMILIES AND PATIENTS WITH LONG-TERM TREATMENTS/HOSPITAL STAY
CROHN'S & COLITIS FDTN OF AMERICA
P O BOX 573	PROSPECT	KY	40059	136193105	501(C)(3)	$5,000	GENERAL SUPPORT FOR CHRON'S AND COLITIS PATIENT EDUCATION/SUPPORT
PRP ALUMNI ASSOCIATION
PO BOX 58051	LOUISVILLE	KY	40268	320087730	501(C)(3)	$5,000	GENERAL SUPPORT FOR SCHOLARSHIPS AT PLEASURE RIDGE PARK HIGH SCHOOL
ARTHRITIS FOUNDATION KY CHAPTER
2908 BROWNSBORO RD STE 117	LOUISVILLE	KY	40206	610492349	501(C)(3)	$5,000	GENERAL SUPPORT OF THE ARTHRITIS KIDS BACKPACK PROGRAM
CEREBRAL PALSY KIDS CENTER
982 EASTERN PKWY	LOUISVILLE	KY	40217	610492378	501(C)(3)	$5,000	GENERAL SUPPORT FOR SERVICES FOR CHILDREN WITH CEREBRAL PALSY
CHRISTIAN ACADEMY OF LOUISVILLE
700 S ENGLISH STATION RD	LOUISVILLE	KY	40245	610907309	501(C)(3)	$5,000	GENERAL PROGRAM SUPPORT
KENTUCKY PEDIATRIC SOCIETY
420 CAPITAL AVE	LOUISVILLE	KY	40601	611125554	501(C)(3)	$5,000	GENERAL SUPPORT FOR CONTINUING MEDICAL EDUCATION FOR KY PEDIATRIC PHYSICIANS
FRIEND FOR LIFE
4007 KRESGE WAY	LOUISVILLE	KY	40207	611139410	501(C)(3)	$5,000	GENERAL SUPPORT CANCER SUPPORT NETWORK
CATHEDRAL HERITAGE FOUNDATION
415 W MUHAMMED ALI BLVD STE 101	LOUISVILLE	KY	40202	611149619	501(C)(3)	$5,000	GENERAL SUPPORT FOR INTERRELIGOUS EDUCATION
CLOUT
1112 S 4TH ST	LOUISVILLE	KY	40203	611202173	501(C)(3)	$5,000	GENERAL SUPPORT INTERFAITH RELATIONS AND SOCIAL JUSTICE
SUSAN G KOMEN FOR THE CURE
2301 HURSTBOURNE VILLAGE DR STE 700	LOUISVILLE	KY	40299	752855046	501(C)(3)	$5,000	GENERAL PROGRAM SUPPORT
THE ALS ASSOCIATION KY CHAPTER
2807 AMSTERDAM RD	VILLA HILLS	KY	41017	943124729	501(C)(3)	$5,000	GENERAL SUPPORT ALS EDUCATION AND OUTREACH

Field	Value	IRS element (for citing)
Total501c3 Org	57	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	UNDERGRADUATE SCHOLARSHIPS FOR STUDENTS PURSUING EDUCATION FOR A CAREER IN THE HEALTHCARE FIELD	GrantTypeTxt
Recipient	160	RecipientCnt
Cash Grant	$220,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 $250,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE BOARD OF DIRECTORS. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN.

Schedule I, Part II, Column H, Purpose of grant or assistance

BELLARMINE UNIVERSITY, 61-0482955:GENERAL SUPPORT OF THE UNIVERSITY'S PROGRAMS AND SUPPORT UNIVERSITY'S NURSING PROGRAM AND TO ENDOWMENT OF CHAIR OF DOCTOR OF PHYSICAL THERAPY/SPORTS MEDICINE PROGRAM;JEFFERSON CO PUBLIC SCHOOLS, 61-1021128:PROGRAM SUPPORT TO ENSURE THAT TRAINERS AND SPORTS MEDICINE EXPERTS ARE AVAILABLE IN THE COUNTY;YMCA OF GREATER LOUISVILLE, 61-0444843:GENERAL SUPPORT FOR SAFE PLACE AND FOR PHYSICAL FITNESS/THERAPY FOR CANCER PATIENTS;RONALD MCDONALD HOUSE, 31-1053467:GENERAL SUPPORT TO HELP HOUSE FAMILIES AND PATIENTS WITH LONG-TERM TREATMENTS/HOSPITAL STAY;KENTUCKIANA HEALTH COLLABORATIVE, 45-0700087:GENERAL SUPPORT TO COORDINATE ACTION-ORIENTED COMMUNITY EFFORTS FOR HEALTH AND WELL-BEING EFFORTS TO MOBILIZE THE COMMUNITY TO IMPROVE HEALTH AND WELL-BEING.;MARCH OF DIMES, 13-1846366:GENERAL SUPPORT OF PRE-AND-POSTNATAL EDUCATION FOR FAMILIES WITH PREMATURE BABIES;HOSPITAL HOSPITALITY HOUSE, 61-1256969:GENERAL SUPPORT TO HELP HOUSE FAMILIES AND PATIENTS WITH LONG-TERM TREATMENTS/HOSPITAL STAY;

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN A WILLIAMS
CEO/TRUSTEE	$957,232	$0	$594,080	$0	$875,419	$0	$193,323	$0	$20,390	$0	$2,640,445	$0	$127,109	$0
ROBERT B AZAR
SYS VP CHIEF LEGAL OFFICER/SECRETARY	$369,824	$0	$128,247	$0	$38,089	$0	$86,464	$0	$8,927	$0	$631,551	$0	$0	$0
RUSSELL F COX
PRESIDENT AND COO	$736,492	$0	$301,538	$0	$249,448	$0	$610,658	$0	$25,147	$0	$1,923,283	$0	$99,540	$0
MICHAEL W GOUGH
SYS SR VP CFO/TREASURER	$586,472	$0	$254,035	$0	$209,950	$0	$459,560	$0	$24,898	$0	$1,534,916	$0	$83,860	$0
KAREN BOLIN
FORMER VP WOMEN'S SERVICES	$0	$0	$0	$0	$206,908	$0	$33,042	$0	$0	$0	$239,950	$0	$188,273	$0
RICHARD CARRICO
FORMER VP & ASSOCIATE CFO	$0	$0	$0	$0	$126,307	$0	-$10,791	$0	$0	$0	$115,517	$0	$125,836	$0
KIMBERLY THARP-BARRIE
FORMER VP INSTITUTE OF NURSING	$223,454	$0	$60,522	$0	$41,474	$0	$50,860	$0	$20,810	$0	$397,121	$0	$25,644	$0
CHARLES BOHN
SYS VP CHIEF HR OFFICER	$320,083	$0	$121,986	$0	$86,229	$0	$78,841	$0	$21,603	$0	$628,742	$0	$42,280	$0
SANDRA BROOKS
VP RESEARCH & PREVENTION	$317,718	$0	$80,663	$0	$138,249	$0	$75,233	$0	$22,950	$0	$634,813	$0	$100,669	$0
MICHAEL ESPOSITO
SYS VP BUSINESS DEVELOPMENT	$278,615	$0	$71,406	$0	$68,750	$0	$70,234	$0	$21,262	$0	$510,267	$0	$33,240	$0
JAMES FRAZIER
SYS VP MEDICAL AFFAIRS	$345,589	$0	$83,975	$0	$39,163	$0	$72,073	$0	$24,853	$0	$565,654	$0	$9,900	$0
STEVE HEILMAN
SYS VP CMIO	$342,087	$0	$93,962	$0	$70,561	$0	$105,530	$0	$24,127	$0	$636,267	$0	$36,492	$0
STEVE HESTER
SYS SR VP, CMO	$503,704	$0	$169,474	$0	$100,728	$0	$259,590	$0	$23,970	$0	$1,057,467	$0	$63,000	$0
MARY LYNN MEYER
SYS VP AND CDO	$185,526	$128,678	$0	$123,648	$0	$58,845	$0	$79,991	$0	$16,344	$185,526	$407,505	$0	$39,200
STEVE READY
SYS VP CIO	$346,490	$0	$91,803	$0	$47,057	$0	$61,191	$0	$23,230	$0	$569,770	$0	$35,700	$0
SCOTT WATKINS
DIVISION VP COO	$341,270	$0	$93,452	$0	$67,641	$0	$83,851	$0	$23,943	$0	$610,158	$0	$33,240	$0
TRACY WILLIAMS
SYS SR VP, CNO	$300,488	$0	$98,093	$0	$39,716	$0	$71,368	$0	$14,280	$0	$523,944	$0	$0	$0
KENNETH WILSON
SYS VP CLINICAL EFFECTIVENESS	$311,103	$0	$81,704	$0	$103,421	$0	$74,843	$0	$17,784	$0	$588,854	$0	$34,788	$0
DOUGLAS WINKELHAKE
DIVISION PRESIDENT ADULT SERVICES	$463,608	$0	$140,837	$0	$89,722	$0	$121,763	$0	$24,488	$0	$840,418	$0	$47,040	$0
MARY JO BEAN
SYS VP PLANNING & BUS ANALYSIS	$250,044	$0	$58,909	$0	$39,184	$0	$59,065	$0	$8,078	$0	$415,279	$0	$26,712	$0
MAUREEN CAPALBO
SYS VP/CNIO	$241,639	$0	$72,421	$0	$65,560	$0	$56,169	$0	$10,910	$0	$446,699	$0	$0	$0
MARY CORBETT
SYS VP CHIEF GOV'T RELATIONS OFFICER	$266,714	$0	$18,835	$0	$50,253	$0	$52,641	$0	$15,631	$0	$404,073	$0	$0	$0
JIM M MEYERS
SYS VP REVENUE CYCLE	$230,121	$0	$67,080	$0	$37,546	$0	$52,965	$0	$23,121	$0	$410,833	$0	$0	$0
WILLIAM RITCHIE
SYS VP OUTPATIENT SERVICES/ICC	$207,309	$0	$71,329	$0	$60,954	$0	$69,823	$0	$16,971	$0	$426,386	$0	$26,904	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2013, 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. ANNUITY - THE ANNUITY REPRESENT ACCULUATED RETIREMENT BENEFITS EARNED RELATED TO A NON-QUALIFIED DEFINED BENEFIT PENSION RESTORATION PLAN IN EFFECT SINCE 1990. CONTRIBUTIONS TO THIS PLAN HAVE BEEN MADE EACH YEAR, BEGINNING IN 2005. THE TOTAL VALUE OF THIS YEAR'S BENEFIT IS $503,879, OF WHICH $225,367 WAS A GROSS-UP PAYMENT TO COVER THE APPLICABLE TAXES AND $278,512 WAS USED TO PURCHASE THE ANNUITY. THE FULL VALUE OF THIS YEAR'S BENEFIT WAS INCLUDED IN 2013 TAXABLE COMPENSATION OF MR. WILLIAMS. DISABILITY COVERAGE (AND ASSOCIATED GROSS-UP) FOR MR. WILLIAMS - DURING 2013 NET DISABILITY COVERAGE PREMIUMS TOTALED $30,921, AND THE ASSOCIATED GROSS-UP OF SUCH PREMIUMS TOTALED $25,095. THUS, THE TOTAL OF THESE AMOUNTS - $56,016 - WAS INCLUDED IN THE TAXABLE COMPENSATION OF MR. WILLIAMS IN 2013.
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 2013: STEPHEN A. WILLIAMS -$58,120 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 MARY JO BEAN - 10,000 CHARLES BOHN - 17,500 KAREN BOLIN - 8,846 MARY CORBETT -15,000 STEVE READY - 10,000 JAMES FRAZIER - 10,000 STEVE HEILMAN - 10,000 KENNETH WILSON - 10,000 KIMBERLY THARP-BARRIE - 10,000 JIM MEYERS - 10,000 DOUGLAS WINKLEHAKE - 17,500 WILLIAM RITCHIE - 10,000
Schedule J, Part I, Line 4a, Severance or change-of-control payment	SEVERANCE PAYMENT WAS RECEIVED DURING 2013 BY FORMER KEY EMPLOYEES: KAREN BOLIN IN THE AMOUNT OF $188,273, OTHER COMPENSATION, INCLUDED IN SCHEDULE J COLUMN B(III). MS. BOLIN CONTINUED TO RECEIVE SEVERANCE PAYMENT THROUGH OCTOBER 30,2013.
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 - $ 134,851 RUSSELL F. COX - 593,016 MICHAEL W. GOUGH - 441,391 ROBERT AZAR - 71,313 MARY LYNN MEYER - 61,430 MARY JO BEAN - 37,704 CHARLES BOHN - 63,541 KAREN BOLIN - 20,460 SANDRA BROOKS - 58,170 MAUREEN CAPALBO - 37,576 MARY CORBETT - 37,298 MICHAEL ESPOSITO - 48,884 JAMES FRAZIER - 56,654 STEVEN HEILMAN - 90,126 STEVEN HESTER - 239,895 JIM MEYERS - 34,419 STEVE READY - 49,812 WILLIAM RICHIE - 36,439 KIMBERLY THARP-BARRIE - 32,310 SCOTT WATKINS - 62,471 TRACY WILLIAMS - 55,875 KENNETH WILSON - 56,216 DOUGLAS WINKELHAKE - 101,360 THE "PAYMENT RECEIVED" OUTLINED BELOW REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2013 AND CAN BE COMPRISED OF PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. NAME - PAYMENT RECEIVED STEPHEN A. WILLIAMS - $ 232,232 RUSSELL F. COX - 110,669 MICHAEL W. GOUGH - 92,970 ROBERT AZAR - 0 MARY LYNN MEYER - 39,201 MARY JO BEAN - 26,713 CHARLES BOHN - 48,065 KAREN BOLIN - 18,634 SANDRA BROOKS - 136,857 MAUREEN CAPALBO - 51,433 MARY CORBETT - 29,779 MICHAEL ESPOSITO - 36,580 JAMES FRAZIER - 9,900 STEVEN HEILMAN - 49,688 STEVEN HESTER - 76,531 JIM MEYERS - 25,801 STEVE READY - 41,834 WILLIAM RICHIE - 29,616 KIMBERLY THARP-BARRIE - 47,940 SCOTT WATKINS - 38,312 TRACY WILLIAMS - 0 KENNETH WILSON - 67,988 DOUGLAS WINKELHAKE - 53,090
Schedule J, Part I, Line 7, Non-fixed payments	IN 2013, 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
A	320049006	54659LAC8	2006-10-12	$315,474,736	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
B	320049006	54659LAL8	2011-08-10	$75,000,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
C	320049006		2011-08-24	$23,775,000	SEE SUPPLEMENTAL INFORMATION	false	false	false
LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT
D	320049006		2012-10-31	$21,100,000	SEE SUPPLEMENTAL INFORMATION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,630,000	$0	$330,185,271	$0	$958,005	$0	$2,885,257	$0	$5,900,000	$183,389,691	$170,832,224	$0	2009	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$75,000,300	$0	$0	$0	$953,000	$2,000	$0	$74,045,259	$41	$0	2011	false	false	Yes (true)	Yes (true)
C	$3,675,000	$0	$23,775,000	$0	$0	$0	$150,000	$0	$0	$0	$23,625,000	$0		Yes (true)	false	Yes (true)	Yes (true)
D	$3,150,000	$0	$21,100,000	$0	$0	$0	$171,313	$0	$0	$0	$20,928,687	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01790	0.00670	0.02460	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.02190	0.00670	0.02860	false	false	Yes (true)
C							0.00000	0.00000	0.00000
D							0.00000	0.00000	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Term Of HedgeTermOfHedgePct
MORGAN STANLEY
A	Yes (true)	false	false	Yes (true)	3.2	Yes (true)	false	Yes (true)
(no name)
B	false	Yes (true)	false	false			false	Yes (true)	Yes (true)
(no name)
C	false	Yes (true)	false	false			false	Yes (true)	Yes (true)
(no name)
D	false	false	false	false	0.0		false	Yes (true)	Yes (true)	0.0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (F), ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW C, 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 B, 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 (KOSAIR 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 A, TO REFINANCE, IN AN ADVANCE REFUNDING TRANSACTION, A PORTION OF THE OUTSTANDING KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HEALTH SYSTEM REVENUE BONDS, SERIES 2000A, AND SERIES 2000C, TO FINANCE OR REIMBURSE THE CORPORATION FOR THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW HOSPITAL FACILITY TO BE OWNED AND OPERATED BY NORTON HOSPITALS, TO FINANCE OR REIMBURSE THE CORPORATION FOR THE COSTS OF RENOVATION AND EXPANSION OF VARIOUS PATIENT CARE AREAS AND THE ACQUISITIONS OF EQUIPMENT AND TO PAY CERTAIN COSTS OF ISSUANCE.
SCHEDULE K, PART I, COLUMN (F), ISSUER NAME: LOUISVILLE/JEFFERSON COUNTY METRO GOVERNMENT	ROW D, 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 I, COLUMN (F), DESCRIPTION OF PURPOSE	ROW E, 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 KOSAIR 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 3, TOTAL PROCEEDS OF ISSUE	DIFFERENCE BETWEEN SERIES 2006 ISSUE PRICE (ISSUE DATE 10/12/2006) IN PART I, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. ADDITIONALLY THE BONDS ISSUED 10/12/2006 PROCEEDS ARE IMPACTED BY AN ARBITRAGE REBATE PAYMENT MADE IN 2011. 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 AND GAIN/LOSS ON SETTLEMENT OF ASSETS.
SCHEDULE K, PART II, LINE 7, ISSUANCE COSTS FROM PROCEEDS	COLUMN E - 2013 BOND ISSUE - ALL ISSUANCE COSTS FOR THE 2013 BOND ISSUE WERE PAID FOR WITH CASH FROM NORTON'S EQUITY. NO BOND PROCEEDS WERE USED TO PAY FOR COST OF ISSUANCE.
SCHEDULE K, PART IV, LINE 4A, 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 IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	LOUISVILLEJEFFERSON COUNTY METRO GOVERNMENT	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	320049006	BondIssuerEIN
CUSIP	54659LAW4	CUSIPNum
Bond Issued	2013-09-26	BondIssuedDt
Issue Price	$200,000,887	IssuePriceAmt
Purpose	SEE SUPPLEMENTAL INFORMATION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$200,005,895	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$126,452,416	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$73,553,479	UnspentAmt
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.01460	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00670	PrivateBusConcerningUBIPct
Total Private Business Use	0.02130	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0.0	TermOfHedgePct
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0.0	TermOfGICPct
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
PATRICIA TRASATTI
FAMILY MEMBER OF CHARLES BOHN, KEY EMPLOYEE	$104,744	COMPENSATION	false
CHELSEA R MAYES
FAMILY MEMBER GREGORY MAYES, TRUSTEE	$54,535	COMPENSATION	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 18, CURRENT YEAR TOTAL EXPENSES	DURING 2013, THE CORPORATION CONTINUED THE IMPLEMENTATION OF AN ELECTRONIC MEDICAL RECORD SYSTEM (EMR). THE SYSTEM IS AN INTEGRATED EMR SYSTEM THAT ALLOWS SEAMLESS SHARING OF PATIENT INFORMATION AMONG CAREGIVERS, PATIENTS AND FAMILIES. ALL OF THE CORPORATION'S PHYSICIAN PRACTICES, IMMEDIATE CARE CENTERS AND HOSPITALS WILL BE CONNECTED AND ABLE TO VIEW ELECTRONIC MEDICAL RECORDS USING ONE SYSTEM, RATHER THAN A VARIETY OF DISPARATE SYSTEMS. DUE TO THE SIGNIFICANT NON-CAPITAL IMPLEMENTATION COSTS IN 2013 ($37.6 MILLIONS), WHICH INCLUDE: LABOR AND BENEFITS, TRAINING, SUPPLIES, FEES AND SPECIAL SERVICES AND OTHER; THE CORPORATION HAS BROKEN OUT THESE OPERATING COSTS IN THE COMBINED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS INTO A SEPARATE LINE TITLED ELECTRONIC MEDICAL RECORDS IMPLEMENTATION. DURING 2013 IMPLEMENTATION ENCOMPASSED THREE HOSPITALS AND THE UPGRADE PREPARATION. THE IMPLEMENTATION WAS CONCLUDED BY THE END OF 2013. FOR PURPOSES OF THE 990 WE HAVE BROKEN OUT THE LINE TITLED ELECTRONIC MEDICAL RECORDS IMPLEMENTATION FROM THE AUDITED FINANCIAL STATEMENTS AND RECLASSED THE EXPENSES BY THEIR NATURAL CLASS.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED FROM PART III) IN 2013, NORTON HEALTHCARE'S HOSPITALS, AND DIAGNOSTIC CENTERS SERVED 61,281 INPATIENTS, 281,486 OUTPATIENTS AND 208,008 EMERGENCY ROOM VISITS. NORTON HEALTHCARE HOSPITALS' OPERATING ROOMS PROVIDED 18,110 INPATIENT SURGERIES AND 30,773 OUTPATIENT SURGERIES. ADDITIONALLY, 8,173 DELIVERIES OCCUREED AT NORTON HEALTHCARE BIRTHING FACILITIES, NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. IN 2013, AS IN YEARS PAST, NORTON HEALTHCARE HOSPITALS PROVIDED CHARITY CARE AND FINANCIAL ASSISTANCE FOR INDIGENT PATIENTS AND DISCOUNTED SERVICES FOR THOUSANDS OF PEOPLE IN THE LOCAL COMMUNITY AND THROUGHOUT THE STATE. IN ADDITION, DONATIONS WERE GIVEN TOWARD COMMUNITY AND PROFESSIONAL EDUCATION, SUPPORT FOR THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE AND OTHER COMMUNITY PROGRAM AND SERVICES. SPECIFICALLY, NORTON HEALTHCARE'S TOTAL COMMUNITY BENEFIT IN 2013 WAS $157.2 MILLION, INCLUDING $109.8 MILLION IN MEDICAL CARE FOR PATIENTS THROUGH CHARITY CARE AND UPAID COST OF MEDICAID RECIPIENTS AND KENTUCKY DISPROPORTIONATE SHARE PROGRAM SERVICES. THE COMMUNITY BENEFIT OF MORE THAN $13 MILLION A MONTH ALSO INCLUDED COMMUNITY INITIATIVES AND PROGRAMS SUCH AS EDUCATIONAL SUPPORT, SPONSORSHIPS, PASTORAL CARE AND COUNSELING PROGRAMS, THE KENTUCKY REGIONAL POISON CONTROL CENTER OF KOSAIR CHILDREN'S HOSPITAL, AND CHILD GUIDANCE AND ADVOCACY PROGRAMS. NORTON HEALTHCARE'S EMPLOYEES PROVIDED MORE THAN 93,000 HOURS IN SERVICE AS BOARD AND COMMITTEE MEMBERS AND ACTIVE PARTICIPANTS WITH MORE THAN 200 COMMUNITY, STATE AND NATIONAL NONPROFIT ORGANIZATIONS THAT ENDEAVOR TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS. ADDITIONALLY, EMPLOYEES PERSONALLY REPORTED 8,284 COMMUNITY SERVICE HOURS IN SUPPORT OF THEIR FAITH COMMUNITIES, CIVIC ORGANIZATIONS AND OTHER IMPORTANT COMMUNITY GROUPS. NORTON HEALTHCARE PROVIDES PROGRAMMATIC SUPPORT TO THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE THROUGH FUNDS AND FACILITIES. DURING THE 2013 CALENDAR YEAR, 416 RESIDENTS COMPLETED CLINICAL ROTATIONS IN 38 SPECIALTIES AT NORTON HEALTHCARE FACILITIES. RESIDENCY PROGRAMS ARE PART OF $ 28.4 MILLION IN SUPPORT PROVIDED TO THE SCHOOL. OFFICE OF CHURCH AND HEALTH MINISTRIES THE OFFICE OF CHURCH AND HEALTH MINISTRIES PROVIDES FREE EDUCATION, RESOURCES AND SERVICES TO FAITH COMMUNITY NURSES AND OTHERS WORKING IN CONGREGATIONAL HEALTH MINISTRIES. IN 2013, THE MINISTRIES SERVED 187 FAITH COMMUNITIES WITH ACTIVE HEALTH AND WELLNESS PROGRAMS. DONATIONS TO THE COMMUNITY NORTON HEALTHCARE EMPLOYEES AND PHYSICIANS GAVE MORE THAN $960,000 TO THE 2013 COMBINED GIVING CAMPAIGN TO HELP SUPPORT THE WHAS CRUSADE FOR CHILDREN, METRO UNITED WAY, FUND FOR THE ARTS, CHILDREN'S HOSPITAL FOUNDATION, NORTON HEALTHCARE FOUNDATION AND KOSAIR CHARITIES. NORTON HEALTHCARE EMPLOYEES RAISED THE ROOF ON A HABITAT FOR HUMANITY HOUSE IN THE PORTLAND NEIGHBORHOOD IN LOUISVILLE, KY. THIS IS THE SEVENTH HABITAT HOME NORTON HEALTHCARE HAS FUNDED AND EMPLOYEES HAVE BUILT. IN 2013, NORTON HEALTHCARE EMPLOYEES DONATED 1,462 POUNDS OF NONPERISHABLE FOOD FOR DARE TO CARE FOOD BANK AND MORE THAN 200 BLANKETS FOR BLANKET LOUISVILLE. THESE NONPROFIT ORGANIZATIONS ARE ON THE FRONT LINE HELPING HUNGRY AND HOMELESS PEOPLE IN OUR COMMUNITY. 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 2013 THE NORTON HEALTHCARE CENTERS FOR PREVENTION & WELLNESS SCREENED 4,437 PEOPLE FOR HIGH BLOOD PRESSURE, DIABETES, HIGH CHOLESTEROL AND OSTEOPOROSIS AND PROVIDED INFORMATION ABOUT SMOKING CESSATION, DIET AND EXERCISE. IN AUGUST 2013, CARDIOVASCULAR DISEASE NAVIGATION WAS PROVIDED TO AT-RISK PATIENTS IN THE COMMUNITY. MORE THAN 450 PATIENTS WERE CONTACTED FOR FOLLOW-UP. HEART RISK ASSESSMENTS AND EDUCATION WERE PROVIDED THROUGH THE NORTON WOMEN'S HEART & VASCULAR CENTER, THE REGION'S ONLY CENTER SOLELY DEDICATED TO EDUCATION, PREVENTION AND TREATMENT OF HEART DISEASE. NORTON WOMEN'S HEART & VASCULAR CENTER OFFERED ITS FREE CIRCLE OF HEARTS PROGRAM, A SERIES OF MONTHLY HEART DISEASE AND PREVENTION CLASSES THAT FOCUS ON HEART HEALTH EDUCATION AND OTHER WELLNESS ISSUES OF INTEREST TO WOMEN. NORTON CANCER INSTITUTE IN 2013, THE NORTON CANCER INSTITUTE MOBILE PREVENTION CENTER PROVIDED SERVICES IN 139 LOCATIONS IN COLLABORATION WITH MORE THAN 400 COMMUNITY PARTNERS, 50 PERCENT OF WHICH WERE IN UNDERSERVED COMMUNITIES. THIS OUTREACH RESULTED IN 2,348 PEOPLE BEING SCREENED FOR CANCER. OF THESE, APPROXIMATELY 22 PERCENT EITHER HAD NEVER BEEN SCREENED FOR CANCER OR HAD NOT BEEN SCREENED IN THE PAST FIVE YEARS. IN 2013, 15 INDIVIDUALS WERE DIAGNOSED AND TREATED FOR PREINVASIVE AND INVASIVE CANCER. SINCE THE INCEPTION OF THE PROGRAM, 110 INDIVIDUALS HAVE BEEN DIAGNOSED AND TREATED FOR PREINVASIVE AND INVASIVE CANCER. IN MAY 2013, THE NORTON HEALTHCARE CENTERS FOR PREVENTION & WELLNESS PUBLISHED AN ARTICLE TITLED "MOBILE MAMMOGRAPHY IN UNDERSERVED POPULATIONS: ANALYSIS OF OUTCOMES OF 3,923 WOMEN" IN THE JOURNAL OF COMMUNITY HEALTH. IT WAS ONE OF THE FIRST ARTICLES OF ITS KIND EXAMINING OUTCOMES OF WOMEN SCREENED ON A MOBILE UNIT. EACH YEAR APPROXIMATELY 100 PATIENTS PARTICIPATE IN SMOKING CESSATION CLASSES AT NORTON HEALTHCARE. NORTON CANCER INSTITUTE'S GENETIC COUNSELING SERVICES PROVIDED SERVICES TO 377 NEW PATIENTS IN 2013. STAFFED BY AN ONCOLOGIST AND TWO GENETIC COUNSELORS SPECIALIZING IN CANCER GENETICS AND HEREDITARY CANCER SYNDROMES, IT IS THE ONLY DEDICATED SERVICE CENTER OF ITS KIND IN THE REGION. 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. IN LATE 2013, NORTON HEALTHCARE OPENED THE NORTON ORTHOPAEDIC & HAND CENTER ON THE CAMPUS OF NORTON BROWNSBORO HOSPITAL. THIS NEW STATE-OF-THE-ART FACILITY ENABLES SPECIALISTS OF NORTON ORTHOPAEDIC CARE, NORTON SPORTS HEALTH AND NORTON HEALTHCARE TO PROVIDE A MULTIDISCIPLINARY APPROACH TO INNOVATIVE ORTHOPAEDIC CARE IN A FACILITY THAT ALSO SUPPORTS RESEARCH, TRAINING AND EDUCATION. THE NEW FACILITY 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 FREE CHILDBIRTH EDUCATION CLASSES WERE PROVIDED TO 7,671 ATTENDEES AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. EDUCATIONAL CLASSES AND SUPPORT GROUPS WERE PROVIDED OR COORDINATED FOR 16,245 PEOPLE IN THE COMMUNITY THROUGH THE MARSHALL WOMEN'S HEALTH & EDUCATION CENTER AND NORTON WOMEN'S CARE AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. NORTON HEALTHCARE ALSO OFFERS FREE PREVENTION AND WELLNESS CLASSES, FACILITY TOURS, EDUCATIONAL MATERIALS AND CLINICAL NAVIGATION SERVICES. PEDIATRIC SERVICES SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL AND KOSAIR CHILDREN'S MEDICAL CENTER - BROWNSBORO CARED FOR MORE THAN 155,000 CHILDREN THROUGHOUT KENTUCKY AND SOUTHERN INDIANA. KOSAIR CHILDREN'S HOSPITAL IS HOME TO THE KENTUCKY REGIONAL POISON CONTROL CENTER. IN 2013 THE CENTER RECEIVED 57,103 CALLS FROM CONCERNED FAMILIES WITHIN ALL 120 COUNTIES IN KENTUCKY. THE CENTER PROVIDED TREATMENT ADVICE AND EDUCATION ABOUT HOW TO CORRECTLY HANDLE EXPOSURES TO POISON. IN ADDITION, THE CENTER DISTRIBUTED MORE THAN 20,000 PREVENTION EDUCATION RESOURCES TO PHYSICIANS' OFFICES, HEALTH DEPARTMENTS AND SCHOOLS AND MORE THAN 2,000 PACKETS OF MATERIALS TO INDIVIDUALS WHO CALLED THE TOLL-FREE POISON HELP LINE, (800) 222-1222, AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. CHILD PASSENGER SAFETY TECHNICIANS FROM KOSAIR CHILDREN'S HOSPITAL CHECKED 780 CAR AND BOOSTER SEATS AND PROVIDED 146 CAR SEATS AT FREE CHECKUP CLINICS STATEWIDE. KOSAIR CHILDREN'S HOSPITAL LEADS SAFE KIDS LOUISVILLE AND JEFFERSON COUNTY, A PROGRAM THAT CONDUCTS SAFETY EVENTS AT SCHOOLS AND IN THE COMMUNITY. IN 2013, 21,175 STUDENTS IN GRADES THREE THROUGH FIVE THROUGHOUT KENTUCKY PARTICIPATED IN 153 BIKE SAFETY "RODEOS." APPROXIMATELY 425 AREA ELEMENTARY SCHOOL STUDENTS, 14 TEACHERS AND NINE TEACHER'S AIDES PARTICIPATED IN "SAFE KIDS WALK THIS WAY," A PROGRAM LED BY KOSAIR CHILDREN'S HOSPITAL. THE PROGRAM IS DESIGNED TO POINT OUT DANGEROUS AREAS AROUND ROADWAYS AND TEACH CHILDREN SAFE PEDESTRIAN HABITS. *KOSAIR CHILDREN'S HOSPITAL'S "JUST FOR KIDS" TRANSPORT TEAM MADE 1,889 TRIPS TO TRANSPORT SICK, INJURED PREMATURE BABIES AND CHILDREN FROM ACROSS THE REGION TO KOSAIR CHILDREN'S HOSPITAL IN 2013. TRANSPORTATION WAS PROVIDED BY AIRPLANE, HELICOPTER AND SPECIALLY EQUIPPED AMBULANCES (MOBILE INTENSIVE CARE UNITS).
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT	PEDIATRIC SERVICES (CONTINUED) IN 2013, KOSAIR CHILDREN'S HOSPITAL OPENED THE WENDY L. NOVAK DIABETES CARE CENTER, THANKS TO A GENEROUS $5 MILLION GIFT FROM THE LIFT A LIFE FOUNDATION. THIS IS A STATE-OF-THE-ART, COMPREHENSIVE CENTER OFFERING EDUCATION AND TREATMENT OF TYPE 1 DIABETES, PREVIOUSLY KNOWN AS JUVENILE DIABETES. TYPE 1 DIABETES HAS BEEN ON THE RISE FOR THE PAST 50 YEARS AND IS GROWING ANNUALLY, ESPECIALLY IN YOUNGER AGE GROUPS. MORE THAN 1,200 CHILDREN ARE CURRENTLY BEING TREATED FOR TYPE 1 DIABETES BY SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL AND THE UNIVERSITY OF LOUISVILLE. APPROXIMATELY 150 CHILDREN ARE DIAGNOSED EACH YEAR, OF WHOM NEARLY 50 PERCENT REQUIRE HOSPITALIZATION IN THE CRITICAL CARE CENTER AT KOSAIR CHILDREN'S HOSPITAL. THE WENDY L. NOVAK DIABETES CARE CENTER INCLUDES DIABETES INPATIENT SERVICES; AN UPCOMING DEDICATED OUTPATIENT CENTER; DIABETES EDUCATORS AND DIABETES NURSE PRACTITIONERS TO HELP KIDS AND FAMILIES LEARN TO MANAGE DIABETES; PEDIATRIC PHYSICIAN SPECIALISTS; DIABETES CARE USING THE MOST ADVANCED INSULIN MANAGEMENT AND GLUCOSE SENSING TECHNOLOGY; PERSONALIZED PROGRAMS FOR PATIENT, FAMILY AND COMMUNITY DIABETES EDUCATION; A TELEMEDICINE PROGRAM SERVING RURAL AREAS OF KENTUCKY; AND AN EXTENDED DIABETES CARE PROGRAM FOR YOUNG ADULTS AGES 18 TO 25. NEARLY 3,900 KINDERGARTEN STUDENTS, 176 TEACHERS, 529 CHAPERONES AND 203 VOLUNTEERS ATTENDED THE 30TH ANNUAL CHILDREN & HOSPITALS WEEK EVENT LED BY KOSAIR CHILDREN'S HOSPITAL. THE PROGRAM WAS HELD AT LOUISVILLE SLUGGER FIELD AND SUPPORTED BY A KOHL'S CARES GRANT. CHILDREN & HOSPITALS WEEK, HELD EACH YEAR IN MARCH, IS DESIGNED TO ENSURE HEALTH, WELLNESS AND SAFETY AND TO HELP LESSEN THE FEAR AND ANXIETY CHILDREN MAY HAVE ABOUT HOSPITALS. THOMAS D. KMETZ, DIVISION PRESIDENT, WOMEN'S AND CHILDREN'S SERVICES AND KOSAIR CHILDREN'S HOSPITAL, IS A CONTINUING MEMBER OF THE STEERING COMMITTEE OF THE CHILDREN'S HOSPITAL ASSOCIATION. THE COMMITTEE'S GOALS ARE TO LEAD EFFORTS TO REFORM MEDICAID SERVICES FOR MEDICALLY COMPLEX CHILDREN AND IMPROVE THEIR CARE WHILE REDUCING MEDICAID SPENDING FOR THE STATE AND FEDERAL GOVERNMENTS. AMONG MANY PROFESSIONAL MEMBERSHIPS AND COMMUNITY ACTIVITIES, KMETZ IS ON THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES AT THE CHILDREN'S HOSPITAL ASSOCIATION, PAST CHAIR OF THE KENTUCKY HOSPITAL ASSOCIATION BOARD OF TRUSTEES, ON THE PASTORAL COUNCIL OF HOLY TRINITY CATHOLIC PARISH AND PAST MEMBER OF THE FINANCE COUNCIL OF THE ARCHDIOCESE OF LOUISVILLE. KMETZ ALSO SERVES AS A BOARD MEMBER WITH THE UNIVERSITY OF KENTUCKY MASTER OF HEALTH ADMINISTRATION BOARD OF ADVISORS. HE IS A FELLOW IN THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES. NORTON NEUROSCIENCE INSTITUTE NORTON NEUROSCIENCE INSTITUTE CONTINUED ITS INVESTMENT IN THE COMMUNITY. THE INSTITUTE IS CONTINUING ITS QUEST TO BE THE REGIONAL AND NATIONAL LEADER IN TREATMENT, RESEARCH AND ACADEMIC TRAINING FOR ALL ADULT AND PEDIATRIC NEUROSCIENCE DISCIPLINES. THE INSTITUTE ALLOWS PATIENTS TO BE TREATED FOR NEUROLOGICAL DISORDERS WITHOUT HAVING TO LEAVE THE STATE FOR CARE, AS WAS SOMETIMES NECESSARY IN THE PAST. MORE THAN TWO DOZEN SUBSPECIALTY FELLOWSHIP-TRAINED NEUROSURGEONS, NEUROLOGISTS AND OTHER NEUROLOGICAL-RELATED SPECIALISTS HAVE JOINED THE GROWING PRACTICE. THESE PHYSICIANS PROVIDE EXPERTISE IN STROKE CARE, EPILEPSY, PARKINSON'S DISEASE, MULTIPLE SCLEROSIS, BRAIN TUMORS, HEADACHES, CONCUSSIONS AND MANY OTHER NEUROLOGICAL CONDITIONS. THE FOLLOWING SERVICES ALSO ARE AVAILABLE TO OUR COMMUNITY AS A RESULT OF NORTON HEALTHCARE'S SIGNIFICANT COMMITMENT TO PROVIDE THE BEST NEUROLOGICAL CARE: AN ENDOVASCULAR NEUROSURGERY TEAM IS AVAILABLE AT TWO NORTON HEALTHCARE ADULT-SERVICE FACILITIES, MAKING ADVANCED STROKE, ANEURYSM AND ARTERIOVENOUS MALFORMATION (RANDOM BRAIN HEMORRHAGE OR RUPTURE) TREATMENT POSSIBLE WHEN IT WAS PREVIOUSLY NOT AVAILABLE IN THE REGION. A STATE-OF-THE ART EPILEPSY CENTER AT NORTON BROWNSBORO HOSPITAL PROVIDES THE REGION'S MOST ADVANCED EPILEPSY MONITORING UNIT AND IS DEDICATED TO PROVIDING ACCURATE DIAGNOSES AND QUALITY CARE FOR INDIVIDUALS LIVING WITH SEIZURES AND EPILEPSY. AS PART OF NORTON NEUROSCIENCE INSTITUTE'S MULTIDISCIPLINARY APPROACH TO EPILEPSY CARE, THE NORTON BROWNSBORO HOSPITAL EPILEPSY MONITORING UNIT IS A SPECIALIZED INPATIENT UNIT DESIGNED TO EVALUATE AND DIAGNOSE SEIZURE DISORDERS. A CENTRALIZED NORTON NEUROSCIENCE INSTITUTE RESOURCE CENTER IS AVAILABLE TO PATIENTS, OFFERING FREE EDUCATION AND SUPPORT SERVICES. THE RESOURCE CENTER OFFERS SUPPORT GROUPS, MENTAL HEALTH COUNSELING, CLINICAL TRIAL INFORMATION AND EDUCATIONAL, THERAPEUTIC AND EXERCISE PROGRAMS. IN ADDITION, PATIENTS HAVE ACCESS TO NATIONAL INSTITUTES OF HEALTH CLINICAL TRIALS THROUGH THE CENTER. THE REGION'S FIRST REHABILITATION PROGRAM FOCUSED SOLELY ON TREATING PATIENTS WITH NEUROLOGICAL AND SPINE DISORDERS HAS THE ONLY LOKOMAT SYSTEM AVAILABLE TO LOUISVILLE-AREA PATIENTS. LOKOMAT ASSISTS WITH WALKING MOVEMENTS FOR PATIENTS RECEIVING THERAPY FOR PARALYSIS OR MOVEMENT DISORDERS. NORTON COMMUNITY MEDICAL ASSOCIATES NETWORK OF PHYSICIAN PRACTICES LOCATED THROUGHOUT KENTUCKY AND SOUTHERN INDIANA THIS NETWORK CONSISTS OF PHYSICIAN PRACTICE LOCATIONS AND IMMEDIATE CARE CENTERS, TREATING APPROXIMATELY 1.38 MILLION PATIENTS IN 2013. ONE AREA OF SERVICE PROVIDED BY THE CMA IS TO STUDY THE NEEDS OF SPECIALTY SERVICES THAT ARE UNDERSERVED IN THE COMMUNITY AND STRIVE TO PROVIDE A QUALITY AND STABLE WORKFORCE TO SATISFY THOSE NEEDS. PROVIDED PHYSICIANS AND A CHAPLAIN WHO MAKE HOUSE CALLS FOR PATIENTS WHO HAVE DIFFICULTY LEAVING HOME FOR MEDICAL CARE. PHYSICIANS ARE INVOLVED IN MEDICAL SCREENING, COMMUNITY OUTREACH AND COMMUNITY EDUCATION ACTIVITIES TO PROMOTE WELLNESS AND EARLY INTERVENTIONS. RESEARCH IN 2013, NORTON HEALTHCARE PARTICIPATED IN MORE THAN 600 RESEARCH PROJECTS. THIS RESEARCH GIVES NORTON HEALTHCARE PATIENTS ACCESS TO NEW, INNOVATIVE TREATMENTS AND HELPS EXPAND THE MEDICAL COMMUNITY'S KNOWLEDGE. THESE EFFORTS IMPROVE THE QUALITY OF MEDICAL CARE AND WILL CONTINUE TO DO SO FOR FUTURE GENERATIONS. NORTON HEALTHCARE OFFICE OF RESEARCH ADMINISTRATION PARTNERED WITH NORTON UNIVERSITY TO OFFER RESEARCH EDUCATION TO ALL RESEARCHERS IN METRO LOUISVILLE AND BEYOND. IN 2013, NINE PROGRAMS WERE OFFERED. ATTENDEES INCLUDED NORTON HEALTHCARE, KENTUCKYONE HEALTH, UNIVERSITY OF LOUISVILLE HOSPITAL, FLOYD MEMORIAL HOSPITAL, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, ST. VINCENT HEALTH, UNIVERSITY OF KENTUCKY, UNIVERSITY OF LOUISVILLE AND VARIOUS COMMUNITY-BASED PRACTICES. CHILDREN'S HOSPITAL FOUNDATION THE CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS TO SUPPORT PROGRAMS, EQUIPMENT AND FACILITIES, RESEARCH, ADVOCACY AND EDUCATION FOR KOSAIR CHILDREN'S HOSPITAL. THE CHILDREN'S HOSPITAL FOUNDATION IS PLEASED TO BE ABLE TO PLAY SUCH A LARGE ROLE IN ENSURING THAT CHILDREN IN THE LOUISVILLE AREA HAVE THE MEDICAL CARE THEY NEED WHEN THEY NEED IT. THANKS TO SUPPORT FROM THE COMMUNITY, KOSAIR CHILDREN'S HOSPITAL HAS SOME OF THE MOST TALENTED AND DEDICATED PEDIATRIC SPECIALISTS AND CLINICAL AND CAREGIVING TEAMS IN THE COUNTRY READY TO CARE FOR CHILDREN. THIS SUPPORT ENABLED THE HOSPITAL TO PROVIDE CARE TO MORE THAN 156,000 CHILDREN IN 2013. KOSAIR CHILDREN'S HOSPITAL, A 265-BED HOSPITAL IS THE ONLY FULL-SERVICE, LEVEL 1 TRAUMA CENTER AND FREE-STANDING PEDIATRIC HOSPITAL IN KENTUCKY AND THE PRIMARY TEACHING FACILITY FOR THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE DEPARTMENT OF PEDIATRICS. IN ORDER TO CONTINUE TO ADDRESS THE COMMUNITY'S NEED FOR SPECIALIZED PEDIATRIC CARE AND MEET THE EVER-GROWING NEEDS FOR CHILDREN SERVED BY KOSAIR CHILDREN'S HOSPITAL, 2013 BROUGHT SEVERAL SPECIFIC FUNDRAISING INITIATIVES FORWARD TO DONORS AND THE COMMUNITY AT LARGE. THESE EFFORTS FOCUSED ON RAISING FUNDS FOR PEDIATRIC CANCER PREVENTIVE AND CARE, NEONATAL INTENSIVE CARE AND TYPE 1 DIABETES TREATMENT. 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 2013, INCLUDING: *MORE THAN $9 MILLION IN INVESTMENTS GRANTED TO KOSAIR CHILDREN'S HOSPITAL TO BENEFIT DOZENS OF AREAS OF CARE THROUGHOUT THE FACILITY.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENT	CHILDREN'S HOSPITAL FOUNDATION (CONTINUED) $2.5 MILLION GRANTED TO KOSAIR CHILDREN'S HOSPITAL FOR PHASE III NEONATAL INTENSIVE CARE UNIT EXPANSION. CONSTRUCTION IS CURRENTLY UNDERWAY TO PROVIDE PRIVATE AND SEMIPRIVATE ROOMS TO ALLOW ADDITIONAL PRIVACY FOR FAMILIES AND THEIR INFANTS. A NEW FAMILY CENTER WITH AMENITIES TO MAKE THE HOSPITAL FEEL MORE LIKE HOME, A MILK LAB, SEVERAL HIGH-TECH ROOMS AND ROOMS FOR MULTIPLES WILL ENHANCE THE UNIT AND PROVIDE A HEALING ENVIRONMENT FOR THE TINY PATIENTS IN THE HOSPITAL'S CARE. ENHANCES PEDIATRIC CARDIOLOGY STUDY ON BASIC SCIENCE AND CLINICAL TRANSLATION. RENOVATIONS TO THE ORTHOPAEDICS ON THE ST. MATTHEWS CAMPUS FUNDED THE PURCHASE OF ADDITIONAL TRANSPORT TEAM EQUIPMENT FUNDED THE DESIGN OF THE DIABETES OUTPATIENT CENTER AND TELEMETRY BEDS. THE CHILDREN'S HOSPITAL FOUNDATION OFFICE OF CHILD ADVOCACY OF KOSAIR CHILDREN'S HOSPITAL, PROVIDES SAFETY AND OUTREACH INFORMATION AIMED AT KEEPING KIDS OUT OF THE HOSPITAL. ENDOWED RESEARCH CHAIRS IN PEDIATRIC HEMATOLOGY/ONCOLOGY, SLEEP MEDICINE AND ENDOCRINOLOGY. PROVIDED STAFF EDUCATIONAL OPPORTUNITIES AND ADVANCED CERTIFICATIONS THAT CAN LEAD TO IMPROVED PATIENT TREATMENT. SUPPORT FROM THE CHILDREN'S HOSPITAL FOUNDATION ALLOWS THE PEDIATRIC SPECIALISTS AT KOSAIR CHILDREN'S HOSPITAL TO CONTINUE TO RESPOND TO THE UNIQUE MEDICAL NEEDS OF CHILDREN FROM BIRTH TO AGE 18. 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 SUBURBAN HOSPITAL. THE FOUNDATION RAISES FUNDS EACH YEAR FOR 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 2013 THAT SUPPORT HELPED THE FOUNDATION PROVIDE FUNDING TO: PROVIDE ENHANCEMENTS FOR THE MARSHALL WOMEN'S HEALTH & EDUCATION CENTER, LOCATED AT NORTON SUBURBAN HOSPITAL, WHICH PROVIDES A HEALING AND EDUCATIONAL GATHERING SPACE FOR EXPECTANT MOTHERS, WOMEN AT ALL STAGES OF LIFE AND THEIR FAMILIES TO LEARN HOW THEY CAN LIVE THEIR HEALTHIEST. SUPPORT NORTON CANCER INSTITUTE INITIATIVES THAT PROVIDE EARLY DETECTION SCREENINGS, EDUCATION AND CLINICAL RESEARCH. PROVIDE ENHANCEMENTS FOR NORTON WOMEN'S CARE AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL, HELPING FAMILIES WELCOME BABIES AS WELL AS SUPPORTING OUTREACH CARE FOR HIGH-RISK PREGNANT WOMEN. 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 AND NIXON LECTURESHIP SERIES, WHICH FOCUS ON TOPICS RELATED TO CANCER CARE, PREVENTION AND RESEARCH. ALLOW NURSES TO OBTAIN ONCOLOGY-CERTIFIED NURSE DESIGNATION, ENABLING THEM TO PROVIDE THE MOST ADVANCED AND COMPREHENSIVE CARE TO CANCER PATIENTS. PROVIDE BABY-FRIENDLY HOSPITAL INITIATIVES TO SUPPORT BREASTFEEDING AT NORTON HOSPITAL AND NORTON SUBURBAN HOSPITAL. PROVIDE SUPPORT FOR BREAST CANCER SURVIVORS. CAPITAL PROJECTS ARE ALSO FUNDED BY THE NORTON HEALTHCARE FOUNDATION. IN 2013, THE FOUNDATION FUNDED THE FOLLOWING PROJECTS: RENOVATION OF THE ADULT INTENSIVE CARE UNIT AND THE NEONATAL INTENSIVE CARE UNIT AT NORTON SUBURBAN HOSPITAL. EXPANSION OF THE LERMAN MUSIC LIBRARY AT NORTON AUDUBON HOSPITAL RENOVATION OF THE REGISTRATION AREA AT NORTON AUDUBON HOSPITAL RENOVATION OF THE PAIN CENTER AT NORTON HOSPITAL. THE NORTON HEALTHCARE FOUNDATION WILL CONTINUE TO FUND: SCREENINGS AND EDUCATIONAL PROGRAMS FOR PREVENTION AND EARLY DETECTION OF CANCER IN HIGH-RISK AND MEDICALLY UNDERSERVED AREAS OF KENTUCKY AND SOUTHERN INDIANA. INTITIATE AND DESIGNED TO IMPROVE CARDIOVASCULAR CARE. WOMEN'S CARE FOR THOSE WELCOMING A NEW CHILD TO THE FAMILY, AS WELL AS FOR OTHER WOMEN'S ISSUES. ADVANCED CARE THROUGH NORTON NEUROSCIENCE INSTITUTE FOR PATIENTS REQUIRING TREATMENT OF NEUROLOGICAL DISORDERS. *PREVENTION, SCREENING, CLINICAL RESEARCH AND PROGRAMS FOR NORTON CANCER INSTITUTE, PROVIDING ACCESS TO CARE AT EVERY STAGE OF CANCER. PHILANTHROPY PLAYS AN INCREASINGLY IMPORTANT ROLE AT NORTON HEALTHCARE AS CAREGIVERS STRIVE TO CONTINUOUSLY IMPROVE THE HEALTH OF THE COMMUNITY.
FORM 990, PART V, LINE 1A, COMMON PAYING AGENT 1099S	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC. AND THE CHILDREN'S HOSPITAL FOUNDATION INC. THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS, ARE PAID AND REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2013 BY NORTON HEALTHCARE, INC., WAS APPROXIMATELY 519. NORTON HEALTHCARE, INC., HAS APPROXIMATELY 95 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2013. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 945 VENDORS ON FORM 1096 FOR 2013.
FORM 990, PART V, LINE 1B, W-2 G COMMON PAYING AGENT	NORTON HEALTHCARE INC., AS THE COMMON PAYING AGENT, FILED TWO FORM W-2G ON BEHALF OF THE CHILDREN'S HOSPITAL FOUNDATION.
FORM 990, PART V, LINE 1C, COMMON PAYING AGENT FOR VENDORS	NORTON HEALTHCARE, INC., EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HEALTHCARE INC, AND ALL AFFILIATES. NORTON HEALTHCARE, INC. REQUIRES THAT ALL VENDORS PROVIDE AN ACCURATE TAXPAYER IDENTIFICATION NUMBER ON A FORM W-9, AS REQUIRED BY LAW, PRIOR TO ASSURANCE OF ANY PAYMENT.
FORM 990, PART V, LINE 2A, COMMON PAYING AGENT FOR EMPLOYEES	NORTON HEALTHCARE, INC EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF THESE NAMED ENTITIES. NORTON HEALTHCARE, INC. HAS APPROXIMATELY 1,913 EMPLOYEES. NORTON HEALTHCARE, INC., THE COMMON PAYING AGENT, REPORTED 13,098 EMPLOYEES ON FORM W-3 FOR 2013.
Form 990, Part VI, Sec A, 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, Sec A, Line 2, Family/business relationships amongst interested persons	MR. STEPHEN A. WILLIAMS, PRESIDENT AND CEO OF NORTON HEALTHCARE, INC., IS ALSO AN OFFICER FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., AND NORTON PROPERTIES, INC. MARIA L. BOUVETTE, PRESIDENT AND CEO (THROUGH JULY 31, 2013) OF PORTER BANCORP, INC. IS A TRUSTEE FOR NORTON HEALTHCARE, INC., NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC. AND NORTON PROPERTIES, INC. MR. WILLIAMS IS A BOARD MEMBER OF PORTER BANCORP, INC. - BUSINESS RELATIONSHIP, JAMES FRAZIER, KEY EMPLOYEE, NORTON HEALTHCARE, INC. BUSINESS RELATIONSHIP WITH STEVE HEILMAN AND DOUGLAS WINKELHAKE. - BUSINESS RELATIONSHIP, STEVE HEILMAN, KEY EMPLOYEE, NORTON HEALTHCARE, INC BUSINESS RELATIONSHIP WITH JAMES FRAZIER AND DOUGLAS WINKELHAKE. - BUSINESS RELATIONSHIP, DOUGLAS WINKELHAKE, KEY EMPLOYEE, NORTON HEALTHCARE, INC BUSINESS RELATIONSHIP WITH JAMES FRAZIER AND STEVE HEILMAN - BUSINESS RELATIONSHIP
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body	AT THE OCTOBER 9, 2014 FINANCE COMMITTEE MEETING OF NORTON HEALTHCARE, INC. (NORTON), THE 990S WERE DISCUSSED AND COMMITTEE MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS. COINCIDING WITH THE FINANCE COMMITTEE MEETING, ELECTRONIC COPIES OF THE 990S WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES THROUGH THE DIRECTOR'S PORTAL SITE. NORTON IS THE PARENT OF COMMUNITY MEDICAL ASSOCIATES, INC., NORTON HOSPITALS, INC., NORTON PROPERTIES, INC., NORTON HEALTHCARE FOUNDATION, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION, INC.
Form 990, Part VI, Sec B, 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, Sec B, 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, Sec B, 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 2012 FOR THE 2013 COMPENSATION REVIEW AND MET IN 2013 FOR THE 2014 COMPENSATION REVIEW WITH THE COMMITTEE OF BOARD LEADERSHIP (NOW EXECUTIVE COMMITTEE) OF THE BOARD OF TRUSTEES (BOARD) THE COMMITTEE REVIEWED THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM, DETERMINED TOTAL COMPENSATION FOR THE CEO, AND APPROVED COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE REVIEWED NHI'S VARIABLE COMPENSATION PROGRAM AND DETERMINED APPROPRIATE AWARDS FOR PERFORMANCE RELATIVE TO GOALS SET FOR THE YEAR. AFTER THE COMMITTEE DETERMINED APPROPRIATE COMPENSATION AND BENEFITS FOR OFFICERS AND KEY EMPLOYEES, THE BOARD APPROVED THEIR TOTAL COMPENSATION. EMPLOYMENT CONTRACTS FOR THE CEO, COO, AND CFO AND KEY EMPLOYEES ARE SIGNED, AND REVIEWED AS NECESSARY.
Form 990, Part VI, Sec C, 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 2013.
FORM 990, PART IX, LINE 11G, INTEREST EXPENSE LINE 20 AND INTEREST ALLOCATION LINE 24D	NORTON HEALTHCARE, INC.'S (NHI) METHODOLOGY FOR INTEREST EXPENSE ALLOCATION IS TO DETERMINE A BUDGET INTEREST EXPENSE AMOUNT BASED ON ANTICIPATED INTEREST EXPENSE TO BE RECORDED ON NHI'S OUTSTANDING DEBT. THE BUDGETED BOND INTEREST EXPENSE IS ALLOCATED TO ITS AFFILIATES MONTHLY THROUGHOUT THE FISCAL YEAR. FOR PURPOSES OF THE FORM 990 THE AMOUNT OF INTEREST EXPENSE ALLOCATED TO NHI'S AFFILIATES IS REPORTED ON PART IX, LINE 24D. ANY INCREASE OR DECREASE TO THE ACTUAL BOND INTEREST EXPENSE DURING THE FISCAL YEAR IS NOT ALLOCATED TO ITS AFFILIATES BUT IS REFLECTED IN NHI'S FINANCIAL STATEMENTS AND THE FORM 990, PART IX, LINE 20 ACCORDINGLY. IN 2013, THE AMOUNTS BUDGETED FOR THE INTEREST EXPENSE ALLOCATIONS WERE IN EXCESS OF THE ACTUAL AMOUNTS RECORDED. FACTORS CONTRIBUTING TO THE FAVORABLE INTEREST EXPENSE WERE: EARNINGS ON THE CASH FLOW ON THE SWAP AGREEMENTS EXCEEDED EXPECTATIONS, CONTINUATION OF LOW VARIABLE RATES THAT WERE LESS THAN EXPECTATIONS AND A BOND REFUNDING TO A MUCH LOWER INTEREST RATE.
Form 990, Part IX, Line 11g, Other Expenses	OUTSIDE SERVICES - TOTAL EXPENSE: 54024283, PROGRAM SERVICE EXPENSE: 47541367, MANAGEMENT AND GENERAL EXPENSES: 6482916, FUNDRAISING EXPENSES: ; OTHER EXPENSES - TOTAL EXPENSE: 423124, PROGRAM SERVICE EXPENSE: 356673, MANAGEMENT AND GENERAL EXPENSES: 66451, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 274584, PROGRAM SERVICE EXPENSE: 214875, MANAGEMENT AND GENERAL EXPENSES: 59709, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - TOTAL EXPENSE: 15239, PROGRAM SERVICE EXPENSE: 15239, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	AFFILIATE TRANSFER - -188031; SWAP MARK TO MARKET ADJUSTMENT - -9964772; CHANGE IN MINIMUM PENSION LIABILITY - -9448694;
FORM 990, PART XII, LINE 3A, A-133 AUDITS PART XII LINE 3A AND 3B	AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFITS ORGANIZATIONS, IN 2013 NORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION) RECEIVED AN AUDIT IN ACCORDANCE WITH THE SINGLE AUDIT ACT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
NORTON HOSPITALS INC
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	610703799	PROVIDE HOSPITAL SERVICES	KY	501(C)(3)	3	NA	Yes (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	Yes (true)
NORTON PROPERTIES INC
224 E BROADWAY 5TH FLOOR	LOUISVILLE	KY	40202	611028724	MAINTAINS OFFICE AND PARKING FACILITIES	KY	501(C)(3)	11 - Type I	NA	Yes (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	Yes (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	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NORTON ENTERPRISES INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	224 E BORADWAY 5TH FLOOR	AddressLine1
City	LOUISVILLE	City
State	KY	State
ZIP Code	40202	ZIPCode

Field	Value	IRS element (for citing)
EIN	611054301	EIN
Primary Activities	PROVIDE NURSING AND PATHOLOGY SERVICES	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Entity Type	C CORPORATION	EntityTypeTxt
Share Of Total Income	$34,888,665	ShareOfTotalIncomeAmt
Share Of EOY Assets	$36,849,149	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTON HOSPITALS INC
R	$1,284,167,637	FMV
NORTON HOSPITALS INC
S	$1,392,945,080	FMV
COMMUNITY MEDICAL ASSOCIATES INC
R	$273,468,253	FMV
COMMUNITY MEDICAL ASSOCIATES INC
S	$234,956,137	FMV
NORTON PROPERTIES INC
R	$37,210,886	FMV
NORTON PROPERTIES INC
S	$31,355,352	FMV
THE CHILDREN'S HOSPITAL FOUNDATION INC
R	$4,614,116	FMV
THE CHILDREN'S HOSPITAL FOUNDATION INC
S	$4,750,569	FMV
NORTON HEALTHCARE FOUNDATION INC
R	$1,695,015	FMV
NORTON HEALTHCARE FOUNDATION INC
S	$1,439,459	FMV