2011-11-11T08:28:37-06:00 2010-12-31 CROWE HORWATH LLP 9600 BROWNSBORO ROAD SUITE 400 LOUISVILLE KY 402411122 990 2010-01-01 610703799 NORTON HOSPITALS INC NORT 5026298263 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 402022025 MICHAEL W GOUGH 5026298326 2011-11-11 1 5023263996 2010 2016-03-07 17:11:31Z STEPHEN A WILLIAMS 234 EAST GRAY ST SUITE 225 LOUISVILLE KY 40202 1300221627 0 X WWW.NORTONHEALTHCARE.COM X 1969 KY TO PROVIDE QUALITY HEALTH CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY. 22 19 9412 1285 3614530 0 18067826 11639183 1209298877 1283063357 -190997 -34744 3529629 3748021 1230705335 1298415817 0 0 0 0 468814462 488142913 0 0 0 701714522 744009869 1170528984 1232152782 60176351 66263035 764799143 849219774 65479695 83370485 699319448 765849289 X NORTON HOSPITALS, INC.'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. 0 0 1197522015 1281974430 NORTON HOSPITALS, INC. (NORTON) WAS FORMED TO: I) ESTABLISH AND MAINTAIN HOSPITALS OR HEALTH CARE FACILITIES, WITHIN OR OUTSIDE THE COMMONWEALTH OF KENTUCKY, WITH PERMANENT FACILITIES THAT INCLUDE INPATIENT BEDS AND MEDICAL SERVICES TO PROVIDE DIAGNOSIS, CARE AND TREATMENT FOR PEDIATRIC AND ADULT PATIENTS; II) CARRY ON EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED; III) PROMOTE AND CARRY ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; IV) PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; AND V) PROVIDE ON A NONPROFIT BASIS, HOSPITAL OR HEALTH CARE FACILITIES AND SERVICES FOR THE CARE AND TREATMENT OF PERSONS WHO ARE ACUTELY ILL OR WHO OTHERWISE REQUIRE MEDICAL CARE AND RELATED SERVICES OF THE KIND CUSTOMARILY FURNISHED MOST EFFECTIVELY BY HOSPITALS OR HEALTH CARE FACILITIES.NORTON HAS A TOTAL OF 1,837 LICENSED BEDS, NORTON HOSPITAL - 642 BEDS; KOSAIR CHILDREN'S HOSPITAL (KCH) - 263 BEDS; NORTON AUDUBON HOSPITAL - 432 BEDS; NORTON SUBURBAN HOSPITAL - 373 BEDS; AND NORTON BROWNSBORO HOSPITAL - 127 BEDS. THESE HOSPITALS OPERATE TWENTY-FOUR (24) HOURS A DAY, SEVEN (7) DAYS A WEEK. IN 2010, NORTON'S HOSPITALS SERVED 60,408 INPATIENTS, 373,239 OUTPATIENTS, AND 174,888 EMERGENCY ROOM VISITS. IN ADDITION, NORTON'S OPERATING ROOMS CARED FOR 19,466 INPATIENT SURGICAL PATIENTS AND 32,274 OUTPATIENT SURGICAL PATIENTS. ADDITIONALLY, 8,082 BABIES WERE DELIVERED AT NORTON BIRTHING CENTERS.UNDER ITS CHARITY CARE PROGRAM, NORTON PROVIDED FREE CARE TO 5,575 PATIENTS, AT A COST OF $11.3 MILLION. ALSO, NORTON GRANTS PATIENTS A DISCOUNT FROM BILLED CHARGES TO ANY INDIVIDUALS THAT HAVE NO ACCESS TO PRIVATE HEALTH INSURANCE OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE OR CHARITY CARE. UNDER THIS PROGRAM, 42,817 PATIENTS RECEIVED CARE AT DISCOUNTED RATES. OTHER CONTRIBUTIONS TO THE COMMUNITY WERE THE UNPAID COST OF MEDICAID SERVICES TOTALING $80.2 MILLION AND EDUCATIONAL SUPPORT OF $24.3 MILLION, PRIMARILY TO THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE. ALSO, COMMUNITY HEALTH IMPROVEMENT SERVICES TOTALED $9.9 MILLION AND CONTRIBUTIONS TO COMMUNITY GROUPS WERE $3.6 MILLION. 1197522015 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 X 278 0 1 9412 1 1 1 0 0 0 0 0 0 0 0 0 X 22 19 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X HELENA SCHULZ 5026298263 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 402022025 X DONALD H ROBINSON 1.00 X 0 0 0 JOSEPH A PARADIS III 1.00 X 0 1500 0 CHERYL BALKENHOL 1.00 X 0 0 0 MARIA L BOUVETTE 1.00 X 0 0 0 CAROLYN J GATZ 1.00 X 0 1500 0 ROBERT GOODIN MD 1.00 X 0 1500 0 CRAIG GRANT 1.00 X 0 1500 0 R K GUILLAUME 1.00 X 0 1500 0 KEVIN HABLE 1.00 X 0 0 0 MARIA GERWING HAMPTON 1.00 X 0 1500 0 MARTHA HEYBURN MD 1.00 X 0 1500 0 RONALD LEHOCKY MD 1.00 X 0 1500 0 GREGORY E MAYES 1.00 X 0 1500 0 MARY MOSELEY 1.00 X 0 0 0 MITCH NICHOLS 1.00 X 0 0 0 GAIL LYTTLE 1.00 X 0 0 0 G HUNT ROUNSAVALL 1.00 X 0 0 0 REV WILLIAM J SCHULTZ 1.00 X 0 0 0 RICHARD S WOLF MD 1.00 X 0 0 0 STEPHEN A WILLIAMS 10.00 X X 0 1908292 298109 WENDELL P WRIGHT 1.00 X 0 1500 0 GARY L STEWART 1.00 X 0 1818 0 RUSSELL F COX 10.00 X 0 1087174 199165 MICHAEL W GOUGH 10.00 X 0 918325 170550 ROBERT B AZAR 10.00 X 0 483151 86735 THOMAS KMETZ 50.00 X 612104 0 126388 JOHN HARRYMAN 50.00 X 600037 0 124522 KEVIN WARDELL 50.00 X 632096 0 111496 STEVEN MACLAUCHLAN 50.00 X 479365 0 103061 DOUGLAS WINKELHAKE 50.00 X 531895 0 107780 ROBERT SHAW 50.00 X 488455 0 86747 JOHN HAMM 50.00 X 765634 0 39798 STEVEN PURSELL 50.00 X 746742 0 28799 THOMAS WOODCOCK 50.00 X 733994 0 36910 DAVID DOERING 50.00 X 685743 0 37144 BRIAN STOLL 50.00 X 675791 0 34134 GREGG DAVIS 1.00 X 0 228473 31026 JON COOPER 1.00 X 0 307465 62566 6951856 4949698 1684930 267 1 1 0 UNIVERSITY OF LOUISVILLE 323 E CHESTNUT STREET LOUISVILLE KY 40202 RESIDENCY PROGRAM 9033097 MESSER TMG LLC 11001 PLANTSIDE DR LOUISVILLE KY 40299 CONSTRUCTION & REPAIRS 6336556 MORRISON MANAGEMENT SPECIALIST P O BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 4044563 PEDIATRIC ANESTHESIA ASSOCIATION 462 S 4TH STREET LOUISVILLE KY 40202 ANESTHESIA SERVICE 3515075 INO THERAPEUTICS INC P O BOX 642509 PITTSBURGH PA 15264 INHALATION THERAPY SERVICES 3166535 128 4838603 1097306 5703274 11639183 NET PATIENT REVENUE 621110 1281728220 1278113690 3614530 HEALTHCARE EDUCATION 611710 1335137 1335137 1283063357 2096 2096 1754520 1594595 159925 159925 159925 174375 211215 -36840 -36840 -36840 PURCHASING CO-OP INC 561499 2484361 2484361 PARKING INCOME 812930 1062493 1062493 PURCHASING DISCOUNTS 900099 41242 41242 3588096 1298415817 1281974430 3614530 1187674 2916134 2916134 98500 98500 386601520 386601520 20943816 20943816 50733005 50733005 26849938 26849938 1650 1650 90276366 90276366 283017067 283017067 15775807 15775807 1070840 1070840 37770726 37770726 51838876 51838876 30761517 30761517 ALLOCATED SUPPORT 144294862 109664095 34630767 BAD DEBT 49234161 49234161 PROVIDER TAX 20129732 20129732 REPAIRS & MAINTENANCE 8380473 8380473 EQUIP RENTAL & MAINT 6158909 6158909 5298883 5298883 1232152782 1197522015 34630767 0 29110 47213 136371355 135293360 40701058 42571219 1152659 1921282 1055520732 505183604 540820333 550337128 1945521 2141356 43779107 116908216 764799143 849219774 49549594 50403909 272458 234894 15657643 32731682 65479695 83370485 X 691600636 759120670 7718812 6728619 699319448 765849289 764799143 849219774 X 66263035 266806 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23220715 23220715 506740420 178053859 328686561 443469719 322397893 121071826 82089878 4731852 77358026 550337128 MISCELLANEOUS RECEIVABLES 1227168 INVESTMENT IN PREMIER PURCHASING PARTNERS, L.P. 4541268 RECEIVABLE FROM AFFILIATE 100906835 PHYSICIAN GUARANTEE ASSET 10232945 116908216 DUE TO THIRD PARTY PAYORS 16952009 ASSET RETIREMENT OBLIGATION 5546728 PHYSICIAN GUARANTEE LIABILITY 10232945 32731682 1298415817 1232152782 66263035 266806 266806 66529841 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: NORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, NORTON ENTERPRISES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON PROPERTIES, INC., THE CHILDREN'S HOSPITAL FOUNDATION) COMPLETED AN ANALYSIS OF ITS TAX POSITION AT DECEMBER 31, 2010 AND 2009, AND DETERMINED THAT NO MATERIAL AMOUNTS WERE REQUIRED TO BE RECOGNIZED UNDER ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES, IN THE COMBINED FINANCIAL STATEMENTS AT DECEMBER 31, 2010 AND 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: AFFILIATE TRANSFER 266,806 1 1 X 1 X 300.000000000000 0 1 1 1 0 0 11336345 0 11336345 0.00960 244489026 194306708 50182318 0.04240 10609585 3088019 7521566 0.00640 266434956 197394727 69040229 0.05840 9966172 51544 9914628 0.00840 27862911 3542882 24320029 0.02060 0 0 359937 0 359937 0.00030 3595782 0 3595782 0.00300 41784802 3594426 38190376 0.03230 308219758 200989153 107230605 0.09070 9711 9711 0.00000 14038 14038 0.00000 23749 23749 1 37982756 2546961 279906832 305687913 -25781081 X 1 1 5 1 NORTON HOSPITAL

200 E CHESTNUT STREET LOUISVILLE KY 40202

X X X X 2 KOSAIR CHILDREN'S HOSPITAL

231 E CHESTNUT STREET LOUISVILLE KY 40202

X X X X X 3 NORTON AUDUBON HOSPITAL

ONE AUDUBON PLAZA DRIVE LOUISVILLE KY 40217

X X X X 4 NORTON SUBURBAN HOSPITAL

4001 DUTCHMANS LANE LOUISVILLE KY 40207

X X X X 5 NORTON BROWNSBORO HOSPITAL

4950 NORTON HEALTHCARE BLVD LOUISVILLE KY 40241

X X X NOT REQUIRED 1 1 NORTON DIAG CTR-DXP IMAGING NEWBURG

3430 NEWBURG ROAD SUITE 150 LOUISVILLE KY 40218

INDEPENDENT DIAGNOSTIC TESTING FACILITY PART I, LINE 3C: NOT APPLICABLE. PART I, LINE 6A: NOT APPLICABLE.PART I, LINE 7G: NOT APPLICABLE. PART I, LINE 7: LINE 7A, 7B AND 7C; THE COSTING METHODOLOGY USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSES WERE TO CALCULATE THE COST BY HOSPITAL LOCATION (5 SEPARATE HOSPITAL LOCATIONS UNDER ONE MEDICARE PROVIDER NUMBER). THE COST WAS DETERMINED BASED ON A SPECIFIC LOCATION COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS ADJUSTED FOR BAD DEBT AND OTHER COSTS. THE COST USED IN THE CALCULATION WAS REDUCED BY BAD DEBTS, PROVIDER TAXES, GRADUATE MEDICAL EDUCATION EXPENSES, AND OTHER COSTS. THE ADJUSTED COST TO CHARGE RATIO WAS THEN MULTIPLIED TIMES THE GROSS CHARGES FOR QUALIFIED FINANCIAL ASSISTANCE CHARGES, MEDICAID AND THE STATE DSH PROGRAM (OTHER MEANS TESTED GOVERNMENT PROGRAM) TO OBTAIN THE SPECIFIC COMMUNITY BENEFIT EXPENSE.LINE 7E - AMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM TO THE MISSION OF OUR EXEMPT PURPOSE. LINE 7F - AMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH VARIOUS EDUCATIONAL PROGRAMS.LINE 7H - AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT COMMUNITY HEALTH RESEARCH REGARDING OUTCOMES AND EFFECTIVENESS OF TREATMENTS. LINE 7I - IN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, NORTON HOSPITALS, INC. CONTINUES ITS TRADITION OF CONTRIBUTING MONIES TO NUMEROUS ORGANIZATIONS. AMOUNTS PRESENTED REPRESENT ACTUAL MONIES CONTRIBUTED TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $49,234,161. THE BAD DEBT EXPENSE WAS SUBTRACTED FROM TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART III, LINE 4: RATIONALE AND THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3.THE FINANCIAL STATEMENTS BAD DEBT EXPENSE WAS UTILIZED AS THE STARTING POINT FOR ESTIMATING THE COST OF BAD DEBT. WE FIRST ALLOCATED THE BAD DEBT EXPENSE BASED ON THE DECEMBER 31, 2010 ACCOUNTS RECEIVABLE RESERVE SCHEDULE BETWEEN SELF PAY AND ALL OTHER FINANCIAL CATEGORIES. BOTH CATEGORIES (SELF PAY AND ALL OTHER) WERE MULTIPLIED TIMES THE FINANCIAL STATEMENTS BAD DEBT EXPENSE TO GET THEIR RESPECTIVE ESTIMATED BAD DEBT EXPENSE. THE SELF PAY BAD DEBT EXPENSE WAS DIVIDED BY THE PERCENTAGE OF THE ACCOUNTS RECEIVABLE BALANCE EXPECTED AFTER THE HOSPITAL'S SELF PAY DISCOUNT WAS APPLIED TO ALL SELF PAY ACCOUNTS. THE RESULT IS THE ESTIMATED GROSS CHARGES FOR SELF PAY ACCOUNTS WHICH WAS THEN MULTIPLIED TIMES THE RATIO OF COST TO CHARGES PER THE COMMUNITY BENEFIT CALCULATIONS, TO OBTAIN THE ESTIMATED COST OF BAD DEBT EXPENSE FOR SELF PAY PATIENTS.THE "ALL OTHER" BAD DEBT EXPENSE WAS DIVIDED BY THE ESTIMATED ACCOUNTS RECEIVABLE BALANCE AFTER THE FYE 2010 "ALL OTHER" AVERAGE CONTRACTUAL PERCENTAGE. THE RESULT IS THE ESTIMATED GROSS CHARGES FOR "ALL OTHER" ACCOUNTS, WHICH WAS THEN MULTIPLIED TIMES THE RATIO OF COST TO CHARGES PER THE COMMUNITY BENEFIT CALCULATIONS, TO OBTAIN THE ESTIMATED COST OF BAD DEBT EXPENSE FOR "ALL OTHER" PATIENTS. THE ESTIMATED COST OF BAD DEBT EXPENSE FOR SELF PAY PATIENTS AND "ALL OTHER" PATIENTS WERE ADDED TOGETHER FOR THE AMOUNT REPORTED ON PART III, LINE 2. DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE.BAD DEBT EXPENSE IS BASED ON MANAGEMENT ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS AND HISTORICAL BUSINESS, TRENDS IN HEALTHCARE COLLECTIONS AND INSURANCE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THIS REVIEW IS THEN USED TO MAKE CHANGES TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE BAD DEBT EXPENSE IS BASED ON THE NET ESTIMATED AMOUNT EXPECTED TO BE DUE FROM THE PATIENT/PAYOR. BAD DEBT EXPENSE FALLS INTO THREE CATEGORIES, TRUE SELF PAY, PATIENT RESPONSIBILITY AFTER INSURANCE, AND OTHER. TRUE SELF PAY - FOR TRUE SELF PAY PATIENTS, THE SELF PAY DISCOUNT IS APPLIED TO THE ACCOUNT ASSUMING THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE BAD DEBT EXPENSE WRITE-OFF IS THE DISCOUNTED AMOUNT LESS ANY PAYMENTS MADE BY THE PATIENT. PATIENT RESPONSIBILITY AFTER INSURANCE - THE BAD DEBT EXPENSE WRITE-OFF FOR PATIENT'S RESPONSIBILITY AFTER INSURANCE IS BASED ON THE PATIENT'S LIABILITY PER THE EXPLANATION OF BENEFITS AND CONTRACT WITH THE INSURANCE COMPANY. THE BAD DEBT EXPENSE WRITE-OFF IS THE EXPECTED AMOUNT DUE LESS ANY PAYMENTS MADE BY THE PATIENT.OTHER - THE OTHER CATEGORY IS FOR INSURANCE AMOUNTS DUE FROM PAYORS. MOST EXPECTED PAYMENTS NOT RECEIVED FROM AN INSURANCE COMPANY AFTER INVESTIGATION INTO PAYMENT DIFFERENCE ARE WRITTEN OFF TO CONTRACTUAL ALLOWANCE/DENIAL CATEGORY.DESCRIBE THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY.THE METHOD USED TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR FINANCIAL ASSISTANCE POLICY IS BASED ON OUR OUTSIDE ELIGIBILITY VENDOR'S EXPERIENCE WITH QUALIFYING ACCOUNTS AS FINANCIAL ASSISTANCE. MEDASSIST, OUR OUTSIDE VENDOR SCREENS ALL SELF PAY ACCOUNTS AND BASED ON AN INITIAL SCREENING, WILL CLASSIFY THE ACCOUNT AS "PROBABLE" FINANCIAL ASSISTANCE IF THE ACCOUNTS APPEARS TO MEET NORTON HOSPITALS, INC.'S (NHI) FINANCIAL ASSISTANCE PROGRAM GUIDELINES. THESE ACCOUNTS ARE THEN REQUIRED TO SUBMIT THE NECESSARY DOCUMENTATION TO ULTIMATELY BE CLASSIFIED AS A FINANCIAL ASSISTANCE ACCOUNT. BASED ON ALL ACCOUNTS THAT ARE CLASSIFIED AS "PROBABLE FINANCIAL ASSISTANCE" BY MEDASSIST AND THEIR EXPERIENCE WITH GETTING ACCOUNTS QUALIFIED AS FINANCIAL ASSISTANCE, IT IS ESTIMATED THAT 80% OF THOSE ACCOUNTS CLASSIFIED AS PROBABLE FINANCIAL ASSISTANCE AND WHICH DO NOT SUBMIT THE REQUIRED DOCUMENTATION WOULD QUALIFY AS A NHI FINANCIAL ASSISTANCE ACCOUNT. THE ESTIMATED COST OF ACCOUNTS THAT ARE ESTIMATED TO QUALIFY FOR OUR FINANCIAL ASSISTANCE PROGRAM IS CALCULATED BASED ON GROSS CHARGES FOR ACCOUNTS FOR THE YEAR THAT ARE PROBABLE, BUT DO NOT SUBMIT THE NECESSARY DOCUMENTATION MULTIPLIED TIMES OUR COST TO CHARGE RATIO TIMES THE 80% ESTIMATED CONVERSION FACTOR.TEXT FROM FINANCIAL STATEMENTS THAT DESCRIBE BAD DEBT EXPENSE.ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTSTHE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST WAS BASED ON THE MEDICARE PRINCIPLES USED IN COMPLETING THE MEDICARE COST REPORT. ALL COST REPORTED CAME FROM THE MEDICARE COST REPORT.NORTON HOSPITALS, INC. (NHI) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. NHI BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES. NHI EXPERIENCED SIGNIFICANT LOSSES ($25.8 MILLION FOR FYE 2010) DUE TO UNDERPAYMENT FOR MEDICARE PATIENTS. UNREIMBURSED MEDICARE COSTS REPRESENT A SIGNIFICANT VALUE THAT NONPROFIT HOSPITALS PROVIDE TO THE COMMUNITY, AS THE HOSPITAL RELIEVES THE FEDERAL GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES ESSENTIAL HEALTHCARE SERVICES TO MEDICARE COVERED PATIENTS. PART III, LINE 9B: AFTER THE PATIENT'S INITIAL SCREENING FOR FINANCIAL ASSISTANCE, IF IT APPEARS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, NORTON HOSPITALS, INC. WILL NOT START COLLECTION EFFORTS PENDING THE PATIENT SUBMITTING THE NECESSARY INFORMATION TO DOCUMENT MEETING THE FINANCIAL ASSISTANCE QUALIFICATIONS. IF THE PATIENT SUBMITS THE NECESSARY DOCUMENTATION WITHIN A REASONABLE TIME PERIOD AND QUALIFIES FOR FINANCIAL ASSISTANCE, THEN THERE WILL NOT BE ANY COLLECTION EFFORTS MADE TO COLLECT ANY AMOUNT FROM THE PATIENT. THE PATIENT WILL RECEIVE A STATEMENT/BILL REFLECTING THE AMOUNT DUE THROUGHOUT THE FINANCIAL ASSISTANCE APPLICATION PROCESS PENDING THE PATIENT'S FINANCIAL ASSISTANCE APPLICATION, BUT THERE WILL BE NO COLLECTION EFFORTS. ONLY AFTER SEVERAL ATTEMPTS TO CONTACT THE PATIENT TO GET THE NECESSARY DOCUMENTATION FOR COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND THE PATIENT NOT RESPONDING, WILL COLLECTION EFFORTS BEGIN TO COLLECT THE AMOUNT DUE FROM THE PATIENT. THERE IS AN ONGOING EFFORT THROUGHOUT THE COLLECTION PROCESS TO SCREEN FOR MEDICAID ELIGIBILITY AND THE NEED FOR PROVIDING FINANCIAL ASSISTANCE APPLICATIONS TO PATIENTS. IF A PATIENT IS APPROVED FOR FINANCIAL ASSISTANCE, THEIR ACCOUNT IS WRITTEN OFF. PART VI, LINE 2: NEEDS ASSESSMENTNORTON HOSPITALS, INC. (NHI) REGULARLY AND CONSISTENTLY EVALUATES WORKFORCE AND COMMUNITY HEALTH CARE NEEDS THROUGH PARTNERSHIPS WITH LOCAL HEALTH DEPARTMENTS, EMERGENCY MEDICAL SERVICE, LOCAL AND STATE UNIVERSITIES, AND KENTUCKIANA WORKS, THE WORKFORCE INVESTMENT BOARD FOR THE SEVEN COUNTY REGION SURROUNDING LOUISVILLE. PARTNERSHIPS WITH THESE ORGANIZATIONS, ALONG WITH NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION AND OTHERS, ALSO PROVIDE NHI IMPORTANT STATISTICS AND DATA TO USE IN EVALUATING COMMUNITY ACCESS TO HEALTH CARE SERVICES AND HEALTH CARE DISPARITIES. ADDITIONALLY, NHI ACCESSES DATA FROM ORGANIZATIONS SUCH AS THE CENTERS FOR DISEASE CONTROL AND THE UNITED STATES CENSUS BUREAU TO ASSESS AREAS OF GREATEST ANTICIPATED POPULATION GROWTH AND LOW-INCOME AREAS - BOTH OF WHICH MAY BE IN GREATEST NEED FOR PREVENTION EDUCATIONS, FREE SCREENINGS AND ACCESS TO HEALTH CARE. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EDUCATION OF PATIENT/GUARANTORS REGARDING NORTON FINANCIAL ASSISTANCE AND KOSAIR CHARITIES ASSISTANCENORTON HOSPITALS, INC. (NHI) EMPLOYS AN OUTSIDE ELIGIBILITY VENDOR, MEDASSIST. ALL SELF PAY ACCOUNTS FOR THE ADULT FACILITIES ARE PLACED FOR ELIGIBILITY SCREENING WITH MEDASSIST. THEY SCREEN FOR: NORTON FINANCIAL ASSISTANCE, MEDICAID, PASSPORT, AND DSH/KHCP. IN ADDITION, THEY ALSO PROVIDE EDUCATION AND REFERRAL ASSISTANCE TO THE APPROPRIATE COUNTY/STATE DEPARTMENTS FOR FOOD STAMPS, RENT ASSISTANCE, HEATING ASSISTANCE, ETC. THE PROCESS OF COMPLETING THE APPLICATION IS OFTEN PERFORMED BY MEDASSIST THEMSELVES. THEY PROTECT FILING DEADLINES BY SUBMITTING THE APPROPRIATE FORMS TO THE STATE/COUNTY, THEY FOLLOW UP TO SECURE PROOF OF INCOME DOCUMENTS FOR NORTON FINANCIAL ASSISTANCE, AND FOLLOW-UP WITH THE PATIENT'S ASSIGNED STATE CASEWORKER. MEDASSIST ALSO MAKES OUTSIDE FIELD CALLS OR HOME VISITS TO THE PATIENTS TO SECURE THE NEEDED INFORMATION FOR ELIGIBILITY ASSISTANCE IF THEY ARE HOMEBOUND AS WELL AS PROVIDING ASSISTANCE WITH PATIENT TRANSPORTATION NEEDS SO THAT THE PATIENT CAN MAKE THEIR SCHEDULED APPOINTMENTS WITH THEIR CASEWORKER. ALL OF THE SERVICES PROVIDED BY MEDASSIST ELIGIBILITY ARE AT NO COST TO THE PATIENT. NHI PAYS FOR THESE ELIGIBILITY SERVICES AT NO COST OF WELL OVER $1,000,000 PER YEAR. IN 2006, NHI RE-ASSIGNED FIVE INSURANCE COLLECTORS AND REMOVED THEM FROM FOLLOWING UP ON INSURANCE BALANCES THAT WERE OWED TO NHI. NOW, THESE COLLECTORS ARE FINANCIAL ASSISTANCE COLLECTORS AND THEY FOLLOW UP AND ASSIST PATIENTS WITH SCREENING, APPLYING, AND PROVIDING THE DOCUMENTATION TO QUALIFY THE GUARANTORS FOR FINANCIAL ASSISTANCE THROUGH KOSAIR CHARITIES AND NORTON FINANCIAL ASSISTANCE. IN 2008/2009 WE RE-ASSIGNED AN ADDITIONAL ONE AND ONE HALF FULL TIME EMPLOYEES FROM INSURANCE TO SELF PAY/FINANCIAL ASSISTANCE FOLLOW-UP FOR A TOTAL OF 8 FULL TIME EMPLOYEES, INCLUDING THE SUPERVISOR.FINANCIAL ASSISTANCE FOR KOSAIR CHARITES FINANCIAL ASSISTANCE OR NORTON FINANCIAL ASSISTANCE IS NOT LIMITED TO THE SELF PAY POPULATION. EVEN PATIENTS WITH INSURANCE COVERAGE ARE ENCOURAGED TO APPLY FOR ASSISTANCE SO THAT THEIR DEDUCTIBLES, CO-PAYMENTS, AND CO-INSURANCE AMOUNTS ARE COVERED UNDER THE VARIOUS ASSISTANCE PROGRAMS.FINANCIAL COUNSELORS/SOCIAL WORKERS AT THE ADULT FACILITIES AS WELL AS KOSAIR CHILDREN'S HOSPITAL ARE EDUCATED AND TRAINED TO ASSIST WITH COUNSELING PATIENTS AND DETERMINING AND EXPLAINING OUR FINANCIAL ASSISTANCE PROGRAMS. THEY CONTINUE TO RECEIVE ON-GOING EDUCATION THROUGHOUT THE YEAR REGARDING ELIGIBILITY CHANGES AND ADDITIONS FOR NORTON FINANCIAL ASSISTANCE, KOSAIR CHARITIES, DSH/KHCP, MEDICAID, ETC. THE FOUNDATION OFFICE SENDS POTENTIAL REFERRALS TO PATIENT FINANCIAL SERVICES TO SCREEN FOR POSSIBLE FINANCIAL ASSISTANCE AS THEY RECEIVE INQUIRIES IN THE FOUNDATION OFFICE.IF A PATIENT DOES NOT QUALIFY FOR KOSAIR CHARITY, THEN THOSE DENIED APPLICATIONS ARE REFERRED TO THE DIRECTOR OF PATIENT FINANCIAL SERVICES FOR CONSIDERATION FOR SPECIAL FUNDING THROUGH THE CHILDREN'S FOUNDATION AS WELL AS OTHER PROGRAMS. ON THE BACK OF EVERY MONTHLY PATIENT ACCOUNT STATEMENT THAT IS SENT FROM NHI TO NON-OUTSOURCED ACCOUNTS, THE FINANCIAL ASSISTANCE APPLICATION IS PRINTED. IN ADDITION, ON THE FRONT SIDE OF THE STATEMENT JUST ABOVE THE PERFORATION, IN ORDER TO DRAW GREATER ATTENTION TO THE APPLICATION LOCATED ON THE BACKSIDE OF THE STATEMENT, THERE IS A RED, BOLDED, CAPITALIZED PHRASE THAT INDICATES "SEE BACK FOR FINANCIAL ASSISTANCE APPLICATION."COLLECTION AGENCIES CHOSEN BY NHI PRINT ON THE BACK OF THEIR INITIAL PLACEMENT LETTER, OR AN INSERT IS MAILED WITH THE INITIAL PLACEMENT LETTER, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION FOR THE GUARANTOR TO COMPLETE.RECENT CHANGES HAVE BEEN MADE AND CONTINUE TO BE MADE TO THE PATIENT LETTERS TO FURTHER EXPLAIN THE PROGRAMS THAT ARE AVAILABLE TO ASSIST PATIENTS WITH THEIR BILLS.COLLECTION AGENCIES CONTRACTED WITH NHI ARE REQUIRED TO PLACE A COPY OF THE FINANCIAL ASSISTANCE APPLICATION AS A PART OF THEIR STANDARD NOTIFICATION LETTER.ON THE STANDARD NOTIFICATION LETTER THAT COLLECTION AGENCIES SEND TO NHI PATIENTS, IS A PHRASE WRITTEN IN SPANISH THAT THAT INDICATES FOR THE SPANISH SPEAKING PATIENT TO CONTACT A SPECIFIC NUMBER TO SPEAK WITH A SPANISH SPEAKING COLLECTOR. THAT SPANISH SPEAKING REPRESENTATIVE WILL ALSO PROVIDE FINANCIAL ASSISTANCE INFORMATION.NHI HAS TRANSLATED A SERIES OF FINANCIAL ASSISTANCE LETTERS AND THE FINANCIAL ASSISTANCE APPLICATION IN SPANISH AS WELL AS VIETNAMESE.NHI CUSTOMER SERVICE DEPARTMENT ROUTINELY INSTRUCTS AND SCREENS PATIENTS IN THE PROTOCOL REGARDING FINANCIAL ASSISTANCE THRU KOSAIR CHARITIES OR NORTON FINANCIAL ASSISTANCE.BEGINNING IN 2007, NHI OFFERED AT THE TIME OF FINAL BILLING ALL TRUE SELF PAY PATIENTS A SIGNIFICANT DISCOUNT OFF OF TOTAL CHARGES THAT WERE REFLECTED ON THEIR MONTHLY STATEMENTS. AN ADDITIONAL PROMPT PAY DISCOUNT IS ALSO PROVIDED IF THE REMAINING BALANCE IS PAID WITHIN 30 DAYS FROM DATE OF FIRST BILL.CONTRACTED COLLECTION AGENCIES ARE REQUIRED TO SOLICIT CHARITY APPLICATIONS WHEN THE GUARANTOR/PATIENT INDICATES "CANNOT PAY".NHI PAYS A COMMISSION TO OUR CONTRACTED COLLECTION AGENCIES FOR EVERY APPROVED CHARITY APPLICATION THAT IS FINALIZED. THIS COMMISSION IS AN INCENTIVE FOR THE REPRESENTATIVES TO OBTAIN CHARITY APPLICATIONS AND NOT JUST COLLECT THE ACCOUNT. PART VI, LINE 4: COMMUNITY INFORMATION PRIMARY SERVICE AREANORTON HOSPITALS INC.'S (NHI) PRIMARY SERVICE AREA POPULATION IS OVER ONE MILLION AND EXPECTED TO INCREASE 2.8% BETWEEN 2010 AND 2015. THE PRIMARY SERVICE AREA INCLUDES SEVEN COUNTIES, THREE OF WHICH ARE LOCATED ALONG THE OHIO RIVER BORDER IN KENTUCKY AND THE OTHER FOUR ARE BORDERING THE RIVER IN INDIANA. EIGHY PERCENT OF NHI'S PATIENTS ARE DERIVED FROM THIS SERVICE AREA. TWENTY-NINE PERCENT OF THE POPULATION IS OVER 55 YEARS OLD; COMPARED TO 25% IN THE USA. THIS PORTION OF THE POPULATION TENDS TO USE ADDITIONAL HEALTHCARE SERVICES. THE PEDIATRIC POPULATION IN 2010 WAS ESTIMATED AT 263,692 AND EXPECTED TO INCREASE TO 268,619 WITHIN FIVE YEARS AND REPRESENTS 24% OF THE TOTAL POPULATION. THE NUMBER OF HOUSEHOLDS IN THE PRIMARY SERVICE AREA WAS ESTIMATED AT 451,136 IN 2010 AND IS EXPECTED TO INCREASE 3.5% BY 2015. CURRENTLY OVER 13% OF THE ADULT POPULATION DOES NOT HAVE A HIGH SCHOOL DEGREE AND 24% OF THE HOUSEHOLD INCOME IS LESS THAN $25,000 A YEAR; HOWEVER THE AVERAGE HOUSEHOLD INCOME IS $64,275. NHI TREATS 45% OF THE INPATIENT CASES IN THE COMMUNITY AND ITS PAYOR MIX IS 28% MEDICARE, 24% MEDICAID/PASSPORT AND 3% SELF PAY. THE LARGEST COUNTY IN THE SERVICE AREA IS JEFFERSON COUNTY AND ITS APRIL 2011 PRELIMINARY NON-SEASONALLY ADJUSTED UNEMPLOYMENT RATE WAS 10.0% COMPARED TO 10.0% FOR KENTUCKY AND 9.1% FOR THE UNITED STATES. SECONDARY SERVICE AREANHI'S SECONDARY SERVICE AREA POPULATION WAS ESTIMATED AT 712,783 IN 2010 AND IS EXPECTED TO INCREASE 3.8% BETWEEN 2010 AND 2015. THE SECONDARY SERVICE AREA SPREADS ACROSS 22 KENTUCKY COUNTIES AND 4 INDIANA COUNTIES. THE 55+ AGE COHORT REPRESENTS 25% OF THE SECONDARY SERVICE AREA POPULATION AND IS CONSISTENT WITH THE UNITED STATES; HOWEVER IT IS 1% LOWER THAN THE KENTUCKY PROPORTION. THE PEDIATRIC POPULATION IN 2010 WAS ESTIMATED AT 168,000 AND EXPECTED TO INCREASE TO 172,000 BY 2015. ALTHOUGH THE PEDIATRIC POPULATION IS EXPECTED TO REMAIN FLAT THERE IS A NEED FOR CHILDREN TO HAVE APPROPRIATE ACCESS TO CARE IN THE RURAL AREAS OF KENTUCKY. THE NUMBER OF HOUSEHOLDS IN THE SECONDARY SERVICE AREA WAS ESTIMATED AT 278,917 IN 2010 AND IS EXPECTED TO INCREASE OVER 13,000 BY 2015. ALMOST 94,000 ADULTS IN THIS SERVICE AREA DO NOT HAVE A HIGH SCHOOL EDUCATION AND THE HOUSEHOLD INCOME IS UNDER $25,000 FOR 28% OF THIS POPULATION. THE AVERAGE HOUSEHOLD INCOME IS $55,071, SLIGHTLY LESS THAN KENTUCKY AND 14% LESS THAN THE PRIMARY SERVICE AREA. PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTHA THIRD OF THE ORGANIZATION'S MISSION STATEMENT SPEAKS TO THE COMMITMENT TO PROVIDE QUALITY HEALTHCARE THAT "RESPONDS TO THE NEEDS OF OUR COMMUNITIES." NORTON HOSPITALS, INC. (NHI) ORGANIZATIONAL VALUES DIRECTLY ADDRESS THE NEED TO "CONTINUALLY IMPROVE CARE AND SERVICES" WHILE "DEMONSTRATING STEWARDSHIP OF RESOURCES." AS AN ORGANIZATION COMMITTED TO THE CONSTANT UNDERSTANDING AND ASSESSMENT OF THOSE SERVED, INITIATIVES AND PROGRAMS THAT ADDRESS THESE CONSTITUENTS ARE DEVELOPED AND IMPLEMENTED.IN 2010 NHI'S TOTAL COMMUNITY BENEFIT WAS $107 MILLION, OVER $2 MILLION A WEEK, AND INCLUDES COMMUNITY INITIATIVES AND PROGRAMS SUCH AS FINANCIAL ASSISTANCE, EDUCATIONAL SUPPORT, UNPAID COSTS OF MEDICAID SERVICES, CORPORATE SPONSORSHIPS, PASTORAL CARE AND COUNSELING PROGRAMS, KENTUCKY POISON CONTROL CENTER AND CHILD GUIDANCE AND ADVOCACY PROGRAMS. NHI EMPLOYEES PROVIDED 6,000 COMMUNITY SERVICE HOURS THAT SUPPORTED OVER 250 ORGANIZATIONS INCLUDING 150 ORGANIZATIONS WITH BOARD AND COMMITTEE REPRESENTATION. OUR EMPLOYEES ALSO PROVIDED A SIGNIFICANT CONTRIBUTION TO THE HAITI RELIEF EFFORTS AND ALMOST 4,000 HOURS OF PERSONAL COMMUNITY SERVICE TO OVER 100 ORGANIZATIONS IN ADDITION TO THE ANNUAL COMBINED GIVING CAMPAIGN CONTRIBUTION OF $945,400. THE ORGANIZATION IS ALSO PARTNERING WITH OTHER NON-PROFIT ORGANIZATIONS, LOCAL GOVERNMENT AND THE CENTERS FOR DISEASE CONTROL TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED INITIATIVES. THE ORGANIZATION'S PUBLICALLY ACCESSIBLE WEB-SITE OFFERS AN ON-LINE ASSESSMENT GUIDE TO IDENTIFY AND UNDERSTAND SYMPTOMS. OVER 30 GET HEALTHY VIDEOS OFFER A VISUAL MEDIUM TO GET INFORMATION ABOUT MANY OF THE MOST VEXING HEALTH PROBLEMS IN THE COMMUNITY. IN 2010 THESE HEALTH IMPROVEMENT SITES RECEIVED OVER 22,000 UNIQUE PAGE VIEWS.THROUGHOUT THE YEAR FREE SEMINARS PLACE CLINICAL EXPERTS WITH COMMUNITY AUDIENCES ON SUCH TOPICS AS DIABETES, JOINT PAIN, WEIGHT MANAGEMENT, CANCER ASSESSMENTS - ALL CONDITIONS THAT KENTUCKY, UNFORTUNATELY, LEADS THE NATION IN HAVING.THE PUBLICALLY AVAILABLE QUALITY REPORT ENSURES THAT THE COMMUNITY HAS ACCESS TO INFORMATION ABOUT THE QUALITY OF CARE PROVIDED BY THE ORGANIZATION. THIS EDUCATION NOT ONLY EMPOWERS COMMUNITY MEMBERS, BUT ALSO DRIVES THE HEALTHCARE QUALITY AGENDA IN THE COMMUNITY.THE OFFICE OF CHURCH & HEALTH MINISTRIES WORKS WITH AREA FAITH COMMUNITIES TO HELP THEM BUILD THEIR FAITH COMMUNITY NURSING AND HEALTH MINISTRY PROGRAMS. LAST YEAR THIS OFFICE RECORDED OVER 41,800 HEALTH EDUCATION AND PREVENTION RELATED CONTACTS. BI-MONTHLY THE OFFICE PRODUCES AN E-NEWSLETTER THAT DISSEMINATES INFORMATION ABOUT HEALTH IMPROVEMENT EVENTS TO OVER 1,900 INDIVIDUALS AND INSTITUTIONS IN THE AREA.A SPECIAL PROGRAM CALLED "MAKING CONNECTIONS" WAS DESIGNED TO ASSIST INDIVIDUALS IN FOUR POOR DOWNTOWN NEIGHBORHOODS PREPARE FOR CAREERS IN HEALTHCARE. THIS INITIATIVE PROVIDED FOR COUNSELING, FORGIVABLE EDUCATIONAL LOANS, AND SCHOLARSHIPS.NHI IS COMMITTED TO INVESTING IN THE COMMUNITY IT SERVES. IN FACT, "DEMONSTRATING STEWARDSHIP OF RESOURCES" IS ONE OF OUR ORGANIZATIONAL VALUES. WE DO THIS IN A VARIETY OF WAYS, SUCH AS: SUPPORTING LOCAL EDUCATIONAL INSTITUTIONS - INCLUDING THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE; OFFERING SCHOLARSHIPS TO STUDENTS; PROVIDING STUDENTS WITH FORGIVABLE LOANS FOR THEIR EDUCATION; PLACING MEDICAL PROFESSIONALS IN MEDICALLY-UNDERSERVED AREAS; PROVIDING FREE HEALTH SCREENINGS AND EDUCATION; CONTRIBUTING FUNDS TO OTHER NON-PROFIT HEALTH CARE ORGANIZATIONS; AND BUILDING A NEW HOSPITAL THAT FOLLOWS THE GREEN GUIDE TO HEALTH CARE, A BEST PRACTICES TOOL KIT FOR PLANNING, DESIGN, CONSTRUCTION, OPERATIONS AND MAINTENANCE OF NEW HOSPITALS. IN AN EFFORT TO ENSURE THE BEST CARE FOR ITS PATIENTS, NHI GENERALLY EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS SERVICE LINES/DEPARTMENTS, AS APPLICABLE. IN FACT, MORE THAN 2,000 PHYSICIANS ARE ON NHI MEDICAL STAFF.NHI OPERATES SIX (6) FULL-TIME EMERGENCY ROOMS WHERE NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT.NHI INVESTS IN ITS COMMUNITY BY APPLYING SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE - INCLUDING MANY FREE HEALTH CARE SCREENINGS AND EDUCATION PROGRAMS, MEDICAL EDUCATION AND RESEARCH. NHI UTILIZES EXCESS FUNDS BY INVESTING IN THE EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT. NHI OPENED A NEW 127 BED HOSPITAL IN AUGUST 2009 AND OPENED A NEW CHILDRENS OUTPATIENT FACILITY IN MAY 2010. A NEW CANCER BUILDING IS SCHEDULED TO OPEN IN AUGUST 2011 ON THE DOWNTOWN CAMPUS. NHI PROVIDED OVER $24 MILLION IN EDUCATIONAL SUPPORT, PRIMARILY TO THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE. BY ESTABLISHING PARTNERSHIPS, WE HELP TO BUILD A STRONGER AND MORE COHESIVE COMMUNITY THAT WORKS TOGETHER FOR THE GOOD OF ITS CITIZENS. BY INVESTING IN EDUCATION, WE ARE - IN ESSENCE - INVESTING IN OUR COMMUNITY'S FUTURE BY MAKING SURE THAT WELL-PREPARED GRADUATES ARE EXITING LOCAL COLLEGES AND UNIVERSITIES, ULTIMATELY TO WORK IN A VARIETY OF LOCAL BUSINESSES - INCLUDING HEALTH CARE. BY PROVIDING FREE EDUCATION AND SCREENINGS AND PLACING MEDICAL PROFESSIONALS IN UNDERSERVED AREAS, WE WILL PREVENT MORE TRAGIC AND COSTLY MEDICAL EMERGENCIES AND DISEASES THAT MIGHT NOT HAVE OTHERWISE BEEN PREVENTED. BY INVESTING IN PATIENT-FRIENDLY FACILITIES, WE HELP TO ENSURE THAT PATIENTS WILL FEEL COMFORTABLE SEEKING HEALTH CARE WHEN THEY NEED IT MOST, RATHER THAN WAITING UNTIL A MEDICAL SITUATION EXACERBATES, WHILE AT THE SAME TIME WE HELP TO PRESERVE THE WORLD AND THE ENVIRONMENT IN WHICH WE LIVE.NORTON HEALTHCARE, INC. (NHC), PARENT OF NORTON HOSPITALS, INC. (NHI), IS INDEPENDENTLY GOVERNED BY A 21-MEMBER BOARD OF TRUSTEES. WITH THE EXCEPTION OF NHC'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, NONE OF THESE INDIVIDUALS ARE EMPLOYEES OF THE ORGANIZATION. ALL MEMBERS OF THE BOARD RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. PART VI, LINE 7: NOT APPLICABLE. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: NOT APPLICABLE. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 STEPHEN A WILLIAMS 0 922287 0 517078 0 468927 0 277463 0 20646 0 2206401 0 0 RUSSELL F COX 0 690430 0 241507 0 155237 0 172291 0 26874 0 1286339 0 0 MICHAEL W GOUGH 0 599288 0 203578 0 115459 0 145308 0 25242 0 1088875 0 0 ROBERT B AZAR 0 260914 0 101412 0 120825 0 77943 0 8792 0 569886 0 0 THOMAS KMETZ 402344 0 117961 0 91799 0 101606 0 24782 0 738492 0 55632 0 JOHN HARRYMAN 395425 0 116513 0 88099 0 100715 0 23807 0 724559 0 50776 0 KEVIN WARDELL 409755 0 126322 0 96019 0 96156 0 15340 0 743592 0 55806 0 STEVEN MACLAUCHLAN 379532 0 59894 0 39939 0 79870 0 23191 0 582426 0 0 0 DOUGLAS WINKELHAKE 326355 0 93015 0 112525 0 84617 0 23163 0 639675 0 77374 0 ROBERT SHAW 333116 0 108713 0 46626 0 71302 0 15445 0 575202 0 19023 0 JOHN HAMM 392953 0 334375 0 38306 0 19600 0 20198 0 805432 0 37443 0 STEVEN PURSELL 392637 0 334375 0 19730 0 17150 0 11649 0 775541 0 0 0 THOMAS WOODCOCK 330423 0 348049 0 55522 0 19600 0 17310 0 770904 0 0 0 DAVID DOERING 333382 0 334375 0 17986 0 17150 0 19994 0 722887 0 0 0 BRIAN STOLL 333191 0 334375 0 8225 0 12250 0 21884 0 709925 0 0 0 GREGG DAVIS 0 122198 0 47142 0 59133 0 16296 0 14730 0 259499 0 31818 JON COOPER 0 204326 0 69072 0 34067 0 42965 0 19601 0 370031 0 16767 PART I, LINE 1A 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 THE 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 2010, 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 OF THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION. STEPHEN A. WILLIAMS: THE TOTAL TAX GROSS-UP BENEFITS INCLUDED IN TAXABLE COMPENSATION FOR MR. WILLIAMS ARE $129,637. THE TAX GROSS-UPS ARE RELATED TO THE BENEFIT OUTLINED BELOW: ANNUITY - THE TAX GROSS-UP ASSOCIATED WITH THE ANNUITY BENEFIT IS $129,637. THIS PURCHASED ANNUITY REPRESENTS ACCUMULATED BENEFITS EARNED IN PRIOR YEARS RELATED TO A NON-QUALIFIED DEFINED BENEFIT PENSION RESTORATION PLAN IN EFFECT SINCE 1990. CONTRIBUTIONS TO THIS PLAN WERE MADE IN 2005, 2006, 2007, 2008, 2009 AND 2010. INCLUDED IN MR. WILLIAMS COMPENSATION IN 2010 IS $252,772, WHICH IS THE COST OF THE PURCHASED ANNUITY. THE TOTAL COST OF THE PURCHASED ANNUITY AND THE ASSOCIATED TAX GROSS-UP IS $382,409, WHICH WAS INCLUDED IN TAXABLE COMPENSATION. 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 2010: STEPHEN A. WILLIAMS $58,789 RUSSELL F. COX 59,434 MICHAEL W. GOUGH 52,208 ROBERT B. AZAR 17,500 GREGG DAVIS 6,731 JON COOPER 10,000 THOMAS KMETZ 17,500 JOHN HARRYMAN 17,500 KEVIN WARDELL 17,500 STEVEN MACLAUCHLAN 17,500 DOUGLAS WINKELHAKE 17,500 ROBERT SHAW 20,000 PART I, LINE 4B 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" COLUMN 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. THE "PAYMENTS RECEIVED" COLUMN REPRESENTS CASH PAYMENTS THAT THE EMPLOYEE RECEIVED DURING 2010 AND CAN BE COMPRISED OF PRIOR YEARS EMPLOYEE AND EMPLOYER CONTRIBUTIONS. PARTICIPANTS NAME PAY CREDIT PAYMENTS RECEIVED STEPHEN A. WILLIAMS $252,963 $0 RUSSELL F. COX 155,141 0 MICHAEL W. GOUGH 128,158 0 ROBERT B. AZAR 63,243 0 GREGG DAVIS 16,296 31,818 JON COOPER 28,265 16,767 THOMAS KMETZ 84,456 55,632 JOHN HARRYMAN 83,565 50,776 KEVIN WARDELL 81,456 55,806 STEVEN MACLAUCHLAN 67,620 0 ROBERT SHAW 59,052 19,023 DOUGLAS WINKELHAKE 67,467 77,374 JOHN HAMM 0 199,102 AMY TONN FAMILY MEMBER OF RUSSELL COX, OFFICER 31306 COMPENSATION 0 ANNE ROBINSON FAMILY MEMBER OF DONALD H. ROBINSON, TRUSTEE (CHAIRMAN) 67194 COMPENSATION 0 PEDIATRIC ANESTHESIA ASSOCIATES P DR. MARY BOUVETTE PARTNER IN PAA IS RELATED TO MARIA L. BOUVETTE, TRUSTEE 3515075 PROFESSIONAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 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 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. FORM 990, PART VI, SECTION A, LINE 6 NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE SOLE MEMBER OF NORTON HOSPITALS INC. FORM 990, PART VI, SECTION B, LINE 11 ALL FORMS 990 WERE REVIEWED IN ADVANCE OF FILING WITH THE NORTON HEALTHCARE, INC. (NORTON) FINANCE COMMITTEE ON OCTOBER 6, 2011 AND THE FULL NORTON BOARD OF TRUSTEES ON NOVEMBER 8, 2011. NORTON IS THE PARENT OF NORTON HOSPITALS, INC. ALSO, ELECTRONIC COPIES OF ALL FORMS 990 WERE MADE AVAILABLE TO ALL MEMBERS OF THE FINANCE COMMITTEE AND BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITERS 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, SECTION B, LINE 15 THE ORGANIZATION TAKES ALL NECESSARY STEPS TO ENSURE THAT ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE COMPENSATED WITHIN APPROPRIATE LEVELS FOR THE SERVICES PROVIDED TO THE ORGANIZATION. THE ORGANIZATION PROVIDES 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. NORTON HEALTHCARE INC. (NHI) ENGAGES AN OUTSIDE INDEPENDENT COMPENSATION CONSULTANT, INTEGRATED HEALTHCARE STRATEGIES (IHS), TO PREPARE COMPENSATION ANALYSIS UTILIZING DATA FROM SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS. IN ADDITION, THE ORGANIZATION PARTICIPATES IN THIRD PARTY SURVEYS WHICH PROVIDE AGGREGATE, COMPARATIVE COMPENSATION DATA FOR OFFICERS AND KEY EMPLOYEES IN SIMILAR-TYPE POSITIONS. IHS CONSULTANTS MET IN 2009 WITH THE COMMITTEE OF BOARD LEADERSHIP (NOW EXECUTIVE COMMITTEE) OF THE BOARD OF TRUSTEES (BOARD) CONCERNING EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR NHI EXECUTIVES AND TOTAL COMPENSATION FOR THE CEO. THE CONSULTANTS REVIEWED SOURCES OF COMPARABILITY DATA AND MARKET MOVEMENT COMPARISONS. NHI'S VARIABLE COMPENSATION PROGRAM WAS REVIEWED ALONG WITH BENCHMARK COMPARISONS. BASED ON THE RECOMMENDATIONS OF IHS, EMPLOYMENT CONTRACTS FOR THE CEO, COO AND CFO WERE SUBSEQUENTLY COMPLETED AND APPROVED BY THE BOARD. THE EXECUTIVE COMMITTEE ALSO REVIEWED AND APPROVED ALL KEY EMPLOYEE COMPENSATION BASED ON THE THIRD-PARTY REPORT FURNISHED AND DISCUSSED WITH COMMITTEE MEMBERS, AND SUBSEQUENTLY APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICTS OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: AFFILIATE TRANSFER 266,806 266,806. TOTAL TO FORM 990, PART XI, LINE 5: 266,806. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. FORM 990, PART I, LINE 5 AND PART V, LINES 1 AND 2: NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. THEREFORE, ALL APPLICABLE IRS TAX COMPLIANCE FILINGS ARE REPORTED BY NORTON HEALTHCARE, INC. ON BEHALF OF NORTON HOSPITALS, INC. NORTON HOSPITALS, INC. HAS APPROXIMATELY 9,412 EMPLOYEES. FORM 990, PART V, LINE 1 AND PART VII, SECTION B, LINES 1 AND 2 NORTON HEALTHCARE, INC. EIN 61-1028725 IS THE COMMON PAYING AGENT FOR NORTON HOSPITALS, INC. AND THEREFORE, ALL VENDORS, INCLUDING INDEPENDENT CONTRACTORS ARE PAID BY NORTON HEALTHCARE, INC. ON BEHALF OF NORTON HOSPITALS, INC. FOR PURPOSES OF PART V, LINE 1, THE NUMBER OF 1099S REPORTED AND FILED FOR 2010 BY NORTON HEALTHCARE, INC. FOR NORTON HOSPITALS, INC. WAS APPROXIMATELY 278. NORTON HOSPITALS, INC HAS APPROXIMATELY 128 INDEPENDENT CONTRACTORS EXCEEDING $100,000 FOR 2010. FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B: THE INTERESTED PERSONS LISTED BELOW ARE OFFICERS FOR NORTON HEALTHCARE, INC AND AFFILIATES, WHICH INCLUDES: NORTON HEALTHCARE, INC.(NHI), NORTON HOSPITALS, INC. (HOSPITALS), COMMUNITY MEDICAL ASSOCIATES, INC. (CMA), NORTON PROPERTIES, INC.(PROPERTIES), NORTON HEALTHCARE FOUNDATION, INC. (NHF) AND THE CHILDREN'S HOSPITAL FOUNDATION (CHF). ESTIMATED BELOW ARE THE AVERAGE HOURS PER WEEK DEVOTED TO EACH ORGANIZATION DURING 2010: NHI HOSPITALS CMA PROPERTIES NHF CHF TOTAL STEPHEN A. WILLIAMS 30 10 6 2 1 1 50 RUSSELL F. COX 30 10 6 2 1 1 50 MICHAEL W. GOUGH 30 10 6 2 1 1 50 ROBERT B. AZAR 30 10 6 2 1 1 50 FORM 990, PART VII, SECTION A, LINE 1A, COLUMN E: NORTON HEALTHCARE, INC. (NHI) AND AFFILIATES (NORTON HOSPITALS, INC., COMMUNITY MEDICAL ASSOCIATES, INC., NORTON PROPERTIES, INC., AND NORTON HEALTHCARE 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 OF THE FORM 990 AS REPORTABLE COMPENSATION TO THE TRUSTEE RECEIVING STIPENDS IN 2010. FORM 990, PART IX, LINE 11G: FEES FOR SERVICES - OTHER INCLUDE FEES FOR PHYSICIAN, OUTSIDE LABORATORY, DIETARY, SURGICAL SUPPORT, AND FACULTY SUPPORT SERVICES. FORM 990, PART IX, LINE 20: BONDS HAVE BEEN ISSUED BY THE OBLIGATED GROUP (NORTON HEALTHCARE, INC. AND NORTON HOSPITALS, INC.). THESE BONDS HAVE BEEN SECURED BY A MORTGAGE LIEN ON THE PRINCIPAL HOSPITAL FACILITIES OF NORTON HOSPITALS, INC. AND A SECURITY INTEREST IN CERTAIN PLEDGED COLLATERAL, INCLUDING THE OPERATING REVENUES OF THE OBLIGATED GROUP. PRINCIPLE AND INTEREST PAYMENTS RELATED TO THE BONDS ARE PAYABLE SOLELY BY THE OBLIGATED GROUP. NORTON HEALTHCARE, INC. HAS AGREED TO CERTAIN COVENANTS, WHICH LIMITS ADDITIONAL INDEBTEDNESS AND GUARANTEES AND REQUIRES NORTON HEALTHCARE, INC. TO MAINTAIN SPECIFIC FINANCIAL RATIOS. THE BONDS HAVE BEEN RECORDED ON THE BOOKS OF NORTON HEALTHCARE, INC. AND INTEREST RELATED TO THESE BONDS ALLOCATED TO NORTON HOSPITALS, INC. FORM 990, PART XII, LINE 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 2010 NORTON HEALTHCARE, INC. AND AFFILIATES (NORTON HOSPITALS, INC. COMMUNITY MEDICAL ASSOCIATES, INC., NORTON ENTERPRISES, INC., NORTON HEALTHCARE FOUNDATION, INC., NORTON PROPERTIES, INC., AND THE CHILDREN'S HOSPITAL FOUNDATION) RECEIVED AN AUDIT IN ACCORDANCE WITH SINGLE AUDIT ACT. NORTON HEALTHCARE INC 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 40202 611028725 PROVIDE ADMINISTRATIVE AND SUPPORT SERVICES. KY 501(C)(3) 11 TYPE II N/A 0 COMMUNITY MEDICAL ASSOCIATES INC 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 40202 611276316 OPERATES A NETWORK OF PHYSICIAN PRACTICES. KY 501(C)(3) 9 NORTON HEALTHCARE INC 0 NORTON PROPERTIES INC 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 40202 611028724 MAINTAIN OFFICE AND PARKING FACILITIES. KY 501(C)(3) 11 TYPE I NORTON HEALTHCARE INC 0 THE CHILDREN'S HOSPITAL FOUNDATION 224 E BROADWAY - 5TH FLOOR LOUISVILLE KY 40202 616027530 GENERATE FUNDS TO SUPPORT PROGRAMS AND SERVICES. KY 501(C)(3) 7 NORTON HEALTHCARE INC 0 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 NORTON HEALTHCARE INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1