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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Norton Healthcare Inc
 
Employer identification number
61-1028725
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) BELLARMINE UNIVERSITY
2001 NEWBURG RD
LOUISVILLE,KY40205
61-0482955 501(c)(3) 2,055,097       Support Nursing, sports medicine, healthcare analytics and student health services
(2) Jefferson County Public Schools
P O BOX 34020
ATTN TREASURER JCPS
LOUISVILLE,KY402324020
61-6001316 Jefferson Co 360,000       Program support to ensure that trainers and sports medicine experts are available in the county and support of baseline concussion testing.
(3) METRO UNITED WAY INC
DEPT 52860
P O BOX 950148
LOUISVILLE,KY402950148
61-0444680 501(c)(3) 245,000       Support the United Community System by linking information and referrals between the health, education and social sectors more effectively and general support the engagement of community and volunteerism
(4) UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY
789 S LIMESTONE ST
LEXINGTON,KY405360596
61-6001218 state of KY 200,600       Support University Pharmacy College general support School of Journalism
(5) LEADERSHIP LOUISVILLE CENTER
707 WEST MAIN ST
LOUISVILLE,KY40202
31-0958491 501(c)(3) 61,950       Program support of leadership programming
(6) LIGHTER THAN AIR BALLOON ADVENTURE LLC
321 JADE DRIVE
SHEPHERDSVILLE,KY40165
82-2120525 for profit 55,360       Support to provide hot air balloon ride certificates to other not for profit organizations
(7) COMMUNITY FOUNDATION OF LOUISVILLE CORPORATE DEPOSITORY INC
WATERFRONT PLAZA
325 W MAIN ST
LOUISVILLE,KY40202
61-1100993 501(c)(3) 55,000       General program support
(8) Habitat for Humanity of Metro Louisville Inc
ROB LOCKE-EXECUTIVE DIRECTOR
1620 BANK ST
LOUISVILLE,KY40203
58-1735528 501(c)(3) 50,000       Support of funding for a home build project
(9) NEW DIRECTIONS HOUSING CORPORATION
1000 E LIBERTY ST
LOUISVILLE,KY402041029
61-0715630 501(c)(3) 50,000       Support New Directions Housing Corporation 'I Rise" and "Repair Affair" programs by addressing housing and family self-sufficiency needs in our community
(10) New Albany-Floyd County Consolidated School Corp
ATTN SUZANNE PONDER
1020 VINCENNES ST
NEW ALBANY,IN471503152
35-6005953 New Albany 45,000       Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(11) MERCY ACADEMYACADEMY OF OUR LADY OF MERCY
ATHLETIC DIRECTOR
5801 FEGENBUSH LANE
LOUISVILLE,KY40228
61-1116388 501(c)(3) 45,000       Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(12) FUND FOR THE ARTS INC
623 W MAIN ST
LOUISVILLE,KY40202
61-0479626 501(c)(3) 37,500       Supporting the development and education and quality of life through the arts
(13) WHAS CRUSADE FOR CHILDREN
520 W CHESTNUT ST
LOUISVILLE,KY40202
23-7075524 501(c)(3) 35,000       Supporting children with special needs
(14) CHRISTIAN ACADEMY FOUNDATION INC
700 S ENGLISH STATION RD
LOUISVILLE,KY402453912
61-1323813 501(c)(3) 34,000       General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(15) Friend for Life A Cancer Support Network Inc
4003 KRESGE WAY
LOUISVILLE,KY40207
61-1139410 501(c)(3) 30,000       Program support for providing a network of resources to cancer survivors
(16) CATHOLIC EDUCATION FOUNDATION INC
401 W MAIN ST
LOUISVILLE,KY40202
61-1294640 501(c)(3) 27,000       Support the growth and vitality of catholic parishes and schools in the archdiocese of Louisville
(17) SACRED HEART SCHOOLS INC
3115 LEXINGTON RD
LOUISVILLE,KY40206
61-1181710 501(c)(3) 25,000       General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing
(18) FAMILY SCHOLAR HOUSE
403 REG SMITH CIRCLE
LOUISVILLE,KY40208
61-1285124 501(c)(3) 25,000       Support mission of empowering families and youth to succeed in education and achieve life long self-sufficiency
(19) LouisvilleJefferson County Metro Government
9th FLOOR
531 COURT PLACE
LOUISVILLE,KY402023396
32-0049006 Jefferson County 24,000       Supporting hike bike and paddle- promotion of healthy lifestyle
(20) Trinity High School Foundation Inc
4011 SHELBYVILLE RD
LOUISVILLE,KY40207
31-1105966 501(c)(3) 23,500       General education support and program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(21) CHRISTIAN ACADEMY OF INDIANA
1000 ACADEMY DR
NEW ALBANY,IN47150
06-1686237 501(c)(3) 22,500       Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(22) Presentation Academy Inc
861 SOUTH 4th ST
LOUISVILLE,KY402032100
61-0507080 501(c)(3) 22,500       General education support and Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(23) KENTUCKY COUNTRY DAY SCHOOL
Director of Development
4100 SPRINGDALE RD
LOUISVILLE,KY40241
61-0731998 501(c)(3) 22,500       Program support to ensure that trainers and sports medicine experts are available and support of baseline concussion testing.
(24) KENTUCKY PHYSICIANS HEALTH FOUNDATION INC
9000 WESSEX PLACE
LOUISVILLE,KY40222
61-1242062 501(c)(3) 21,500       General support for physicians, physician's assistants, surgical technicians, genetic counselors and athletic trainers.
(25) JUNIOR ACHIEVEMENT OF KENTUCKIANAINC
1401 W MUHAMMAD ALI BLVD
LOUISVILLE,KY402031745
61-0476694 501(c)(3) 20,250       support introduction of young people throughout our community to the realities and possibilities of the working world and personal finance
(26) The Louisville Urban League Inc
1535 WEST BROADWAY
ATTN SARAH GRAVES
LOUISVILLE,KY40203
61-0444771 501(c)(3) 17,000       Support the assistance of African Americans and other minority groups to attain social and economic equality and stability
(27) AMERICAN RED CROSS
510 E CHESTNUT
LOUISVILLE,KY40202
53-0196605 501(c)(3) 16,000       Support red cross efforts of emergency assistance, disaster relief and education
(28) Downtown Development Corp
315 GUTHRIE ST
LOUISVILLE,KY40202
31-0992627 501(c )(3) 15,000       Supporting Safety, cleanliness and safety programs for the Downtown Louisville area redevelopment and planning for downtown district
(29) ARTHRITIS FOUNDATION INC
1355 PEACHTREE ST NE
ATLANTA,GA30309
58-1341679 501(c)(3) 15,000       Support finding a cure and championing the fight against arthritis through vital information, advocacy, science and community.
(30) HOSPARUS INC
ATTN FINANCE
3532 EPHRAIM MCDOWELL DR
LOUISVILLE,KY40205
61-0921718 501(c)(3) 15,000       Support for Pediatric bereavement program
(31) BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD
LOUISVILLE,KY40222
61-1128496 501(c)(3) 15,000       Outreach, education and support for patients with brain injuries
(32) The Healing Place Inc
1020 W MARKET ST
LOUISVILLE,KY40202
61-1164775 501(c)(3) 15,000       Program support for homeless shelter for men and women
(33) GREATER LOUISVILLE SPORTS COMMISSION
401 WEST MAIN ST
LOUISVILLE,KY40202
61-1365860 501(c)(3) 15,000       Support of promoting healthy lifestyles
(34) SOS INTERNATIONAL INC
1500 ARLINGTON AVE
LOUISVILLE,KY40206
27-2624272 501(c)(3) 14,000       Support of providing medical supplies to areas of need
(35) Good Health Ideas Inc
P O BOX 4039
LOUISVILLE,KY40204
20-1510713 501(c)(3) 13,000       Support for colon cancer awareness initiatives
(36) YMCA OF GREATER LOUISVILLE INC
545 SOUTH SECOND ST
LOUISVILLE,KY40202
61-0444843 501(c)(3) 13,000       Support for safe shelters, youth nutrition program, and youth refugee integration program
(37) VOLUNTEERS OF AMERICA OF KENTUCKY INC
570 S 4th ST
LOUISVILLE,KY402022504
61-0480950 501(c)(3) 12,500       Program support to provide affordable housing and other assistance to low income families
(38) BIG BROTHERS BIG SISTERS OF KENTUCKIANA
1519 GARDINER LN
LOUISVILLE,KY40218
61-6057856 501(c)(3) 12,500       Program support for all children to reach their potential through professional supported 1:1 relationships with volunteer mentors
(39) COMMUNITY MEDICAL ASSOCIATES INC
224 E BROADWAY
LOUISVILLE,KY402022025
61-1276316 501(c)(3) 12,330       Support of a nurse practitioner for the Bellarmine Student Health Clinic and support local public schools for school-based telemedicine services
(40) AMERICAN CANCER SOCIETY INC
ATTN ELLEN SCHROEDER
P O BOX 681405
INDIANAPOLIS,IN46268
13-1788491 501(c)(3) 10,500       Support Contribution for cancer prevention, outreach, patient services through Relay for Life
(41) Leukemia & Lymphoma Society Inc
301 E MAIN ST
LOUISVILLE,KY40202
13-5644916 501(c)(3) 10,000       General support for education and outreach
(42) SPINA BIFIDA ASSOCIATION OF KENTUCKY INC
982 EASTERN PKWY
Box 18
LOUISVILLE,KY40217
31-1081176 501(c)(3) 10,000       supporting education and resources for families affected by spina bifida
(43) NEIGHBORHOOD HOUSE INC
201 N 25TH ST
LOUISVILLE,KY40212
61-0445842 501(c)(3) 10,000       Support children and families
(44) ALZHEIMERS ASSOCIATION
GREATER KY SOUTHERN IND CHAP
6100 DUTCHMANS LN
LOUISVILLE,KY40205
61-1048849 501(c)(3) 10,000       support education of alzheimer's disease
(45) ST JOHN CENTER INC
700 E MUHAMMAD ALI BLVD
LOUISVILLE,KY40202
61-1135907 501(c)(3) 10,000       Support homeless population
(46) LEADERSHIP KENTUCKY FOUNDATION INC
464 CHENAULT RD
FRANKFORT,KY406019260
31-1096215 501(c)(3) 9,100       General donation to sustain LKY programs
(47) Louisville Pride Foundation DBA Louisville Pride Festival
P O BOX 4341
LOUISVILLE,KY40204
47-1945331 501(c)(3) 9,000       Support inclusion and unity for all
(48) LOUISVILLE AREA CHAMBER OF COMMERCE INC
614 W MAIN ST
LOUISVILLE,KY40202
61-0434089 501(c)(6) 9,000       General program support
(49) NATIONAL KIDNEY FOUNDATION OF KENTUCKY
161 ST MATTHEWS AVE
LOUISVILLE,KY40207
61-0673518 501(c)(3) 9,000       Supporting the awareness, prevention and treatment of kidney disease
(50) AMERICAN LUNG ASSOCIATION
10168 LINN STATION RD
LOUISVILLE,KY402233894
13-1632524 501(c)(3) 8,800       Support for improving lung health and preventing lung disease through education, advocacy and research
(51) MARCH OF DIMES FOUNDATION
DONATIONS PROCESSING CENTER
P O BOX 18819
ATLANTA,GA31126
13-1846366 501(c)(3) 8,000       Support for Outreach, education and support for families with premature babies
(52) NATIONAL MULTIPLE SCLEROSIS SOCIETY
1201 STORY AVE
LOUISVILLE,KY40206
13-5661935 501(c)(3) 8,000       Support education and resources related to multiple sclerosis
(53) YOUTH ETHICS AND SKILLS CENTER
812 LYNDON LN
LOUISVILLE,KY40222
26-2737625 501(c)(3) 7,500       supporting youth to become positive leaders
(54) SHIVELY AREA MINISTRIES INC
4415 DIXIE HWY
LOUISVILLE,KY40216
61-1134579 501(c)(3) 7,500       Contribution for health/wellness programs, medical assistance for underserved population in Shively Area
(55) LEADERSHIP SOUTHERN INDIANA
8204 HWY 311
SELLERSBURG,IN47172
35-1644080 501(c)(3) 6,850       Support for leadership development program
(56) TELUGU ASSOCIATION OF KENTUCKIANA
18725 WEATHERFORD CIR
LOUISVILLE,KY40245
03-0528530 501(c)(3) 6,500       Support of telugu people in the community
(57) LIFEHOUSE INC
2710 RIEDLING DR
LOUISVILLE,KY40206
20-8514733 501(c)(3) 6,500       supporting emotional, spiritual, physical and intellectual needs of mother and baby
(58) THE CENTER FOR WOMEN AND FAMILIES INC
P O BOX 2048
LOUISVILLE,KY402012048
61-0444846 501(c)(3) 6,500       Support trauma-informed advocacy and support for individuals, families and communities affected by intimate partner violence and sexual assault
(59) BOARD OF CHAPLAINCY CERTIFICATION INC
2800 W HIGGINS RD
HOFFMAN ESTATES,IL60169
36-3911509 501(c )6 5,500       Support for empowering leadership for ministry
(60) BAPTIST SEMINARY OF KENTUCKY
400 E COLLEGE ST
GEORGETOWN,KY40324
61-1312812 501(c)(3) 5,400       Support for empowering leadership for ministry
(61) 21st Century Parks Inc
471 W MAIN ST
LOUISVILLE,KY40202
20-1780317 501(c)(3) 5,000       Support to PRESERVE, PROTECT AND MAINTAIN OPEN GREEN SPACES
(62) JDRF INTERNATIONAL
INDIANA KENTUCKY CHAPTER
225 S EAST ST
INDIANAPOLIS,IN46202
23-1907729 501(c)(3) 5,000       support families with type 1 diabetes
(63) WELLSPRING INC
P O BOX 1927
LOUISVILLE,KY402011927
31-1020023 501(c)(3) 5,000       Supporting mental health recovery
(64) MORTON CENTER INC
1028 BARRETT AVE
LOUISVILLE,KY402041667
31-1068020 501(c)(3) 5,000       support and treatment for addiction
(65) PRP ALUMNI ASSOCIATION INC
P O BOX 58051
LOUISVILLE,KY40268
32-0087730 501(c)(3) 5,000       Sponsorship of Excellence in Education Award for PRPAA
(66) HABITAT FOR HUMANITY Clark & Floyd Indiana Inc
P O BOX 1814
NEW ALBANY,IN47150
35-1817055 501(c)(3) 5,000       Support of funding for a home build project
(67) CHOOSE WELL COMMUNITIES INC
226 N 17th ST
LOUISVILLE,KY40203
47-2822055 501(c)(3) 5,000       General program support - support young families working to maintain sobriety while improving the health and well-being of their family
(68) NATIVITY ACADEMY AT ST BONIFACE
529 E LIBERTY ST
LOUISVILLE,KY40202
51-0450314 501(c)(3) 5,000       general education support
(69) Home of the Innocents Inc
1100 EAST MARKET ST
LOUISVILLE,KY402061874
61-0445834 501(c)(3) 5,000       support the enrichment of the lives of children and families in our community
(70) Legal Aid Society Inc
416 W MUHAMMAD ALI BLVD
LOUISVILLE,KY40202
61-0537626 501(c)(3) 5,000       Support of free legal services to disadvantaged in the community
(71) BRIDGEHAVEN INC
950 S FIRST ST
LOUISVILLE,KY40203
61-0548949 501(c)(3) 5,000       Mental health support
(72) KENTUCKY PEDIATRIC SOCIETY
EXECDIRECTOR
420 CAPITAL AVE
FRANKFORT,KY40601
61-1125554 501(c)(3) 5,000       Support for continuing medical education for KY pediatric physicians
(73) AMERICANA COMMUNITY CENTER
4801 SOUTHSIDE DR
LOUISVILLE,KY40214
61-1251306 501(c)(3) 5,000       Support for the education and outreach for Louisville's refugee, immigrant and underserved populations
(74) OVARIAN AWARENESS OF KENTUCKY
2440 GRINSTEAD DRIVE
LOUISVILLE,KY40204
61-1393292 501(c)(3) 5,000       Support education and awareness of ovarian cancer and provide support women with ovarian cancer
(75) ELDERSERVE INC
631 S 28TH ST
LOUISVILLE,KY40211
61-6024140 501(c)(3) 5,000       Program support for the empowerment of older adults to live independently with dignity
(76) IMPACT100 LOUISVILLE INC
3044 BARDSTOWN RD
LOUISVILLE,KY40205
84-3784887 501(c)(3) 5,000       supporting women through collective giving
(77) THE ALS ASSOCIATION KY CHAPTER
13102 EASTPOINT PARK BLVD
LOUISVILLE,KY40223
94-3124729 501(c)(3) 5,000       Support for ALS patient care services program
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Graphic Arrow
74
3
Enter total number of other organizations listed in the line 1 table ........................ . Graphic Arrow
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021
Page 2

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) Employee Emergency Relief funds to employees in need of assistance due to extraordinary circumstances 341 105,747      
(2) UNDERGRADUATE SCHOLARSHIPS FOR STUDENTS PURSUING EDUCATION FOR A CAREER IN THE HEALTHCARE FIELD 100 200,000      
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ALL GRANT APPLICANTS ARE REQUIRED TO SUBMIT A GRANT APPLICATION TO THE MANAGER OF STEWARDSHIP. THE GRANT IS REVIEWED AND APPROVED BY NORTON HEALTHCARE MANAGEMENT. ALL GRANT REQUESTS GREATER THAN $100,000 REQUIRE THE APPROVAL OF THE NORTON HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS OR THE CHILDREN'S HOSPITAL FOUNDATION BOARD OF TRUSTEES. SELECTION CRITERIA INCLUDES APPROPRIATENESS OF THE REQUEST, LEVEL OF NEED AND WHETHER THE REQUEST IS IN ALIGNMENT WITH THE ORGANIZATION'S GOALS AND OBJECTIVES. UPON APPROVAL, THE GRANT IS ENTERED INTO THE GRANT DATABASE AND THE FINANCIAL SYSTEM. THE ORGANIZATION REQUIRES THAT A PROGRESS REPORT BE SUBMITTED MIDWAY THROUGH THE PROJECT, AND A FINAL REPORT IS REQUIRED AT THE END OF THE PROJECT FOR WHICH FUNDING IS RECEIVED. GRANT REPORT DEADLINES AND GUIDELINES THAT EXPLAIN WHAT TO INCLUDE IN REPORTS WILL BE SENT TO THE PROJECT DIRECTOR/GRANTEE UPON GRANT AWARD NOTIFICATION. GRANT REPORTS MUST INCLUDE AN ACCOUNTING OF FUNDS EXPENDED AND ENCUMBERED, INCLUDING SUPPORTING DOCUMENTATION. GRANT RECIPIENTS WHO FAIL TO SUBMIT REPORTS OR ACCOUNT FOR THE EXPENSE OF GRANT FUNDS WILL NOT BE ALLOWED TO APPLY FOR FUTURE FUNDING UNTIL THE REPORTING REQUIREMENTS ARE MET. GRANTS WILL BE AWARDED FROM THE BOARD-DESIGNED FUND TO ADVANCE INITIATIVES THAT ARE ALIGNED WITH OR A DIRECT PART OF NORTON HEALTHCARE STRATEGIC PLAN. AWARDS ARE GRANTED FOR EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT, COMMUNITY HEALTH AND/OR TECHNOLOGY OR EQUIPMENT OF SPECIAL NATURE. CASH ASSISTANCE IS AWARDED THROUGH THE COMMUNITY INITIATIVE COMMITTEE AND EXPENSED IN THE YEAR THAT THE CASH ASSISTANCE IS AWARDED. A REQUEST PROCESS IS IN PLACE TO ENSURE THAT THE REQUEST IS IN ALIGNMENT WITH THE NORTON HEALTHCARE VALUES AND STRATEGIC PLAN.
Schedule I (Form 990) 2021



Additional Data


Software ID: 21014044
Software Version: 2021v4.2