Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
KAISER FOUNDATION HOSPITALS
 
Employer identification number

94-1105628
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
Yes
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Gregory Adams
Chairman & CEO 		(i)

(ii)		 0
-------------
1,795,822 		0
-------------
9,815,109 		0
-------------
655,812 		0
-------------
4,974,642 		0
-------------
26,675 		0
-------------
17,268,060 		0
-------------
1,275,042
2Richard Daniels
EVP, Chief Information Officer 		(i)

(ii)		 0
-------------
424,849 		0
-------------
3,678,541 		0
-------------
2,398,635 		0
-------------
141,323 		0
-------------
31,612 		0
-------------
6,674,960 		0
-------------
1,195,563
3Janet Liang
EVP, Group President & COO 		(i)

(ii)		 0
-------------
1,174,318 		0
-------------
1,641,472 		0
-------------
46,640 		0
-------------
2,682,300 		0
-------------
35,603 		0
-------------
5,580,333 		0
-------------
0
4Kathryn Lancaster
EVP & CFO 		(i)

(ii)		 0
-------------
1,209,519 		0
-------------
2,903,812 		0
-------------
426,985 		0
-------------
530,154 		0
-------------
16,186 		0
-------------
5,086,656 		0
-------------
0
5Arthur Southam
EVP, Health Plan Ops & CGO 		(i)

(ii)		 0
-------------
1,208,676 		0
-------------
2,705,847 		0
-------------
442,778 		0
-------------
496,913 		0
-------------
32,141 		0
-------------
4,886,355 		0
-------------
0
6Julie Miller-Phipps
Region President - SCAL 		(i)

(ii)		 0
-------------
989,320 		0
-------------
1,495,611 		0
-------------
1,338,367 		0
-------------
796,955 		0
-------------
23,520 		0
-------------
4,643,773 		0
-------------
993,157
7Kimberly Horn
EVP, Group President, MOC 		(i)

(ii)		 0
-------------
1,024,135 		0
-------------
1,154,427 		0
-------------
63,894 		0
-------------
2,024,950 		0
-------------
32,789 		0
-------------
4,300,195 		0
-------------
0
8Mark Zemelman
SVP, General Counsel & Secy 		(i)

(ii)		 0
-------------
792,767 		0
-------------
1,820,701 		0
-------------
288,997 		0
-------------
176,727 		0
-------------
37,952 		0
-------------
3,117,144 		0
-------------
0
9Anthony Barrueta
SVP, Government Relations 		(i)

(ii)		 0
-------------
506,295 		0
-------------
887,806 		0
-------------
1,231,075 		0
-------------
234,555 		0
-------------
23,150 		0
-------------
2,882,881 		0
-------------
1,137,875
10Chuck Bevilacqua
SVP, Health Plan Svc & Admin 		(i)

(ii)		 0
-------------
826,923 		0
-------------
1,008,803 		0
-------------
291,311 		0
-------------
404,093 		0
-------------
26,093 		0
-------------
2,557,223 		0
-------------
212,697
11Wade Overgaard
SVP, Health Plan Ops - CA 		(i)

(ii)		 0
-------------
825,236 		0
-------------
1,008,803 		0
-------------
203,852 		0
-------------
290,356 		0
-------------
32,105 		0
-------------
2,360,352 		0
-------------
0
12Susan Mullaney
Region President - WA 		(i)

(ii)		 0
-------------
739,499 		0
-------------
759,222 		0
-------------
43,443 		0
-------------
769,099 		0
-------------
26,373 		0
-------------
2,337,636 		0
-------------
0
13Michael Rowe
SVP, Chf Bus Dev & Strat Exec 		(i)

(ii)		 0
-------------
674,199 		0
-------------
832,038 		0
-------------
671,259 		0
-------------
128,287 		0
-------------
31,440 		0
-------------
2,337,223 		0
-------------
766,274
14Ruth Williams-Brinkley
Region President 		(i)

(ii)		 0
-------------
741,804 		0
-------------
992,778 		0
-------------
94,186 		0
-------------
441,178 		0
-------------
23,257 		0
-------------
2,293,203 		0
-------------
0
15Michael Ramseier
Region President - Colorado 		(i)

(ii)		 0
-------------
857,287 		0
-------------
498,497 		0
-------------
46,652 		0
-------------
778,278 		0
-------------
30,410 		0
-------------
2,211,124 		0
-------------
184,322
16Christian Meisner
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
505,183 		0
-------------
700,000 		0
-------------
65,394 		0
-------------
733,865 		0
-------------
36,459 		0
-------------
2,040,901 		0
-------------
0
17Arlene Peasnall
SVP, HR & Labor Relations 		(i)

(ii)		 0
-------------
590,334 		0
-------------
842,539 		0
-------------
291,626 		0
-------------
268,087 		0
-------------
19,326 		0
-------------
2,011,912 		0
-------------
104,386
18George Disalvo
SVP, CFO - SCAL 		(i)

(ii)		 0
-------------
681,656 		0
-------------
929,922 		0
-------------
187,586 		0
-------------
181,166 		0
-------------
29,461 		0
-------------
2,009,791 		0
-------------
70,101
19Paul Swenson
EVP, Chief Admin Officer 		(i)

(ii)		 0
-------------
743,007 		0
-------------
799,834 		0
-------------
197,642 		0
-------------
160,737 		0
-------------
28,502 		0
-------------
1,929,722 		0
-------------
0
20Thomas Meier
SVP, Corporate Treasurer 		(i)

(ii)		 0
-------------
535,771 		0
-------------
940,826 		0
-------------
118,889 		0
-------------
263,145 		0
-------------
34,149 		0
-------------
1,892,780 		0
-------------
0
21Wendy Lee
SVP, Bold Move Personal Health 		(i)

(ii)		 0
-------------
426,691 		0
-------------
506,081 		0
-------------
641,101 		0
-------------
218,131 		0
-------------
26,272 		0
-------------
1,818,276 		0
-------------
0
22Laurel Junk
SVP, Enterprise Shared Svcs 		(i)

(ii)		 0
-------------
666,588 		0
-------------
595,134 		0
-------------
169,511 		0
-------------
308,013 		0
-------------
16,588 		0
-------------
1,755,834 		0
-------------
109,064
23Thomas Hanenburg
Interim Regional President-NCA 		(i)

(ii)		 0
-------------
812,405 		0
-------------
655,927 		0
-------------
42,592 		0
-------------
210,671 		0
-------------
26,485 		0
-------------
1,748,080 		0
-------------
0
24Roland Lyon
SVP, Natl Del System Strategy 		(i)

(ii)		 0
-------------
531,518 		0
-------------
684,643 		0
-------------
222,990 		0
-------------
281,798 		0
-------------
26,961 		0
-------------
1,747,910 		0
-------------
131,214
25Lisa Caplan
SVP, Care Delivery Tech Svcs 		(i)

(ii)		 0
-------------
447,146 		0
-------------
605,896 		0
-------------
454,394 		0
-------------
148,318 		0
-------------
14,550 		0
-------------
1,670,304 		0
-------------
0
26Ronald Vance
Interim Regional President -HI 		(i)

(ii)		 0
-------------
1,650,000 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
1,650,000 		0
-------------
0
27Bechara Choucair
SVP, Chief Health Officer 		(i)

(ii)		 0
-------------
562,376 		0
-------------
632,374 		0
-------------
51,049 		0
-------------
370,637 		0
-------------
23,545 		0
-------------
1,639,981 		0
-------------
0
28Chandrika Bhalla
SVP, CFO - NCAL 		(i)

(ii)		 0
-------------
627,792 		0
-------------
705,169 		0
-------------
19,985 		0
-------------
244,453 		0
-------------
29,028 		0
-------------
1,626,427 		0
-------------
0
29Yazdi Bagli
EVP, Enterprise Business Svcs 		(i)

(ii)		 0
-------------
154,423 		0
-------------
1,350,000 		0
-------------
39,151 		0
-------------
36,516 		0
-------------
8,895 		0
-------------
1,588,985 		0
-------------
0
30James Simpson
Region President - GA 		(i)

(ii)		 0
-------------
582,441 		0
-------------
436,212 		0
-------------
185,977 		0
-------------
302,596 		0
-------------
39,921 		0
-------------
1,547,147 		0
-------------
0
31Pratabkumar Vemana
SVP, Chief Digital Officer 		(i)

(ii)		 0
-------------
531,113 		0
-------------
724,434 		0
-------------
37,873 		0
-------------
222,339 		0
-------------
16,288 		0
-------------
1,532,047 		0
-------------
0
32William Caswell
SVP, Operations 		(i)

(ii)		 0
-------------
608,115 		0
-------------
560,617 		0
-------------
138,699 		0
-------------
154,824 		0
-------------
23,571 		0
-------------
1,485,826 		0
-------------
0
33Vanessa Benavides
SVP,Chf Compliance & Priv. Off 		(i)

(ii)		 0
-------------
483,561 		0
-------------
633,565 		0
-------------
49,430 		0
-------------
252,700 		0
-------------
19,777 		0
-------------
1,439,033 		0
-------------
0
34Lazaro Garcia
VP, IMG Customer Plng & Mgmt 		(i)

(ii)		 0
-------------
176,877 		0
-------------
233,132 		0
-------------
782,915 		0
-------------
197,269 		0
-------------
23,165 		0
-------------
1,413,358 		0
-------------
0
35Alfonse Upshaw
SVP,Corporate Controller & CAO 		(i)

(ii)		 0
-------------
509,048 		0
-------------
563,086 		0
-------------
108,271 		0
-------------
203,777 		0
-------------
23,720 		0
-------------
1,407,902 		0
-------------
49,196
36Diane Comer
EVP, Chief Info & Tech Officer 		(i)

(ii)		 0
-------------
529,702 		0
-------------
575,181 		0
-------------
103,818 		0
-------------
139,820 		0
-------------
25,975 		0
-------------
1,374,496 		0
-------------
0
37Janet O'Hollaren
VP, COO 		(i)

(ii)		 0
-------------
511,539 		0
-------------
284,485 		0
-------------
161,234 		0
-------------
379,713 		0
-------------
23,463 		0
-------------
1,360,434 		0
-------------
81,693
38Lesley Wille
SVP, Operations 		(i)

(ii)		 0
-------------
569,288 		0
-------------
349,494 		0
-------------
93,923 		0
-------------
300,301 		0
-------------
25,003 		0
-------------
1,338,009 		0
-------------
54,677
39Jeffrey Collins
Regional President - Northwest 		(i)

(ii)		 0
-------------
638,658 		0
-------------
359,405 		0
-------------
168,888 		0
-------------
129,188 		0
-------------
25,852 		0
-------------
1,321,991 		0
-------------
0
40Kathleen Scheirman
SVP, IT Operations 		(i)

(ii)		 0
-------------
489,167 		0
-------------
577,420 		0
-------------
91,788 		0
-------------
125,860 		0
-------------
25,797 		0
-------------
1,310,032 		0
-------------
0
41Greg Christian
Regional President - HI 		(i)

(ii)		 0
-------------
509,045 		0
-------------
426,967 		0
-------------
23,859 		0
-------------
293,069 		0
-------------
24,299 		0
-------------
1,277,239 		0
-------------
0
42Donald Orndoff
SVP, NFS 		(i)

(ii)		 0
-------------
474,973 		0
-------------
506,957 		0
-------------
129,024 		0
-------------
123,350 		0
-------------
29,547 		0
-------------
1,263,851 		0
-------------
0
43Patrick Courneya
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
187,418 		0
-------------
803,817 		0
-------------
151,717 		0
-------------
81,375 		0
-------------
7,274 		0
-------------
1,231,601 		0
-------------
143,484
44Michelle Gaskill
SVP,Health Plan &Hospital Opns 		(i)

(ii)		 0
-------------
557,832 		0
-------------
378,471 		0
-------------
69,107 		0
-------------
132,871 		0
-------------
28,187 		0
-------------
1,166,468 		0
-------------
0
45Patricia Harvey
SVP, Qlty, Reg, & Clinical Ops 		(i)

(ii)		 0
-------------
397,229 		0
-------------
334,291 		0
-------------
41,576 		0
-------------
230,097 		0
-------------
20,339 		0
-------------
1,023,532 		0
-------------
0
46John Yamamoto
Assistant Secretary 		(i)

(ii)		 0
-------------
371,165 		0
-------------
309,597 		0
-------------
67,346 		0
-------------
241,663 		0
-------------
29,298 		0
-------------
1,019,069 		0
-------------
0
47Charles Columbus
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
975,011 		0
-------------
0 		0
-------------
15,117 		0
-------------
0 		0
-------------
990,128 		0
-------------
0
48Catherine Tirey
SVP Chf Communications Officer 		(i)

(ii)		 0
-------------
412,600 		0
-------------
225,806 		0
-------------
18,712 		0
-------------
261,877 		0
-------------
29,170 		0
-------------
948,165 		0
-------------
0
49Kathryn Beiser
SVP Chf Communications Officer 		(i)

(ii)		 0
-------------
65,496 		0
-------------
250,000 		0
-------------
576,643 		0
-------------
1,520 		0
-------------
2,650 		0
-------------
896,309 		0
-------------
122,435
50Philip Young Jr
Assistant Secretary 		(i)

(ii)		 0
-------------
350,569 		0
-------------
291,019 		0
-------------
17,416 		0
-------------
195,466 		0
-------------
28,483 		0
-------------
882,953 		0
-------------
0
51Marty Ardron
SVP, Operations 		(i)

(ii)		 0
-------------
438,482 		0
-------------
233,686 		0
-------------
38,051 		0
-------------
130,757 		0
-------------
26,867 		0
-------------
867,843 		0
-------------
0
52Max Villalobos
COO - North County 		(i)

(ii)		 0
-------------
358,044 		0
-------------
147,122 		0
-------------
77,925 		0
-------------
196,772 		0
-------------
23,292 		0
-------------
803,155 		0
-------------
46,083
53Matthew Weber
Assistant Secretary 		(i)

(ii)		 0
-------------
299,151 		0
-------------
252,307 		0
-------------
16,131 		0
-------------
123,609 		0
-------------
26,207 		0
-------------
717,405 		0
-------------
0
54Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy 		(i)

(ii)		 0
-------------
286,096 		0
-------------
155,214 		0
-------------
17,467 		0
-------------
224,875 		0
-------------
26,674 		0
-------------
710,326 		0
-------------
0
55Tami Lamp
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
671,778 		0
-------------
0 		0
-------------
20,513 		0
-------------
692,291 		0
-------------
0
56Ryan Jenson
Interim Corp Controller & CAO 		(i)

(ii)		 0
-------------
289,969 		0
-------------
238,664 		0
-------------
15,948 		0
-------------
113,040 		0
-------------
29,413 		0
-------------
687,034 		0
-------------
0
57Carrie Plietz
Region President - NCAL 		(i)

(ii)		 0
-------------
121,016 		0
-------------
300,084 		0
-------------
2,397 		0
-------------
194,113 		0
-------------
2,043 		0
-------------
619,653 		0
-------------
0
58Kristin Bear
Assistant Secretary 		(i)

(ii)		 0
-------------
265,444 		0
-------------
136,319 		0
-------------
17,500 		0
-------------
171,888 		0
-------------
21,127 		0
-------------
612,278 		0
-------------
0
59Frank Richardson
Assistant Secretary 		(i)

(ii)		 0
-------------
270,709 		0
-------------
44,761 		0
-------------
16,503 		0
-------------
174,138 		0
-------------
29,939 		0
-------------
536,050 		0
-------------
0
60David Underriner
Region President - HI 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
507,856 		0
-------------
0 		0
-------------
5,263 		0
-------------
513,119 		0
-------------
0
61Bernice Gould
Assistant Secretary 		(i)

(ii)		 0
-------------
222,678 		0
-------------
34,304 		0
-------------
2,310 		0
-------------
163,148 		0
-------------
10,554 		0
-------------
432,994 		0
-------------
0
62Rochelle Roth
Assistant Secretary 		(i)

(ii)		 0
-------------
195,300 		0
-------------
31,030 		0
-------------
2,124 		0
-------------
139,069 		0
-------------
18,362 		0
-------------
385,885 		0
-------------
0
63Judith A Johansen JD
Director 		(i)

(ii)		 0
-------------
248,000 		0
-------------
0 		0
-------------
9,524 		0
-------------
51,468 		0
-------------
0 		0
-------------
308,992 		0
-------------
0
64Margaret E Porfido JD
Director 		(i)

(ii)		 0
-------------
279,000 		0
-------------
0 		0
-------------
20,093 		0
-------------
7,619 		0
-------------
0 		0
-------------
306,712 		0
-------------
0
65Andrew Bindman
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
83,492 		0
-------------
200,000 		0
-------------
2,131 		0
-------------
18,224 		0
-------------
939 		0
-------------
304,786 		0
-------------
0
66Cynthia A Telles PHD
Director 		(i)

(ii)		 0
-------------
264,000 		0
-------------
0 		0
-------------
13,494 		0
-------------
7,082 		0
-------------
0 		0
-------------
284,576 		0
-------------
0
67Leslie S Heisz
Director 		(i)

(ii)		 0
-------------
240,500 		0
-------------
0 		0
-------------
18,131 		0
-------------
24,949 		0
-------------
0 		0
-------------
283,580 		0
-------------
0
68David F Hoffmeister
Director 		(i)

(ii)		 0
-------------
250,500 		0
-------------
0 		0
-------------
13,129 		0
-------------
17,039 		0
-------------
0 		0
-------------
280,668 		0
-------------
0
69Gerald McCall
SVP, Operations 		(i)

(ii)		 0
-------------
0 		0
-------------
261,375 		0
-------------
10,344 		0
-------------
0 		0
-------------
0 		0
-------------
271,719 		0
-------------
0
70Jeffrey E Epstein
Director 		(i)

(ii)		 0
-------------
248,000 		0
-------------
0 		0
-------------
8,558 		0
-------------
7,003 		0
-------------
0 		0
-------------
263,561 		0
-------------
0
71Maryann Bodayle
Assistant Secretary 		(i)

(ii)		 0
-------------
172,819 		0
-------------
16,023 		0
-------------
2,085 		0
-------------
61,453 		0
-------------
10,134 		0
-------------
262,514 		0
-------------
0
72Ramon F Baez
Director 		(i)

(ii)		 0
-------------
227,500 		0
-------------
0 		0
-------------
13,129 		0
-------------
17,909 		0
-------------
0 		0
-------------
258,538 		0
-------------
0
73Richard P Shannon MD
Director 		(i)

(ii)		 0
-------------
228,500 		0
-------------
0 		0
-------------
0 		0
-------------
24,093 		0
-------------
0 		0
-------------
252,593 		0
-------------
0
74A Eugene Washington MD
Director 		(i)

(ii)		 0
-------------
235,500 		0
-------------
0 		0
-------------
0 		0
-------------
12,117 		0
-------------
0 		0
-------------
247,617 		0
-------------
0
75Regina M Benjamin MD MBA
Director 		(i)

(ii)		 0
-------------
184,000 		0
-------------
0 		0
-------------
8,274 		0
-------------
48,629 		0
-------------
0 		0
-------------
240,903 		0
-------------
0
76David J Barger
Director 		(i)

(ii)		 0
-------------
218,000 		0
-------------
0 		0
-------------
0 		0
-------------
16,678 		0
-------------
0 		0
-------------
234,678 		0
-------------
0
77Matthew T Ryan
Director 		(i)

(ii)		 0
-------------
223,000 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
223,000 		0
-------------
0
78Kim J Kaiser
Director 		(i)

(ii)		 0
-------------
26,000 		0
-------------
0 		0
-------------
13,414 		0
-------------
0 		0
-------------
0 		0
-------------
39,414 		0
-------------
0
79Edward YW Pei
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
14,281 		0
-------------
0 		0
-------------
0 		0
-------------
14,281 		0
-------------
0
80William Graber
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
10,593 		0
-------------
0 		0
-------------
0 		0
-------------
10,593 		0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 METHODS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF A RELATED ORGANIZATION.
SCHEDULE J, PART I, LINE 4A - Severance Payments - Richard Daniels $ 746,337 Wendy Lee 49,564 Lazaro Garcia 236,189 Kathryn Beiser 574,000 Tami Lamp 673,077 David Underriner 507,692 LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO SEVERANCE BENEFITS IN THE EVENT OF TERMINATION BY THE ORGANIZATION WITHOUT CAUSE OR DUE TO JOB ELIMINATION. DEPENDING ON POSITION LEVEL, TENURE, AND TERMINATION REASON, SEVERANCE BENEFITS PAYABLE UNDER THESE ARRANGEMENTS PROVIDE FOR PAY AND HEALTH BENEFITS CONTINUATION PLUS PAYMENT OF ACCRUED OBLIGATIONS. IN ADDITION, FOR SOME OF THE LISTED PERSONS, SEVERANCE BENEFITS PAYABLE INCLUDE PRORATED INCENTIVE AWARDS FOR PERFORMANCE PERIODS NOT YET ENDED. NONE OF THE LISTED PERSONS PARTICIPATED IN ARRANGEMENTS ENTITLING THEM TO CHANGE-OF-CONTROL PAYMENTS.
SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS - Gregory Adams $ 461,220 Richard Daniels 1,613,959 Kathryn Lancaster 375,052 Arthur Southam 390,827 Julie Miller-Phipps 1,307,650 Mark Zemelman 232,683 Anthony Barrueta 1,186,905 Chuck Bevilacqua 266,903 Wade Overgaard 174,284 Michael Rowe 645,738 Arlene Peasnall 59,455 George Disalvo 142,174 Paul Swenson 141,696 Thomas Meier 74,737 Wendy Lee 570,610 Laurel Junk 143,977 Roland Lyon 158,964 Lisa Caplan 411,544 James Simpson 141,287 William Caswell 86,753 Lazaro Garcia 500,559 Alfonse Upshaw 69,455 Diane Comer 61,510 Janet O'Hollaren 117,300 Lesley Wille 74,512 Jeffrey Collins 70,897 Kathleen Scheirman 61,868 Donald Orndoff 95,724 John Yamamoto 47,939 Max Villalobos 48,387 SOME OF THE PARTICIPANTS LISTED IN SCHEDULE J, PART II PARTICIPATED IN NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS. UNDER THESE PLANS, THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A NOTIONAL ACCOUNT ON BEHALF OF EACH PARTICIPANT. CONTRIBUTIONS VARY BY POSITION, LEVEL AND PAY, AND VEST OVER TIME BASED ON AGE AND/OR SERVICE. PARTICIPANT ACCOUNTS ARE CREDITED WITH A FIXED RATE OF INTEREST, INVESTED IN AVAILABLE MUTUAL FUNDS OR A COMBINATION OF BOTH. CERTAIN OFFICERS ACCRUE A BENEFIT THAT VESTS BASED ON AGE AND SERVICE AND TARGETS A PERCENTAGE OF FINAL AVERAGE PAY LESS PRIOR PLAN OFFSETS. UNVESTED AMOUNTS ARE SUBJECT TO RISK OF FORFEITURE.
Schedule J, Part I, Line 7 - NON-FIXED PAYMENTS - THE ORGANIZATION PROVIDED NON-FIXED PAYMENTS TO SOME OF THE PERSONS LISTED. PAYMENTS WERE MADE UNDER DISCRETIONARY BONUS PROGRAMS AND INCENTIVE PLANS, BASED ON ATTAINMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE, DESIGNED TO SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE HIGH-QUALITY, AFFORDABLE CARE AND IMPROVE THE HEALTH OF ITS MEMBERS AND THE COMMUNITIES IT SERVES. THE PLANS' ORGANIZATIONAL PERFORMANCE GOALS INCLUDED: QUALITY OF CARE AND SERVICE, MEMBERSHIP GROWTH, OPERATING INCOME, PER MEMBER EXPENSE TREND, AND COMMUNITY BENEFIT. PLAN DESIGNS, PERFORMANCE, AND PAYOUT LEVELS, AS WELL AS INDIVIDUAL PAYMENTS TO CERTAIN PERSONS, WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, COMPRISED OF INDEPENDENT DIRECTORS. SCHEDULE J, PART I, LINE 8 CERTAIN AMOUNTS REPORTED IN FORM 990, PART VII, WERE PAID OR ACCRUED PURSUANT TO A CONTRACT THAT WAS SUBJECT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). FIXED PAYMENTS WERE PAID TO OR ACCRUED FOR FIVE OFFICERS IN 2020.
SCHEDULE J, PART II, COLUMN F AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN F INCLUDE AMOUNTS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION, AS WELL AS DISTRIBUTIONS FROM A 457(B) PLAN THAT WERE PREVIOUSLY REPORTED AS REPORTABLE COMPENSATION IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
PART VII, LINE 5 COMPENSATION FROM AN UNRELATED ORGANIZATION ONE OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.
Schedule J (Form 990) 2020

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