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
Spectrum Health System Group Return
 
Employer identification number

61-1740292
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
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.
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
1BRANDI SMITH
 
See Schedule O 		(i)

(ii)		 124,418
-------------
0 		17,654
-------------
0 		20,862
-------------
0 		6,871
-------------
0 		14,135
-------------
0 		183,940
-------------
0 		0
-------------
0
2CHRISTINA FREESE DECKER
 
See Schedule O 		(i)

(ii)		 0
-------------
1,347,427 		0
-------------
1,109,422 		0
-------------
30,400 		0
-------------
798,238 		0
-------------
236,092 		0
-------------
3,521,579 		0
-------------
616,186
3GWEN SANDEFUR
 
See Schedule O 		(i)

(ii)		 293,045
-------------
1,500 		1,425,099
-------------
0 		557,809
-------------
0 		206,237
-------------
0 		108,614
-------------
0 		2,590,804
-------------
1,500 		1,220,323
-------------
0
4JOAN A BUDDEN
 
See Schedule O 		(i)

(ii)		 0
-------------
884,825 		0
-------------
619,389 		0
-------------
9,387 		0
-------------
329,125 		0
-------------
126,586 		0
-------------
1,969,312 		0
-------------
350,560
5DARRYL ELMOUCHI MD
 
See Schedule O 		(i)

(ii)		 834,495
-------------
0 		559,801
-------------
0 		25,946
-------------
0 		363,002
-------------
0 		143,203
-------------
0 		1,926,447
-------------
0 		311,750
-------------
0
6LOREN HAMEL MD
 
See Schedule O 		(i)

(ii)		 0
-------------
679,931 		0
-------------
401,088 		0
-------------
25,072 		0
-------------
247,848 		0
-------------
107,800 		0
-------------
1,461,739 		0
-------------
196,357
7BRIAN BRASSER
 
See Schedule O 		(i)

(ii)		 465,144
-------------
0 		128,275
-------------
0 		7,923
-------------
0 		153,444
-------------
0 		78,391
-------------
0 		833,177
-------------
0 		48,428
-------------
0
8JASON SLAIKEU MD
 
See Schedule O 		(i)

(ii)		 533,292
-------------
0 		79,448
-------------
0 		7,435
-------------
0 		21,375
-------------
0 		20,322
-------------
0 		661,872
-------------
0 		0
-------------
0
9LOWELL HAMEL MD
 
See Schedule O 		(i)

(ii)		 448,187
-------------
0 		55,300
-------------
0 		64,378
-------------
0 		16,945
-------------
0 		12,975
-------------
0 		597,785
-------------
0 		0
-------------
0
10Chad Tuttle
 
See Schedule O 		(i)

(ii)		 326,566
-------------
0 		96,513
-------------
0 		2,371
-------------
0 		68,942
-------------
0 		59,192
-------------
0 		553,584
-------------
0 		28,020
-------------
0
11Ron Lewis
 
President, SHZ 		(i)

(ii)		 323,180
-------------
0 		84,287
-------------
0 		3,953
-------------
0 		78,148
-------------
0 		63,981
-------------
0 		553,549
-------------
0 		29,590
-------------
0
12Robert Fitzgerald MD
 
See Schedule O 		(i)

(ii)		 428,282
-------------
0 		37,063
-------------
0 		15,705
-------------
0 		25,650
-------------
0 		32,080
-------------
0 		538,780
-------------
0 		0
-------------
0
13Andrea Leslie
 
See Schedule O 		(i)

(ii)		 304,152
-------------
0 		77,220
-------------
0 		2,875
-------------
0 		93,382
-------------
0 		59,183
-------------
0 		536,812
-------------
0 		25,929
-------------
0
14PAUL KONOPACKI
 
See Schedule O 		(i)

(ii)		 0
-------------
305,558 		0
-------------
52,442 		0
-------------
860 		0
-------------
90,549 		0
-------------
58,061 		0
-------------
507,470 		0
-------------
0
15Brian Phillips
 
Treasurer, SHMG - Part Year 		(i)

(ii)		 369,439
-------------
0 		36,843
-------------
0 		12,008
-------------
0 		31,350
-------------
0 		19,588
-------------
0 		469,228
-------------
0 		0
-------------
0
16MARY ANN PATER
 
See Schedule O 		(i)

(ii)		 0
-------------
295,354 		0
-------------
52,175 		0
-------------
4,610 		0
-------------
57,976 		0
-------------
57,645 		0
-------------
467,760 		0
-------------
0
17Angela Ditmar
 
President, SHP 		(i)

(ii)		 285,389
-------------
0 		48,053
-------------
0 		2,940
-------------
0 		67,102
-------------
0 		49,777
-------------
0 		453,261
-------------
0 		0
-------------
0
18Vicki Weaver
 
President, SHF 		(i)

(ii)		 323,960
-------------
0 		57,546
-------------
0 		17,796
-------------
0 		28,500
-------------
0 		11,910
-------------
0 		439,712
-------------
0 		0
-------------
0
19John Schuen MD
 
See Schedule O 		(i)

(ii)		 328,235
-------------
0 		22,635
-------------
0 		18,846
-------------
0 		32,504
-------------
0 		32,664
-------------
0 		434,884
-------------
0 		0
-------------
0
20TIMOTHY CALHOUN
 
See Schedule O 		(i)

(ii)		 0
-------------
195,689 		0
-------------
116,545 		0
-------------
4,040 		0
-------------
55,028 		0
-------------
45,920 		0
-------------
417,222 		0
-------------
0
21Simin Beg
 
See Schedule O 		(i)

(ii)		 264,360
-------------
0 		20,285
-------------
0 		8,019
-------------
0 		24,485
-------------
0 		23,245
-------------
0 		340,394
-------------
0 		0
-------------
0
22RAY CRUSE
 
See Schedule O 		(i)

(ii)		 253,400
-------------
0 		25,651
-------------
0 		6,939
-------------
0 		14,717
-------------
0 		6,644
-------------
0 		307,351
-------------
0 		0
-------------
0
23Kevin Smith
 
See Schedule O 		(i)

(ii)		 191,224
-------------
0 		42,251
-------------
0 		1,199
-------------
0 		15,272
-------------
0 		21,736
-------------
0 		271,682
-------------
0 		0
-------------
0
24Karen Pakkala
 
See Schedule O 		(i)

(ii)		 208,582
-------------
0 		29,124
-------------
0 		3,067
-------------
0 		15,275
-------------
0 		4,919
-------------
0 		260,967
-------------
0 		0
-------------
0
25Helen Johnson
 
Interim President, SHL - Part Year 		(i)

(ii)		 178,673
-------------
0 		52,958
-------------
0 		3,674
-------------
0 		14,547
-------------
0 		2,000
-------------
0 		251,852
-------------
0 		0
-------------
0
26Shelly Johnson
 
Interim President, SHGM - Part Year 		(i)

(ii)		 136,290
-------------
0 		51,823
-------------
0 		18,553
-------------
0 		10,445
-------------
0 		23,759
-------------
0 		240,870
-------------
0 		0
-------------
0
27Randall Kelley
 
See Schedule O 		(i)

(ii)		 122,616
-------------
0 		58,917
-------------
0 		34,847
-------------
0 		11,005
-------------
0 		8,644
-------------
0 		236,029
-------------
0 		0
-------------
0
28MELINDA GRUBER
 
See Schedule O 		(i)

(ii)		 182,970
-------------
0 		9,225
-------------
0 		7,644
-------------
0 		10,474
-------------
0 		19,541
-------------
0 		229,854
-------------
0 		0
-------------
0
29Drew Dostal
 
See Schedule O 		(i)

(ii)		 119,483
-------------
0 		25,550
-------------
0 		1,085
-------------
0 		1,487
-------------
0 		23,624
-------------
0 		171,229
-------------
0 		0
-------------
0
30MATTHEW COX
 
Director, SHZ - Part Year 		(i)

(ii)		 0
-------------
771,262 		0
-------------
567,640 		0
-------------
22,258 		0
-------------
330,204 		0
-------------
131,466 		0
-------------
1,822,830 		0
-------------
332,341
31JASON JOSEPH
 
Director, SHBR & SHRC - Part Year 		(i)

(ii)		 0
-------------
486,511 		0
-------------
326,489 		0
-------------
3,339 		0
-------------
216,864 		0
-------------
82,721 		0
-------------
1,115,924 		0
-------------
183,392
32PAMELA RIES
 
Director, SHP - Part Year 		(i)

(ii)		 0
-------------
494,360 		0
-------------
353,239 		0
-------------
11,430 		0
-------------
187,220 		0
-------------
69,262 		0
-------------
1,115,511 		0
-------------
203,544
33BEN GIELDA MD
 
See Schedule O 		(i)

(ii)		 624,505
-------------
0 		219,012
-------------
0 		19,518
-------------
0 		14,100
-------------
0 		8,735
-------------
0 		885,870
-------------
0 		0
-------------
0
34MARY ANNE JONES
 
Director, SHU & SHK - Part Year 		(i)

(ii)		 0
-------------
467,288 		0
-------------
137,240 		0
-------------
17,572 		0
-------------
121,471 		0
-------------
92,395 		0
-------------
835,966 		0
-------------
51,946
35SHAWN ULREICH
 
See Schedule O 		(i)

(ii)		 450,032
-------------
0 		125,727
-------------
0 		13,878
-------------
0 		129,216
-------------
0 		77,971
-------------
0 		796,824
-------------
0 		48,037
-------------
0
36JAMES FORSHEE MD
 
See Schedule O 		(i)

(ii)		 500
-------------
423,843 		0
-------------
118,755 		0
-------------
15,683 		0
-------------
64,950 		0
-------------
79,277 		500
-------------
702,508 		0
-------------
41,883
37THOMAS VISSER MD
 
See Schedule O 		(i)

(ii)		 603,270
-------------
0 		34,037
-------------
0 		10,549
-------------
0 		28,500
-------------
0 		24,677
-------------
0 		701,033
-------------
0 		0
-------------
0
38JEFFREY POSTMA
 
DIRECTOR, LCHW 		(i)

(ii)		 604,457
-------------
0 		1,700
-------------
0 		0
-------------
0 		14,100
-------------
0 		18,757
-------------
0 		639,014
-------------
0 		0
-------------
0
39David KRHOVSKY MD
 
See Schedule O 		(i)

(ii)		 394,500
-------------
0 		113,059
-------------
0 		15,100
-------------
0 		19,950
-------------
0 		68,339
-------------
0 		610,948
-------------
0 		44,587
-------------
0
40Melinda Johnson
 
Director, SHMG - Part Year 		(i)

(ii)		 17,607
-------------
0 		80,522
-------------
0 		503,752
-------------
0 		0
-------------
0 		2,574
-------------
0 		604,455
-------------
0 		0
-------------
0
41Kenneth Johnson
 
Director, SHH - Part Year 		(i)

(ii)		 474,566
-------------
0 		81,715
-------------
0 		4,861
-------------
0 		15,675
-------------
0 		27,377
-------------
0 		604,194
-------------
0 		0
-------------
0
42Matthew Denenberg MD
 
See Schedule O 		(i)

(ii)		 390,383
-------------
0 		114,763
-------------
0 		8,672
-------------
0 		15,675
-------------
0 		72,744
-------------
0 		602,237
-------------
0 		47,675
-------------
0
43Jordan Sall
 
See Schedule O 		(i)

(ii)		 489,695
-------------
0 		40,848
-------------
0 		11,154
-------------
0 		17,100
-------------
0 		30,128
-------------
0 		588,925
-------------
0 		0
-------------
0
44Melissa DeNiel
 
See Schedule O 		(i)

(ii)		 419,757
-------------
0 		37,992
-------------
0 		8,127
-------------
0 		25,650
-------------
0 		10,337
-------------
0 		501,863
-------------
0 		0
-------------
0
45Nicole McConnell
 
See Schedule O 		(i)

(ii)		 0
-------------
279,280 		0
-------------
77,475 		0
-------------
2,132 		0
-------------
70,058 		0
-------------
62,233 		0
-------------
491,178 		0
-------------
27,971
46Brett Zimmerman DO
 
Director, SHMG - Part Year 		(i)

(ii)		 386,815
-------------
0 		26,545
-------------
0 		8,127
-------------
0 		25,650
-------------
0 		26,734
-------------
0 		473,871
-------------
0 		0
-------------
0
47Andrew Parsons
 
See Schedule O 		(i)

(ii)		 388,295
-------------
0 		18,217
-------------
0 		7,252
-------------
0 		21,375
-------------
0 		26,595
-------------
0 		461,734
-------------
0 		0
-------------
0
48Charles Brummeler
 
See Schedule O 		(i)

(ii)		 346,689
-------------
0 		30,848
-------------
0 		10,284
-------------
0 		28,500
-------------
0 		30,802
-------------
0 		447,123
-------------
0 		0
-------------
0
49Lee Begrow DO
 
See Schedule O 		(i)

(ii)		 349,875
-------------
0 		20,938
-------------
0 		10,730
-------------
0 		31,350
-------------
0 		22,703
-------------
0 		435,596
-------------
0 		0
-------------
0
50Tricia Baird
 
See Schedule O 		(i)

(ii)		 280,350
-------------
0 		49,037
-------------
0 		1,400
-------------
0 		11,400
-------------
0 		56,310
-------------
0 		398,497
-------------
0 		0
-------------
0
51Annica Waalkes
 
See Schedule O 		(i)

(ii)		 346,875
-------------
0 		16,765
-------------
0 		1,570
-------------
0 		20,261
-------------
0 		1,260
-------------
0 		386,731
-------------
0 		0
-------------
0
52Talawnda Bragg
 
See Schedule O 		(i)

(ii)		 286,996
-------------
0 		21,624
-------------
0 		6,446
-------------
0 		21,375
-------------
0 		19,439
-------------
0 		355,880
-------------
0 		0
-------------
0
53MICHELINO MANCINI
 
See Schedule O 		(i)

(ii)		 218,219
-------------
0 		1,100
-------------
0 		55,292
-------------
0 		7,903
-------------
0 		18
-------------
0 		282,532
-------------
0 		0
-------------
0
54ROBERT NOLAN MD
 
See Schedule O 		(i)

(ii)		 227,737
-------------
0 		1,100
-------------
0 		0
-------------
0 		6,942
-------------
0 		884
-------------
0 		236,663
-------------
0 		0
-------------
0
55DEBRA JOHNSON
 
See Schedule O 		(i)

(ii)		 165,770
-------------
0 		5,106
-------------
0 		21,742
-------------
0 		11,134
-------------
0 		13,557
-------------
0 		217,309
-------------
0 		0
-------------
0
56Stephanie Murray
 
See Schedule O 		(i)

(ii)		 151,778
-------------
0 		20,804
-------------
0 		6,326
-------------
0 		11,381
-------------
0 		26,379
-------------
0 		216,668
-------------
0 		0
-------------
0
57Mary O'Callaghan
 
See Schedule O 		(i)

(ii)		 134,371
-------------
0 		17,584
-------------
0 		8,336
-------------
0 		19,144
-------------
0 		16,922
-------------
0 		196,357
-------------
0 		0
-------------
0
58LESLIE FLAKE
 
SVP, Finance - Hospital & Medical Group 		(i)

(ii)		 504,736
-------------
0 		79,935
-------------
0 		1,304
-------------
0 		55,417
-------------
0 		63,546
-------------
0 		704,938
-------------
0 		0
-------------
0
59Marc Chircop
 
See Schedule O 		(i)

(ii)		 333,180
-------------
0 		253,759
-------------
0 		21,497
-------------
0 		25,588
-------------
0 		14,898
-------------
0 		648,922
-------------
0 		171,698
-------------
0
60Martha Boonstra
 
See Schedule O 		(i)

(ii)		 396,506
-------------
0 		55,799
-------------
0 		12,239
-------------
0 		72,493
-------------
0 		45,134
-------------
0 		582,171
-------------
0 		0
-------------
0
61NORMA TIRADO-KELLENBERGER
 
VP - IT & HR SERVICES, LHNSJ 		(i)

(ii)		 0
-------------
298,124 		0
-------------
53,801 		0
-------------
2,801 		0
-------------
50,353 		0
-------------
63,880 		0
-------------
468,959 		0
-------------
0
62ROBIN SARKAR
 
VP - INFORMATION SERVICES, LHNSJ 		(i)

(ii)		 0
-------------
267,491 		0
-------------
49,028 		0
-------------
6,408 		0
-------------
19,700 		0
-------------
67,401 		0
-------------
410,028 		0
-------------
0
63William Jewell
 
Secretary, SHH - Part Year 		(i)

(ii)		 140,164
-------------
0 		108,086
-------------
0 		21,534
-------------
0 		105,324
-------------
0 		18,675
-------------
0 		393,783
-------------
0 		43,250
-------------
0
64Cara Jansma
 
Secretary, SHH - Part Year 		(i)

(ii)		 241,171
-------------
0 		30,237
-------------
0 		1,469
-------------
0 		13,875
-------------
0 		42,380
-------------
0 		329,132
-------------
0 		0
-------------
0
65NATALIE BAGGIO
 
VP - PATIENT CARE CNE, LHNSJ 		(i)

(ii)		 263,315
-------------
0 		25,433
-------------
0 		0
-------------
0 		9,713
-------------
0 		6,730
-------------
0 		305,191
-------------
0 		0
-------------
0
66KENDALL TROYER
 
See Schedule O 		(i)

(ii)		 227,196
-------------
0 		11,114
-------------
0 		10,985
-------------
0 		12,895
-------------
0 		14,743
-------------
0 		276,933
-------------
0 		0
-------------
0
67WARREN WHITE
 
VP - LAKELAND PHYSICIAN PRACTICES, LHNSJ - PART YEAR 		(i)

(ii)		 180,185
-------------
0 		24,540
-------------
0 		11,947
-------------
0 		12,762
-------------
0 		10,877
-------------
0 		240,311
-------------
0 		0
-------------
0
68KENNETH O'NEILL
 
VP - CLINICAL INTEGRATION, LHNSJ 		(i)

(ii)		 156,403
-------------
0 		11,677
-------------
0 		0
-------------
0 		12,700
-------------
0 		15,560
-------------
0 		196,340
-------------
0 		0
-------------
0
69LYNN Todman
 
VP - HEALTH EQUITY, LHNSJ 		(i)

(ii)		 171,337
-------------
0 		1,700
-------------
0 		11,381
-------------
0 		5,692
-------------
0 		669
-------------
0 		190,779
-------------
0 		0
-------------
0
70ROBERT CONNORS
 
President, HDVCH, SHH - Part Year 		(i)

(ii)		 36,761
-------------
0 		231,654
-------------
0 		551,508
-------------
0 		0
-------------
0 		1,514
-------------
0 		821,437
-------------
0 		0
-------------
0
71DOMINIC SANFILIPPO
 
Interim President, HDVCH, SHH - Part Year 		(i)

(ii)		 553,714
-------------
0 		126,572
-------------
0 		20,203
-------------
0 		55,866
-------------
0 		27,011
-------------
0 		783,366
-------------
0 		0
-------------
0
72Hossain Marandi
 
President, HDVCH, SHH 		(i)

(ii)		 182,814
-------------
0 		30,550
-------------
0 		12,363
-------------
0 		2,996
-------------
0 		30,511
-------------
0 		259,234
-------------
0 		0
-------------
0
73THOMAS POW
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 833,000
-------------
0 		659,406
-------------
0 		1,862
-------------
0 		16,950
-------------
0 		22,017
-------------
0 		1,533,235
-------------
0 		0
-------------
0
74DILIP ARORA
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 833,001
-------------
0 		444,997
-------------
0 		18,640
-------------
0 		16,950
-------------
0 		18,054
-------------
0 		1,331,642
-------------
0 		0
-------------
0
75CHARLES SHERRY
 
Section Chief - Orthopedic Surgery, SHMG 		(i)

(ii)		 1,125,858
-------------
0 		59,764
-------------
0 		8,065
-------------
0 		21,375
-------------
0 		32,031
-------------
0 		1,247,093
-------------
0 		0
-------------
0
76JEROME KUHNLEIN
 
PHYSICIAN, LHNSJ 		(i)

(ii)		 816,981
-------------
0 		373,893
-------------
0 		16,524
-------------
0 		16,950
-------------
0 		18,054
-------------
0 		1,242,402
-------------
0 		0
-------------
0
77KENDALL HAMILTON
 
Section Chief, Orthopedic Surgery - Sports Medicine, SHMG 		(i)

(ii)		 1,082,050
-------------
0 		59,791
-------------
0 		7,746
-------------
0 		17,100
-------------
0 		27,363
-------------
0 		1,194,050
-------------
0 		0
-------------
0
78SETH WOLK MD
 
Former President, SHMG 		(i)

(ii)		 0
-------------
0 		0
-------------
1,148,766 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
1,148,766 		0
-------------
1,148,766
79Douglas Welday
 
See Schedule O 		(i)

(ii)		 0
-------------
0 		0
-------------
578,942 		0
-------------
1,747 		0
-------------
0 		0
-------------
0 		0
-------------
580,689 		0
-------------
578,942
80Mary Kay Vandriel
 
See Schedule O 		(i)

(ii)		 318,682
-------------
0 		51,252
-------------
0 		5,701
-------------
0 		48,635
-------------
0 		53,651
-------------
0 		477,921
-------------
0 		0
-------------
0
81Scott Davis
 
Former Treasurer, SHCC 		(i)

(ii)		 0
-------------
93,293 		0
-------------
58,687 		0
-------------
245,760 		0
-------------
0 		0
-------------
5,724 		0
-------------
403,464 		0
-------------
0
82Sheryl Lewis-Blake
 
Former President, SHP 		(i)

(ii)		 0
-------------
0 		260,213
-------------
0 		1,958
-------------
0 		0
-------------
0 		0
-------------
0 		262,171
-------------
0 		260,213
-------------
0
83Douglas Apple MD
 
Former Interim President, SHMG 		(i)

(ii)		 -1
-------------
0 		2,306
-------------
0 		137,556
-------------
0 		0
-------------
0 		0
-------------
0 		139,861
-------------
0 		2,306
-------------
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 1a First-class or charter travel The organization has provided first class travel and/or charter travel for certain executive employees and/or board members in limited situations. First class and/or charter travel is utilized when commercial air travel was not available for a destination, or not efficient due to schedules and/or connections, and also for bi-annual board retreat travel. In limited situations where first class travel was utilized, it was paid for as part of a corporate award airline mileage program at no additional cost to the organization. To the extent the benefit is deemed reportable, it is treated as taxable compensation in a 1099 or W-2 to the recipient.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees The organization provided health club dues for four executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization provided health club dues for twelve executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 4a Severance or change-of-control payment $137,556 Douglas Apple $538,760 Robert Connors $245,678 Scott Davis $452,840 Melinda Johnson $479,398 Gwen Sandefur
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan $2,306 Doug Apple $48,428 Brian Brasser $350,561 Joan Budden $171,698 Marc Chircop $332,341 Matthew Cox $47,675 Matthew Denenberg $311,750 Darryl Elmouchi $41,883 James Forshee $616,186 Christina Freese Decker $43,250 William Jewell $51,946 Mary Anne Jones $183,392 Jason Joseph $44,587 David Krhovsky $25,929 Andrea Leslie $29,590 Ron Lewis $260,213 Sheryl Lewis-Blake $27,971 Nicole McConnell $203,544 Pamela Ries $1,220,323 Gwen Sandefur $28,020 Chad Tuttle $48,037 Shawn Ulreich $578,942 Douglas Welday $1,148,766 Seth Wolk SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, DO "PARTICIPATE IN" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. The nonqualified retirement plans are an industry standard and are subject to the funding requirements of nonqualified deferred compensation plans under ERISA and federal tax regulations.
Schedule J, Part I, Line 7 Non-fixed payments SCHEDULE J, PART I, LINE 7, IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
Schedule J (Form 990) 2020

Additional Data


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Software Version: 2020v4.0