Norton Healthcare

Legal name: Norton Healthcare-Indiana Inc

Nonprofit profile at a glance

EIN
850513259
IRS 990 coverage
2023–2024
Official website data refreshed
Jul 2026
Forms available
Form 990 2024, Form 990-N 2022
Location
Louisville, KY, USA
Phone
(502) 629-1234
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$197,595,790
Expenses
$257,337,001
Assets
$185,055,822
Liabilities
$250,498,898

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

28 people listed

Executive titles in this filing

  • Russell F Cox (President & CEO/Trustee)

Highest reported compensation

  • Russell F Cox (President & CEO/Trustee): $4,115,838 total reported compensation
  • Michael W Gough (Exec VP and COO (partial year)): $3,217,019 total reported compensation
  • Adam Kempf (Sr VP & CFAO): $1,659,943 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

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. Working with you and your primary care provider, Norton Behavioral Medicine therapists, psychologists, psychiatrists, addiction medicine specialists and licensed clinical social workers become part of your care team. You’ll get coordinated care for common mental health concerns, designed to support you without long-term commitments to therapy. Our team is able to provide treatment for conditions including depression, anxiety, post-traumatic stress disorder, substance use disorder and eating disorders to help improve your concentration, reduce absenteeism from work and get back to enjoying life more. RELATED:** Mental health is as important as physical health. If you need mental health help,.

What it reported doing in 2024

Norton Healthcare-Indiana, Inc. (NHC-IN) was formed to: I) provide on a tax-exempt basis, hospital or health care facilities and services for the care and treatment of ill and injured persons and those who otherwise require medical care and related services and the kind customarily furnished most effectively by hospitals or health care facilities; II) conduct educational activities related to rendering care to the sick and injured; III) promote and conduct scientific research related to the care of the sick and injured; IV) operate programs for the prevention of health care services. NHC-IN has a total of 261 licensed beds, Norton Clark Hospital, LLC - 236 beds and Norton Scott Hospital, LLC - 25 beds. These hospitals operate twenty-four (24) hours a day, seven (7) days a week. For the year ended December 31, 2024, NHC-IN's hospitals served 8,605 inpatients, 77,917 outpatients, 51,252 emergency department visits, and 4,278 observation cases. In addition, NHC-IN's operating rooms cared for 1,077 inpatient surgical patients and 3,244 outpatient surgical patients. Additionally, 936 deliveries were performed at NHC-IN.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 64
  • Accountability: 96
  • Sustainability: 16
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 98.2%; rating input score 98
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 94.4%; rating input score 94; 46th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -30.2%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 0.72; rating input score 28; 28th percentile among comparable filings
  • Liabilities to assets ratio: 1.35; rating input score 3; 3rd percentile among comparable filings
  • Officer compensation ratio: 2%; rating input score 56; 56th percentile among comparable filings

Growth

  • Program expense growth: 129% per year; rating input score 100; 100th percentile among comparable filings
  • Revenue growth: 120.6% per year; rating input score 100; 100th percentile among comparable filings
  • Asset growth: 47.8% per year; rating input score 100; 99th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 100% of revenue deployed · 98.2% of spending went to programs
  • Governance: 17 of 18 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $252.6M in reported program spending
  • Leadership: top reported pay $4.1M · 28 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $14.1M reported
  • Consistency: 27 of 28 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 2 filing years from 2023 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 14 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 2/100.
  • High — Sustainability: Total-asset coverage ratio scored 28/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 3/100.
  • Review — Sustainability: Officer compensation ratio scored 56/100.