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Object ID: 202123139349301967 - Rendered 2024-05-07
TIN: 54-1547408
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
20
Open to Public Inspection
Name of the organization
SENTARA HOSPITALS
Employer identification number
54-1547408
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
Yes
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
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
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) 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
1
HOWARD P KERN
DIRECTOR/CHAIRMAN
(i)
(ii)
0
-------------
1,746,915
0
-------------
2,066,820
0
-------------
422,891
0
-------------
7,135,652
0
-------------
25,646
0
-------------
11,397,924
0
-------------
0
2
MICHAEL V GENTRY
DIRECTOR/PRESIDENT
(i)
(ii)
0
-------------
851,459
0
-------------
755,619
0
-------------
164,761
0
-------------
395,379
0
-------------
21,700
0
-------------
2,188,918
0
-------------
0
3
ROBERT A BROERMANN
DIRECTOR/TREASURER
(i)
(ii)
0
-------------
889,946
0
-------------
795,582
0
-------------
216,125
0
-------------
139,891
0
-------------
20,722
0
-------------
2,062,266
0
-------------
0
4
ARTHUR D JAMES
KE (PRESIDENT, AMBULATORY SERVICES)
(i)
(ii)
622,486
-------------
0
371,385
-------------
0
13,467
-------------
0
167,570
-------------
0
20,844
-------------
0
1,195,752
-------------
0
0
-------------
0
5
TERESA L EDWARDS
KE (CORPORATE VP)
(i)
(ii)
499,034
-------------
0
347,477
-------------
0
113,331
-------------
0
116,979
-------------
0
23,233
-------------
0
1,100,054
-------------
0
0
-------------
0
6
GENEMARIE W MCGEE
KE (CNO)
(i)
(ii)
427,779
-------------
0
245,407
-------------
0
100,389
-------------
0
280,355
-------------
0
8,604
-------------
0
1,062,534
-------------
0
0
-------------
0
7
MARY L BLUNT
FORMER KE
(i)
(ii)
96,053
-------------
0
520,485
-------------
0
319,210
-------------
0
2,991
-------------
0
3,291
-------------
0
942,030
-------------
0
184,471
-------------
0
8
LOUIS PATALANO IV
SECRETARY (EFFEC 7/20)
(i)
(ii)
0
-------------
581,030
0
-------------
201,400
0
-------------
38,051
0
-------------
80,062
0
-------------
19,225
0
-------------
919,768
0
-------------
0
9
KURT T HOFELICH
VP, AMBULATORY SERVICES
(i)
(ii)
351,343
-------------
0
108,794
-------------
0
49,874
-------------
0
257,887
-------------
0
30,828
-------------
0
798,726
-------------
0
26,105
-------------
0
10
MICHAEL J REAGIN
KE (SVP, CHIEF INFO & INNOV OFFICER)
(i)
(ii)
234,379
-------------
0
430,650
-------------
0
56,566
-------------
0
32,040
-------------
0
6,005
-------------
0
759,640
-------------
0
10,625
-------------
0
11
THOMAS KLEVAN
MEDICAL DIRECTOR, CARDIAC SVC LINE
(i)
(ii)
460,145
-------------
0
120,206
-------------
0
23,427
-------------
0
75,947
-------------
0
30,623
-------------
0
710,348
-------------
0
0
-------------
0
12
JOEL T BUNDY
VP, CHIEF QUALITY & SAFETY OFFICER
(i)
(ii)
353,246
-------------
0
156,663
-------------
0
24,402
-------------
0
77,456
-------------
0
38,649
-------------
0
650,416
-------------
0
0
-------------
0
13
CAROLYN C CARPENTER
KE (PRESIDENT, SNGH)
(i)
(ii)
311,931
-------------
0
156,544
-------------
0
98,258
-------------
0
52,969
-------------
0
17,437
-------------
0
637,139
-------------
0
0
-------------
0
14
ELWOOD B BOONE III
KE (PRESIDENT, SVBGH)
(i)
(ii)
343,755
-------------
0
115,047
-------------
0
36,283
-------------
0
103,526
-------------
0
30,731
-------------
0
629,342
-------------
0
21,980
-------------
0
15
JOANNE M INMAN
KE (PRESIDENT, SLH)
(i)
(ii)
286,143
-------------
0
110,967
-------------
0
29,973
-------------
0
161,200
-------------
0
35,860
-------------
0
624,143
-------------
0
0
-------------
0
16
KIRKPATRICK CONLEY
KE (INTERIM CVP, PENINSULA REGION)
(i)
(ii)
372,317
-------------
0
139,243
-------------
0
13,636
-------------
0
56,230
-------------
0
3,170
-------------
0
584,596
-------------
0
0
-------------
0
17
CHRISTOPHER M CULP
VP, MEDICAL AFFAIRS SWCH
(i)
(ii)
367,976
-------------
0
31,517
-------------
0
148,265
-------------
0
566
-------------
0
6,333
-------------
0
554,657
-------------
0
0
-------------
0
18
MICHAEL H HOOPER
VP, MEDICAL AFFAIRS
(i)
(ii)
334,501
-------------
0
107,380
-------------
0
19,860
-------------
0
56,308
-------------
0
32,139
-------------
0
550,188
-------------
0
0
-------------
0
19
GRACE MYERS
FORMER KE
(i)
(ii)
232,721
-------------
0
77,181
-------------
0
20,558
-------------
0
139,488
-------------
0
12,427
-------------
0
482,375
-------------
0
0
-------------
0
20
ROBERT C FIRESTONE
FORMER KE
(i)
(ii)
216,060
-------------
0
72,868
-------------
0
2,097
-------------
0
118,398
-------------
0
32,533
-------------
0
441,956
-------------
0
0
-------------
0
21
SAMUEL J HAWLEY
SECRETARY (THRU 6/20)
(i)
(ii)
0
-------------
173,153
0
-------------
27,123
0
-------------
25,989
0
-------------
51,085
0
-------------
12,650
0
-------------
290,000
0
-------------
0
22
JEFFREY P KING
FORMER OFFICER
(i)
(ii)
0
-------------
0
0
-------------
160,422
0
-------------
13,932
0
-------------
16,388
0
-------------
800
0
-------------
191,542
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
PART I, LINE 1A
THE ORGANIZATION PAID FOR TAXABLE RELOCATION EXPENSES OF EXECUTIVE RECRUITS, INCLUDING TEMPORARY HOUSING AND THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFITS, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES.
PART I, LINE 3
SENTARA HEALTHCARE, THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE. SENTARA HEALTHCARE RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. THE SENTARA HEALTHCARE BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTHCARE'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE.
PART I, LINES 4A-B
JEFFREY P. KING RECEIVED $13,932 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. HOWARD KERN, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, TERESA EDWARDS, KURT HOFELICH, ELWOOD BOONE, GENEMARIE MCGEE, MICHAEL REAGIN, JOANNE INMAN, ARTHUR DAVID JAMES, CAROLYN CARPENTER, KIRKPATRICK CONLEY AND LOUIS PATALANO PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2020, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: MARY BLUNT ($302,019); ROBERT BROERMANN ($173,276); TERESA EDWARDS ($77,103); MICHAEL GENTRY ($131,794); KURT HOFELICH ($41,807); HOWARD KERN ($369,666); GENEMARIE MCGEE ($66,183); ELWOOD BOONE ($33,274) AND MICHAEL REAGIN ($17,953). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.
PART I, LINE 7
DURING THE CURRENT YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION.
Schedule J (Form 990) 2020
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