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Object ID: 202221959349300042 - Rendered 2024-05-07
TIN: 36-4724966
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
Northwestern Memorial HealthCare Group
Employer identification number
36-4724966
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
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
Yes
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
Jay M Anderson
See Schedule O
(i)
(ii)
537,347
-------------
0
355,002
-------------
0
127,290
-------------
0
231,789
-------------
0
26,679
-------------
0
1,278,106
-------------
0
0
-------------
0
2
Howard B Chrisman MD
See Schedule O
(i)
(ii)
739,599
-------------
0
604,353
-------------
0
28,497
-------------
0
232,738
-------------
0
7,544
-------------
0
1,612,731
-------------
0
0
-------------
0
3
Julie L Creamer
See Schedule O
(i)
(ii)
792,654
-------------
0
605,194
-------------
0
611,446
-------------
0
184,738
-------------
0
28,195
-------------
0
2,222,227
-------------
0
0
-------------
0
4
Matthew J Flynn
See Schedule O
(i)
(ii)
440,751
-------------
0
189,187
-------------
0
54,640
-------------
0
86,478
-------------
0
28,772
-------------
0
799,828
-------------
0
34,080
-------------
0
5
Dean M Harrison
See Schedule O
(i)
(ii)
2,119,651
-------------
0
3,043,233
-------------
0
467,420
-------------
0
1,323,100
-------------
0
18,956
-------------
0
6,972,360
-------------
0
0
-------------
0
6
Michael Kokott
See Schedule O
(i)
(ii)
233,941
-------------
0
97,948
-------------
0
3,446
-------------
0
22,285
-------------
0
21,368
-------------
0
378,987
-------------
0
0
-------------
0
7
Emily J Kozak
See Schedule O
(i)
(ii)
345,540
-------------
0
209,856
-------------
0
2,040
-------------
0
38,738
-------------
0
29,975
-------------
0
626,148
-------------
0
0
-------------
0
8
Thomas J McAfee
See Schedule O
(i)
(ii)
706,221
-------------
0
524,919
-------------
0
153,692
-------------
0
299,762
-------------
0
29,667
-------------
0
1,714,261
-------------
0
99,672
-------------
0
9
William J McCune MD
See Schedule O
(i)
(ii)
262,173
-------------
0
0
-------------
0
25,128
-------------
0
6,112
-------------
0
20,823
-------------
0
314,236
-------------
0
0
-------------
0
10
Eric G Neilson MD
See Schedule O
(i)
(ii)
545,524
-------------
0
516,557
-------------
0
22,914
-------------
0
17,100
-------------
0
27,968
-------------
0
1,130,064
-------------
0
0
-------------
0
11
John A Orsini
See Schedule O
(i)
(ii)
980,608
-------------
0
724,026
-------------
0
183,287
-------------
0
428,228
-------------
0
13,059
-------------
0
2,329,208
-------------
0
118,200
-------------
0
12
Kevin P Poorten
See Schedule O
(i)
(ii)
742,607
-------------
0
537,125
-------------
0
9,087
-------------
0
310,770
-------------
0
28,421
-------------
0
1,628,010
-------------
0
10,000
-------------
0
13
Patrick Towne MD
See Schedule O
(i)
(ii)
581,480
-------------
0
420,769
-------------
0
3,854
-------------
0
217,550
-------------
0
26,860
-------------
0
1,250,513
-------------
0
0
-------------
0
14
Anthony Altimari MD
See Schedule O
(i)
(ii)
631,674
-------------
0
0
-------------
0
77,524
-------------
0
17,100
-------------
0
26,926
-------------
0
753,224
-------------
0
0
-------------
0
15
Todd Barrowclift DO
See Schedule O
(i)
(ii)
210,122
-------------
0
37,280
-------------
0
1,398
-------------
0
7,388
-------------
0
29,675
-------------
0
285,864
-------------
0
0
-------------
0
16
Daniel Brat
See Schedule O
(i)
(ii)
240,742
-------------
0
131,871
-------------
0
20,905
-------------
0
0
-------------
0
10,490
-------------
0
404,008
-------------
0
0
-------------
0
17
Dolly Devara MD
See Schedule O
(i)
(ii)
457,541
-------------
0
0
-------------
0
199,296
-------------
0
17,100
-------------
0
28,282
-------------
0
702,218
-------------
0
0
-------------
0
18
Scott Helm MD
See Schedule O
(i)
(ii)
266,186
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
266,186
-------------
0
0
-------------
0
19
Amy S Paller MD
See Schedule O
(i)
(ii)
336,426
-------------
0
142,595
-------------
0
30,538
-------------
0
17,100
-------------
0
39,809
-------------
0
566,469
-------------
0
0
-------------
0
20
TERRANCE D PEABODY MD
See Schedule O
(i)
(ii)
630,984
-------------
0
182,750
-------------
0
8,654
-------------
0
17,100
-------------
0
34,297
-------------
0
873,784
-------------
0
0
-------------
0
21
Leonidas C Platanias MD PhD
See Schedule O
(i)
(ii)
0
-------------
0
182,731
-------------
0
4,458
-------------
0
11,106
-------------
0
3,104
-------------
0
201,399
-------------
0
0
-------------
0
22
Mahesh Ramachandran MD
See Schedule O
(i)
(ii)
324,115
-------------
0
89,426
-------------
0
80,142
-------------
0
13,564
-------------
0
26,698
-------------
0
533,945
-------------
0
0
-------------
0
23
Michael Schmidt MD
See Schedule O
(i)
(ii)
359,707
-------------
0
52,961
-------------
0
21,149
-------------
0
17,100
-------------
0
28,252
-------------
0
479,169
-------------
0
0
-------------
0
24
Douglas E Vaughan MD
See Schedule O
(i)
(ii)
371,746
-------------
0
170,759
-------------
0
27,899
-------------
0
17,100
-------------
0
21,191
-------------
0
608,695
-------------
0
0
-------------
0
25
Nicholas J Volpe MD
See Schedule O
(i)
(ii)
384,431
-------------
0
138,461
-------------
0
26,105
-------------
0
17,100
-------------
0
33,084
-------------
0
599,181
-------------
0
0
-------------
0
26
Jack A Wagoner MD
See Schedule O
(i)
(ii)
469,964
-------------
0
64,485
-------------
0
104,948
-------------
0
17,100
-------------
0
28,229
-------------
0
684,726
-------------
0
0
-------------
0
27
Maureen Bryant
See Schedule O
(i)
(ii)
454,156
-------------
0
280,934
-------------
0
37,247
-------------
0
89,665
-------------
0
9,123
-------------
0
871,126
-------------
0
0
-------------
0
28
Connie D Falcone
See Schedule O
(i)
(ii)
447,780
-------------
0
176,176
-------------
0
4,792
-------------
0
41,978
-------------
0
27,191
-------------
0
697,916
-------------
0
0
-------------
0
29
Leah V Hobson
See Schedule O
(i)
(ii)
340,799
-------------
0
146,079
-------------
0
2,119
-------------
0
32,429
-------------
0
30,390
-------------
0
551,816
-------------
0
0
-------------
0
30
Danae K Prousis
See Schedule O
(i)
(ii)
768,877
-------------
0
367,861
-------------
0
163,065
-------------
0
17,100
-------------
0
9,973
-------------
0
1,326,877
-------------
0
0
-------------
0
31
Maureen Taus
See Schedule O
(i)
(ii)
379,394
-------------
0
168,828
-------------
0
2,802
-------------
0
35,634
-------------
0
26,731
-------------
0
613,389
-------------
0
0
-------------
0
32
Aaron Bare
See Schedule O
(i)
(ii)
916,927
-------------
0
0
-------------
0
433,356
-------------
0
17,100
-------------
0
31,529
-------------
0
1,398,912
-------------
0
0
-------------
0
33
Daniel Derman
Senior Vice President
(i)
(ii)
568,313
-------------
0
420,570
-------------
0
114,427
-------------
0
145,895
-------------
0
24,959
-------------
0
1,274,164
-------------
0
0
-------------
0
34
Harish Shownkeen
See Schedule O
(i)
(ii)
1,256,412
-------------
0
0
-------------
0
435,478
-------------
0
17,100
-------------
0
18,590
-------------
0
1,727,580
-------------
0
0
-------------
0
35
Elizabeth Rosenberg
SVP, Administration
(i)
(ii)
697,766
-------------
0
461,226
-------------
0
141,589
-------------
0
308,756
-------------
0
30,163
-------------
0
1,639,500
-------------
0
88,200
-------------
0
36
Patrick McCarthy MD
SEE SCHEDULE O
(i)
(ii)
1,766,875
-------------
0
785,257
-------------
0
32,293
-------------
0
50,433
-------------
0
17,672
-------------
0
2,652,530
-------------
0
33,333
-------------
0
37
James Giblin
See Schedule O
(i)
(ii)
560,778
-------------
0
330,314
-------------
0
7,549
-------------
0
212,804
-------------
0
28,298
-------------
0
1,139,743
-------------
0
0
-------------
0
38
Brian J Lemon
See Schedule O
(i)
(ii)
29,786
-------------
0
218,699
-------------
0
597
-------------
0
14,924
-------------
0
959
-------------
0
264,965
-------------
0
0
-------------
0
39
Michael S Eesley
See Schedule O
(i)
(ii)
981,556
-------------
0
484,639
-------------
0
218,800
-------------
0
88,811
-------------
0
21,706
-------------
0
1,795,512
-------------
0
0
-------------
0
40
Michael Vivoda
See Schedule O
(i)
(ii)
0
-------------
0
0
-------------
0
1,019,900
-------------
0
0
-------------
0
0
-------------
0
1,019,900
-------------
0
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 1a Health or social club dues or initiation fees
HEALTH CLUB DUES EMPLOYEES OF NORTHWESTERN MEMORIAL HEALTHCARE ARE OFFERED DISCOUNTED HEALTH AND FITNESS CLUB DUES AT NORTHWESTERN MEDICINE LAKE FOREST HEALTH AND FITNESS CENTER. THE AMOUNT OF THE DISCOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THE EMPLOYEES. MATTHEW J. FLYNN RECEIVED THIS BENEFIT. COUNTRY CLUB DUES COUNTRY CLUB DUES WERE REIMBURSED FOR CERTAIN NMHC EMPLOYEES. THIS AMOUNT IS TREATED AS TAXABLE INCOME FOR EACH OF THESE EMPLOYEES. KEVIN POORTEN RECEIVED THIS BENEFIT.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THERE ARE TWO DIFFERENT NONQUALIFIED DEFERRED COMPENSATION PLANS SPONSORED BY NORTHWESTERN MEMORIAL HEALTHCARE, WHICH PROVIDE SUPPLEMENTAL, COMPETITIVE RETIREMENT BENEFITS. THE EMPLOYER PAYS THE COST OF PARTICIPATION, AND THE BENEFITS AND CONTRIBUTIONS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE BASED ON THE COMPLETION OF SUBSTANTIAL FUTURE SERVICE REQUIREMENTS. THE AMOUNTS EARNED BY PARTICIPANTS FLUCTUATE FROM YEAR TO YEAR BASED ON A VARIETY OF FACTORS INCLUDING CHANGES IN MARKET INTEREST RATES. PLAN A JULIA CREAMER IS VESTED IN A NON-QUALIFIED PLAN. AS SUCH, ANY CONTRIBUTIONS ARE TAXED CURRENTLY AND THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $504,319 PLAN B THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CURRENT YEAR CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: MAUREEN BRYANT, $27,000 JULIA CREAMER, $96,000 MICHAEL EESLEY, $202,680 DEAN HARRISON, $428,450 PATRICK MCCARTHY, $107,628 DANAE PROUSIS, $150,600 THE FOLLOWING EMPLOYEES ARE NOT VESTED IN THE PLAN, AND FOR SUCH EMPLOYEES THE CURRENT YEAR EARNED AMOUNT (WHICH REMAINS AT RISK BECAUSE OF THE REQUIREMENT OF SUBSTANTIAL FUTURE SERVICES) WAS: JAY ANDERSON, $94,848 HOWARD CHRISMAN, $48,000 CONNIE FALCONE, $26,718 MATTHEW FLYNN, $71,400 JAMES GIBLIN, $101,232 LEAH HOBSON, $20,640 MICHAEL KOKOTT, $14,184 EMILY KOZAK, $27,600 THOMAS MCAFEE, $137,400 JOHN ORSINI, $201,000 KEVIN POORTEN, $145,800 ELIZABETH ROSENBERG, $134,760 MAUREEN TAUS, $22,680 PATRICK TOWNE, $106,920 THE FOLLOWING NMHC EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2020: JAY ANDERSON, $121,856 MATTHEW FLYNN, $48,475 THOMAS MCAFEE, $145,138 JOHN ORSINI, $172,118 ELIZABETH ROSENBERG, $128,433
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization
CERTAIN LISTED INDIVIDUALS ARE EMPLOYED AS PHYSICIANS. THE COMPENSATION LISTED IN SCHEDULE J IS PROVIDED SOLELY IN CONNECTION WITH THEIR EMPLOYMENT AS PHYSICIANS, AND IS IN PART BASED ON REVENUES ASSOCIATED WITH THEIR PERSONALLY PERFORMED SERVICES. THE COMPENSATION LISTED IS FOR THE CLINICAL AND ADMINISTRATIVE SERVICES PROVIDED WITHIN THE NORTHWESTERN MEMORIAL HEALTHCARE GROUP. THE MAJORITY OF THESE PHYSICIANS ARE ALSO COMPENSATED BY AN UNRELATED ORGANIZATION (NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE) THROUGH A COMMON PAYMASTER FOR THEIR ACADEMIC AND RESEARCH EFFORTS. THE COMPENSATION LISTED IN SCHEDULE J DOES NOT INCLUDE ACADEMIC AND RESEARCH COMPENSATION FROM THE UNRELATED ORGANIZATION.
Schedule J, Part I, Line 7 Non-fixed payments
THE BONUS AND INCENTIVE COMPENSATION AMOUNTS LISTED IN COLUMN (B)(II) FOR ALL LISTED INDIVIDUALS WERE DETERMINED USING A SPECIFIED FORMULA. THIS FORMULA AND THE CALCULATION OF THEIR ANNUAL BONUS IS BASED ON TWO COMPONENTS: THE EMPLOYEE'S TITLE/POSITION (STAFF, MANAGER, DIRECTOR, VP, ETC.) AND THE DEGREE TO WHICH ESTABLISHED PERFORMANCE GOALS WERE ACHIEVED. INCENTIVE COMPENSATION AMOUNTS ARE AT RISK AND ARE NOT PAID UNLESS THERE IS EXCEPTIONAL INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE IN ACCORDANCE WITH SUBSTANTIAL PRE-APPROVED GOALS. THE INCENTIVE COMPENSATION LISTED FOR CERTAIN PHYSICIANS IS FOR PERSONAL PROFESSIONAL PRODUCTIVITY AND FOR PERFORMANCE IN IMPROVING THE QUALITY OF PATIENT CARE.
Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION
WHILE THERE ARE NO AMOUNTS REPORTED ON FORM 990, PART VII, FOR WHICH THE INITIAL CONTRACT EXCEPTION EXPRESSLY APPLIES, THE ORGANIZATION RESERVES THE RIGHT TO ASSERT AT ANY TIME THAT THE INITIAL CONTRACT EXCEPTION APPLIES TO AN AMOUNT PROVIDED A PERSON LISTED IN PART VII AND/OR ON SCHEDULE J.
Schedule J (Form 990) 2020
Additional Data
Software ID:
20011424
Software Version:
2020v4.0