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Object ID: 202122239349300732 - Rendered 2024-05-19
TIN: 75-0800661
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
Name of the organization
Methodist Hospitals of Dallas
Employer identification number
75-0800661
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.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
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
No
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
Yes
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.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
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
No
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
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019
Schedule J (Form 990) 2019
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
1
Stephen L Mansfield PhD
Former President/CEO (RETIRED APRIL 2019)
(i)
(ii)
1,333,376
-------------
0
305,856
-------------
0
683,960
-------------
0
20,300
-------------
0
37,937
-------------
0
2,381,429
-------------
0
317,901
-------------
0
2
James C Scoggin Jr
CEO (Beginning April 2019)
(i)
(ii)
875,000
-------------
0
635,181
-------------
0
4,630
-------------
0
2,800
-------------
0
960
-------------
0
1,518,571
-------------
0
0
-------------
0
3
Michael J Schaefer
Former CFO
(i)
(ii)
181,848
-------------
0
0
-------------
0
10,268
-------------
0
1,635
-------------
0
1,142
-------------
0
194,893
-------------
0
0
-------------
0
4
Craig Bjerke
Treasurer & CFO
(i)
(ii)
516,650
-------------
0
278,443
-------------
0
16,367
-------------
0
86,898
-------------
0
36,457
-------------
0
934,815
-------------
0
0
-------------
0
5
Michael O Price
Assistant Secretary
(i)
(ii)
491,568
-------------
0
205,839
-------------
0
80,827
-------------
0
78,144
-------------
0
64,247
-------------
0
920,625
-------------
0
54,311
-------------
0
6
Robert M Milone
Assistant Treasurer
(i)
(ii)
200,055
-------------
0
41,200
-------------
0
5,966
-------------
0
14,740
-------------
0
37,483
-------------
0
299,444
-------------
0
0
-------------
0
7
JARY GANSKE
FORMER Interim President of MMMC
(i)
(ii)
168,749
-------------
0
32,755
-------------
0
8,167
-------------
0
8,427
-------------
0
30,101
-------------
0
248,199
-------------
0
0
-------------
0
8
Pamela Stoyanoff
President & COO
(i)
(ii)
855,157
-------------
0
511,793
-------------
0
139,863
-------------
0
137,650
-------------
0
67,241
-------------
0
1,711,704
-------------
0
110,538
-------------
0
9
John Phillips
PRESIDENT - MDMC
(i)
(ii)
550,882
-------------
0
222,345
-------------
0
141,649
-------------
0
91,322
-------------
0
38,262
-------------
0
1,044,460
-------------
0
50,256
-------------
0
10
E Kenneth Hutchenrider JR
PRESIDENT - MRMC
(i)
(ii)
417,738
-------------
0
176,043
-------------
0
71,454
-------------
0
72,920
-------------
0
40,157
-------------
0
778,312
-------------
0
57,585
-------------
0
11
Frances Laukaitis
PRESIDENT - MCMC
(i)
(ii)
385,518
-------------
0
173,623
-------------
0
141,747
-------------
0
14,885
-------------
0
35,123
-------------
0
750,896
-------------
0
52,671
-------------
0
12
Leslie Pierce
SR VP REVENUE CYCLE
(i)
(ii)
299,589
-------------
0
92,834
-------------
0
28,549
-------------
0
36,972
-------------
0
37,553
-------------
0
495,497
-------------
0
19,844
-------------
0
13
JUAN FRESQUEZ JR
PRESIDENT - MIDLOTHIAN/MANSFIELD
(i)
(ii)
274,514
-------------
0
70,033
-------------
0
73,309
-------------
0
48,823
-------------
0
28,217
-------------
0
494,896
-------------
0
0
-------------
0
14
Pamela McNutt
SENIOR VICE PRESIDENT & CIO
(i)
(ii)
475,802
-------------
0
198,399
-------------
0
81,424
-------------
0
72,156
-------------
0
52,658
-------------
0
880,439
-------------
0
59,121
-------------
0
15
Martin L Koonsman MD
CHIEF MEDICAL OFFICER
(i)
(ii)
479,554
-------------
0
177,646
-------------
0
94,876
-------------
0
48,930
-------------
0
44,058
-------------
0
845,064
-------------
0
78,749
-------------
0
16
George Williams MD
President Methodist Medical Group/SVP
(i)
(ii)
491,494
-------------
0
183,335
-------------
0
42,834
-------------
0
50,062
-------------
0
40,882
-------------
0
808,607
-------------
0
32,456
-------------
0
17
Cheryl Flynn
SR VICE PRESIDENT - CHRO
(i)
(ii)
401,756
-------------
0
149,926
-------------
0
51,314
-------------
0
44,662
-------------
0
48,234
-------------
0
695,892
-------------
0
28,278
-------------
0
18
Brian Kenjarski
SVP DATA GOVERNANCE &CMIO
(i)
(ii)
435,904
-------------
0
109,119
-------------
0
6,403
-------------
0
45,297
-------------
0
19,351
-------------
0
616,074
-------------
0
0
-------------
0
Schedule J (Form 990) 2019
Schedule J (Form 990) 2019
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 1a Discretionary spending account
Dr. Stephen Mansfield, Former CEO (Retired April 2019), was provided with an amount to utilize for various incidental business expenses, as deemed necessary by the CEO. The CEO was not accountable to the organization under an accountable plan and the amount was considered taxable compensation.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees
Jim Scoggin, CEO, is provided with a social club membership paid directly to the social club by the organization. The amount was not treated as taxable compensation.
Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses
The independent board's compensation committee reviews and approves the discretionary spending amount provided to the CEO. The committee contemporaneously substantiated the deliberation and decision. The payment of social club dues is made directly to the social club and is governed by the organization's expense approval policy.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
To aid in retaining key employees, a 457(f) retirement allowance plan is available to officers, senior vice presidents, executive vice presidents and division presidents. Each year the plan provides credits, expressed as dollar amounts, determined by a percentage of each participant's base salary. The percentage for each participant is defined in the plan. The deferred allowance is deposited in a mutual fund account for each participant and invested in funds selected by the participant from a menu of available options. Vested benefits, with investments gains or losses, are paid to participants as regular taxable income. The plan defines provisions for distribution of benefits in the event of the participant's death or separation of employment prior to the elected vesting date. The amounts below; deferred and paid, respectively, are included in the amounts reported on schedule j, part ii, columns b(iii), (c), or (f). CRAIG BJERKE $74,634 / $0 CHERYL FLYNN $31,362 / $28,278 JUAN FRESQUEZ JR $40,697 / $0 EDWIN HUTCHENRIDER JR. $59,620 / $57,585 Brian Kenjarski $33,033 / $0 MARTIN KOONSMAN JR. $36,666 / $78,749 FRANCES LAUKAITIS $0 / $111,537 Dr. Stephen Mansfield, Former CEO $0 / $619,056 PAMELA MCNUTT $51,856 / $59,121 JOHN PHILLIPS $78,022 / $50,256 LESLIE PIERCE $23,672 / $19,844 MICHAEL PRICE $57,844 / $54,311 MICHAEL SCHAEFER $0 / $7,101 James Scoggin $0 / $0 PAMELA STOYANOFF $120,850 / $110,538 GEORGE WILLIAMS $37,798 / $32,456
Schedule J, Part I, Line 7 Non-fixed payments
In order to recruit and retain key talent, MHS offers short and long term incentive plans for certain employees listed in Part VII, Section A, Line 1a. For fiscal year 2019 the incentive plans were targeted in the areas of financial performance, clinical quality, and employee and patient satisfaction.
Schedule J (Form 990) 2019
Additional Data
Software ID:
19010655
Software Version:
2019v5.0