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
2021
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
 
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) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
-------------
1,949,013 		0
-------------
10,590,330 		0
-------------
743,758 		0
-------------
2,248,687 		0
-------------
30,436 		0
-------------
15,562,224 		0
-------------
3,067,941
2Arthur Southam
EVP, Health Plan Ops & CGO 		(i)

(ii)		 0
-------------
1,196,028 		0
-------------
3,042,244 		0
-------------
526,564 		0
-------------
427,557 		0
-------------
32,012 		0
-------------
5,224,405 		0
-------------
0
3Kathryn Lancaster
EVP & Chief Financial Officer 		(i)

(ii)		 0
-------------
1,197,032 		0
-------------
2,859,194 		0
-------------
524,128 		0
-------------
430,575 		0
-------------
16,984 		0
-------------
5,027,913 		0
-------------
0
4Janet Liang
EVP, Group President & COO 		(i)

(ii)		 0
-------------
1,187,802 		0
-------------
2,273,257 		0
-------------
543,354 		0
-------------
900,276 		0
-------------
34,654 		0
-------------
4,939,343 		0
-------------
373,405
5Kimberly Horn
EVP, Group President, MOC 		(i)

(ii)		 0
-------------
1,048,109 		0
-------------
1,460,250 		0
-------------
743,396 		0
-------------
1,442,280 		0
-------------
30,978 		0
-------------
4,725,013 		0
-------------
502,935
6Julie Miller-Phipps
Regional President - SCAL & HI 		(i)

(ii)		 0
-------------
997,052 		0
-------------
1,485,979 		0
-------------
752,555 		0
-------------
276,463 		0
-------------
23,554 		0
-------------
3,535,603 		0
-------------
376,803
7Mark Zemelman
SVP, General Counsel & Secy 		(i)

(ii)		 0
-------------
767,516 		0
-------------
1,741,934 		0
-------------
329,088 		0
-------------
96,689 		0
-------------
38,068 		0
-------------
2,973,295 		0
-------------
0
8Susan Mullaney
Regional President - WA 		(i)

(ii)		 0
-------------
744,016 		0
-------------
1,056,586 		0
-------------
246,967 		0
-------------
702,762 		0
-------------
27,023 		0
-------------
2,777,354 		0
-------------
142,079
9Ruth Williams-Brinkley
Regional President - MAS 		(i)

(ii)		 0
-------------
744,872 		0
-------------
1,424,131 		0
-------------
56,149 		0
-------------
383,559 		0
-------------
21,938 		0
-------------
2,630,649 		0
-------------
233,516
10Michael Ramseier
Regional President - CO 		(i)

(ii)		 0
-------------
845,797 		0
-------------
739,644 		0
-------------
46,805 		0
-------------
904,887 		0
-------------
33,131 		0
-------------
2,570,264 		0
-------------
0
11Chuck Bevilacqua
SVP, Health Plan Svc & Admin 		(i)

(ii)		 0
-------------
821,419 		0
-------------
1,208,100 		0
-------------
24,592 		0
-------------
358,936 		0
-------------
26,812 		0
-------------
2,439,859 		0
-------------
0
12Christian Meisner
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
695,065 		0
-------------
438,355 		0
-------------
601,551 		0
-------------
599,295 		0
-------------
69,070 		0
-------------
2,403,336 		0
-------------
359,290
13Wade Overgaard
SVP, Health Plan Ops - CA 		(i)

(ii)		 0
-------------
813,106 		0
-------------
1,099,775 		0
-------------
230,941 		0
-------------
137,952 		0
-------------
36,360 		0
-------------
2,318,134 		0
-------------
0
14Paul Swenson
EVP, Chief Admin Officer 		(i)

(ii)		 0
-------------
740,605 		0
-------------
993,953 		0
-------------
275,493 		0
-------------
157,944 		0
-------------
28,310 		0
-------------
2,196,305 		0
-------------
50,502
15Thomas Hanenburg
SVP, Hospital System Ops 		(i)

(ii)		 0
-------------
742,652 		0
-------------
897,847 		0
-------------
161,629 		0
-------------
237,518 		0
-------------
28,877 		0
-------------
2,068,523 		0
-------------
82,310
16Richard Daniels
EVP, Chief Information Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
2,050,163 		0
-------------
-26,760 		0
-------------
0 		0
-------------
2,023,403 		0
-------------
28,704
17Roland Lyon
SVP, Strategy Implementation 		(i)

(ii)		 0
-------------
522,074 		0
-------------
628,972 		0
-------------
622,292 		0
-------------
107,210 		0
-------------
28,473 		0
-------------
1,909,021 		0
-------------
580,894
18Carrie Plietz
Regional President - NCAL 		(i)

(ii)		 0
-------------
895,332 		0
-------------
400,000 		0
-------------
116,715 		0
-------------
445,966 		0
-------------
37,050 		0
-------------
1,895,063 		0
-------------
147,222
19Vanessa Benavides
SVP, Chief Legal Officer 		(i)

(ii)		 0
-------------
484,886 		0
-------------
712,201 		0
-------------
417,482 		0
-------------
253,358 		0
-------------
18,749 		0
-------------
1,886,676 		0
-------------
273,264
20Laurel Junk
SVP, Market Operations Svcs 		(i)

(ii)		 0
-------------
655,755 		0
-------------
878,177 		0
-------------
25,773 		0
-------------
287,557 		0
-------------
17,042 		0
-------------
1,864,304 		0
-------------
0
21Yazdi Bagli
EVP, Enterprise Business Svcs 		(i)

(ii)		 0
-------------
796,655 		0
-------------
0 		0
-------------
356,067 		0
-------------
663,045 		0
-------------
45,081 		0
-------------
1,860,848 		0
-------------
0
22Anthony Barrueta
SVP, Government Relations 		(i)

(ii)		 0
-------------
498,843 		0
-------------
875,319 		0
-------------
254,512 		0
-------------
124,637 		0
-------------
24,726 		0
-------------
1,778,037 		0
-------------
0
23Thomas Meier
SVP, Corporate Treasurer 		(i)

(ii)		 0
-------------
545,140 		0
-------------
785,594 		0
-------------
131,103 		0
-------------
271,040 		0
-------------
30,351 		0
-------------
1,763,228 		0
-------------
0
24George Disalvo
SVP, CFO - SCAL 		(i)

(ii)		 0
-------------
676,298 		0
-------------
729,600 		0
-------------
210,565 		0
-------------
109,765 		0
-------------
30,039 		0
-------------
1,756,267 		0
-------------
0
25Chandrika Bhalla
SVP, CFO - CA Mkts & FP 		(i)

(ii)		 0
-------------
675,953 		0
-------------
593,490 		0
-------------
178,750 		0
-------------
248,902 		0
-------------
30,243 		0
-------------
1,727,338 		0
-------------
124,406
26Jeffrey Collins
Regional President - NW 		(i)

(ii)		 0
-------------
709,563 		0
-------------
550,846 		0
-------------
247,710 		0
-------------
89,324 		0
-------------
28,067 		0
-------------
1,625,510 		0
-------------
0
27Pratabkumar Vemana
SVP, Chief Digital Officer 		(i)

(ii)		 0
-------------
524,709 		0
-------------
837,969 		0
-------------
38,888 		0
-------------
138,848 		0
-------------
17,147 		0
-------------
1,557,561 		0
-------------
0
28Michael Rowe
SVP, Chf Bus Dev & Strat Exec 		(i)

(ii)		 0
-------------
659,066 		0
-------------
593,993 		0
-------------
161,028 		0
-------------
103,306 		0
-------------
27,632 		0
-------------
1,545,025 		0
-------------
0
29Diane Comer
EVP, Chief Info & Tech Officer 		(i)

(ii)		 0
-------------
558,438 		0
-------------
685,083 		0
-------------
161,142 		0
-------------
84,608 		0
-------------
27,708 		0
-------------
1,516,979 		0
-------------
0
30James Simpson
Regional President - GA 		(i)

(ii)		 0
-------------
573,043 		0
-------------
658,357 		0
-------------
175,801 		0
-------------
11,870 		0
-------------
39,948 		0
-------------
1,459,019 		0
-------------
0
31Arlene Peasnall
SVP, HR & Labor Relations 		(i)

(ii)		 0
-------------
540,477 		0
-------------
477,171 		0
-------------
113,265 		0
-------------
264,540 		0
-------------
18,862 		0
-------------
1,414,315 		0
-------------
0
32William Caswell
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
523,828 		0
-------------
603,612 		0
-------------
147,850 		0
-------------
111,664 		0
-------------
24,640 		0
-------------
1,411,594 		0
-------------
0
33Michelle Gaskill
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
589,975 		0
-------------
455,593 		0
-------------
166,204 		0
-------------
158,050 		0
-------------
29,198 		0
-------------
1,399,020 		0
-------------
101,235
34Alfonse Upshaw
SVP,Corporate Controller & CAO 		(i)

(ii)		 0
-------------
510,316 		0
-------------
601,573 		0
-------------
38,950 		0
-------------
177,877 		0
-------------
21,486 		0
-------------
1,350,202 		0
-------------
0
35Patricia Harvey
SVP, Qlty, Reg, & Clinical Ops 		(i)

(ii)		 0
-------------
374,696 		0
-------------
351,060 		0
-------------
497,111 		0
-------------
89,379 		0
-------------
20,469 		0
-------------
1,332,715 		0
-------------
416,230
36Michael Rembis
CEO & Hospital Administrator 		(i)

(ii)		 0
-------------
580,839 		0
-------------
371,057 		0
-------------
32,320 		0
-------------
285,428 		0
-------------
31,901 		0
-------------
1,301,545 		0
-------------
24,966
37Greg Christian
Regional President - HI 		(i)

(ii)		 0
-------------
535,826 		0
-------------
317,664 		0
-------------
146,232 		0
-------------
229,155 		0
-------------
26,225 		0
-------------
1,255,102 		0
-------------
0
38Lesley Wille
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
567,263 		0
-------------
423,308 		0
-------------
22,088 		0
-------------
205,907 		0
-------------
25,900 		0
-------------
1,244,466 		0
-------------
0
39Donald Orndoff
SVP, NFS 		(i)

(ii)		 0
-------------
469,482 		0
-------------
517,692 		0
-------------
140,506 		0
-------------
68,245 		0
-------------
31,515 		0
-------------
1,227,440 		0
-------------
0
40George DeCesare
SVP, Chief Tech Risk Officer 		(i)

(ii)		 0
-------------
412,854 		0
-------------
443,777 		0
-------------
173,500 		0
-------------
144,014 		0
-------------
29,201 		0
-------------
1,203,346 		0
-------------
0
41William Grice
SVP, Area Manager - Large 		(i)

(ii)		 0
-------------
500,847 		0
-------------
321,179 		0
-------------
236,499 		0
-------------
82,721 		0
-------------
16,874 		0
-------------
1,158,120 		0
-------------
0
42Ha Luong
Staff Nurse II 		(i)

(ii)		 985,037
-------------
0 		1,500
-------------
0 		10,620
-------------
0 		68,548
-------------
0 		11,437
-------------
0 		1,077,142
-------------
0 		0
-------------
0
43Marty Ardron
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
489,503 		0
-------------
227,454 		0
-------------
169,138 		0
-------------
145,582 		0
-------------
28,469 		0
-------------
1,060,146 		0
-------------
93,093
44Andrew Bindman
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
720,179 		0
-------------
0 		0
-------------
29,010 		0
-------------
202,316 		0
-------------
12,348 		0
-------------
963,853 		0
-------------
0
45Catherine Hernandez Tirey
SVP, Chief Comms Officer 		(i)

(ii)		 0
-------------
411,462 		0
-------------
312,761 		0
-------------
23,864 		0
-------------
180,946 		0
-------------
24,559 		0
-------------
953,592 		0
-------------
0
46Philip Young
Assistant Secretary 		(i)

(ii)		 0
-------------
347,836 		0
-------------
260,918 		0
-------------
147,367 		0
-------------
152,909 		0
-------------
29,341 		0
-------------
938,371 		0
-------------
99,132
47John Yamamoto
Assistant Secretary 		(i)

(ii)		 0
-------------
367,378 		0
-------------
272,526 		0
-------------
73,902 		0
-------------
135,626 		0
-------------
30,012 		0
-------------
879,444 		0
-------------
0
48Ronald Vance
Interim Regional President 		(i)

(ii)		 0
-------------
870,325 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
870,325 		0
-------------
0
49Marie Alanna McKiernan
Assistant Secretary 		(i)

(ii)		 0
-------------
256,480 		0
-------------
84,592 		0
-------------
302,338 		0
-------------
106,464 		0
-------------
31,855 		0
-------------
781,729 		0
-------------
0
50Hong-Sze Yu
VP, Brd & Corp Gov & Asst Secy 		(i)

(ii)		 0
-------------
285,025 		0
-------------
147,406 		0
-------------
108,681 		0
-------------
170,997 		0
-------------
27,388 		0
-------------
739,497 		0
-------------
69,146
51Ryan Jenson
Interim Corp Controller & CAO 		(i)

(ii)		 0
-------------
299,001 		0
-------------
197,139 		0
-------------
110,554 		0
-------------
98,471 		0
-------------
27,494 		0
-------------
732,659 		0
-------------
66,215
52Jennifer Goldberg
Assistant Secretary 		(i)

(ii)		 0
-------------
341,637 		0
-------------
195,715 		0
-------------
16,914 		0
-------------
126,748 		0
-------------
36,388 		0
-------------
717,402 		0
-------------
0
53Janet O'Hollaren
VP, COO 		(i)

(ii)		 0
-------------
285,255 		0
-------------
361,522 		0
-------------
33,834 		0
-------------
14,500 		0
-------------
13,704 		0
-------------
708,815 		0
-------------
0
54Bechara Choucair
SVP, Chief Health Officer 		(i)

(ii)		 0
-------------
13,154 		0
-------------
639,375 		0
-------------
90,948 		0
-------------
-86,346 		0
-------------
0 		0
-------------
657,131 		0
-------------
129,323
55Kristin Bear
Assistant Secretary 		(i)

(ii)		 0
-------------
235,103 		0
-------------
151,767 		0
-------------
41,709 		0
-------------
89,342 		0
-------------
20,497 		0
-------------
538,418 		0
-------------
0
56Frank Richardson
Assistant Secretary 		(i)

(ii)		 0
-------------
20,782 		0
-------------
99,874 		0
-------------
303,539 		0
-------------
113,039 		0
-------------
1,142 		0
-------------
538,376 		0
-------------
0
57Charles Columbus
SVP, Chief HR Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
515,637 		0
-------------
0 		0
-------------
-10,157 		0
-------------
0 		0
-------------
505,480 		0
-------------
0
58Bernice Gould
Assistant Secretary 		(i)

(ii)		 0
-------------
219,155 		0
-------------
35,438 		0
-------------
2,345 		0
-------------
93,938 		0
-------------
10,820 		0
-------------
361,696 		0
-------------
0
59Patrick Courneya
EVP, Chief Medical Officer 		(i)

(ii)		 0
-------------
0 		0
-------------
313,249 		0
-------------
0 		0
-------------
12,852 		0
-------------
0 		0
-------------
326,101 		0
-------------
0
60Maryann Bodayle
Assistant Secretary 		(i)

(ii)		 0
-------------
170,274 		0
-------------
18,502 		0
-------------
2,234 		0
-------------
44,738 		0
-------------
10,462 		0
-------------
246,210 		0
-------------
0
61Rochelle Roth
Assistant Secretary 		(i)

(ii)		 0
-------------
195,497 		0
-------------
35,129 		0
-------------
2,163 		0
-------------
-15,908 		0
-------------
18,998 		0
-------------
235,879 		0
-------------
0
62Ramon F Baez
Director 		(i)

(ii)		 0
-------------
223,552 		0
-------------
0 		0
-------------
13,707 		0
-------------
-12,291 		0
-------------
0 		0
-------------
224,968 		0
-------------
0
63Matthew T Ryan
Director 		(i)

(ii)		 0
-------------
207,000 		0
-------------
0 		0
-------------
13,855 		0
-------------
0 		0
-------------
0 		0
-------------
220,855 		0
-------------
0
64Margaret E Porfido JD
Director 		(i)

(ii)		 0
-------------
257,500 		0
-------------
0 		0
-------------
21,577 		0
-------------
-62,832 		0
-------------
0 		0
-------------
216,245 		0
-------------
0
65Leslie S Heisz
Director 		(i)

(ii)		 0
-------------
214,500 		0
-------------
0 		0
-------------
18,928 		0
-------------
-17,324 		0
-------------
0 		0
-------------
216,104 		0
-------------
0
66Judith A Johansen JD
Director 		(i)

(ii)		 0
-------------
267,600 		0
-------------
0 		0
-------------
9,870 		0
-------------
-61,490 		0
-------------
0 		0
-------------
215,980 		0
-------------
0
67Jeffrey E Epstein
Director 		(i)

(ii)		 0
-------------
222,000 		0
-------------
0 		0
-------------
8,934 		0
-------------
-16,869 		0
-------------
0 		0
-------------
214,065 		0
-------------
0
68Richard P Shannon MD
Director 		(i)

(ii)		 0
-------------
210,000 		0
-------------
0 		0
-------------
0 		0
-------------
3,503 		0
-------------
0 		0
-------------
213,503 		0
-------------
0
69David F Hoffmeister
Director 		(i)

(ii)		 0
-------------
216,500 		0
-------------
0 		0
-------------
13,707 		0
-------------
-18,455 		0
-------------
0 		0
-------------
211,752 		0
-------------
0
70A Eugene Washington MD
Director 		(i)

(ii)		 0
-------------
205,500 		0
-------------
0 		0
-------------
0 		0
-------------
1,267 		0
-------------
0 		0
-------------
206,767 		0
-------------
0
71David J Barger
Director 		(i)

(ii)		 0
-------------
199,500 		0
-------------
0 		0
-------------
0 		0
-------------
-357 		0
-------------
0 		0
-------------
199,143 		0
-------------
0
72Regina M Benjamin MD MBA
Director 		(i)

(ii)		 0
-------------
187,500 		0
-------------
0 		0
-------------
8,638 		0
-------------
-16,773 		0
-------------
0 		0
-------------
179,365 		0
-------------
0
73Gerald McCall
SVP, Operations (KFHP/H) 		(i)

(ii)		 0
-------------
0 		0
-------------
105,190 		0
-------------
12,407 		0
-------------
0 		0
-------------
0 		0
-------------
117,597 		0
-------------
0
74Edward YW Pei
Director 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
56,844 		0
-------------
0 		0
-------------
0 		0
-------------
56,844 		0
-------------
46,316
75Kim J Kaiser
Director 		(i)

(ii)		 0
-------------
25,400 		0
-------------
0 		0
-------------
14,004 		0
-------------
0 		0
-------------
0 		0
-------------
39,404 		0
-------------
0
76Marcus Hoffman
SVP, CFO - SCAL & Hawaii 		(i)

(ii)		 0
-------------
306,534 		0
-------------
221,294 		0
-------------
181,704 		0
-------------
100,670 		0
-------------
26,199 		0
-------------
836,401 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 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 $ 2,021,071 Frank Richardson 296,831 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 $637,715 Arthur Southam 467,059 Kathryn Lancaster 464,623 Janet Liang 496,329 Kimberly Horn 313,188 Julie Miller-Phipps 721,399 Mark Zemelman 272,737 Susan Mullaney 203,298 Wade Overgaard 201,230 Paul Swenson 219,368 Thomas Hanenburg 115,800 Roland Lyon 580,894 Vanessa Benavides 367,762 Anthony Barrueta 210,265 Thomas Meier 86,733 George Disalvo 165,002 Chandrika Bhalla 155,994 Jeffrey Collins 123,745 Michael Rowe 135,468 Diane Comer 71,497 James Simpson 131,024 Arlene Peasnall 81,298 William Caswell 98,127 Michelle Gaskill 147,374 Patricia Harvey 435,755 Donald Orndoff 106,741 George DeCesare 152,919 William Grice 205,636 Marty Ardron 128,233 Philip Young 129,818 John Yamamoto 54,317 Marcus Hoffman 88,699 Hong-Sze Yu 91,157 Ryan Jenson 89,323 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 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.
SCHEDULE J, PART II, COLUMN C THE ACTUARIAL VALUE FOR SOME INDIVIDUALS' DEFINED BENEFIT PLAN DECLINED IN 2021, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES. CERTAIN BOARD MEMBERS ARE ELIGIBLE FOR A RETIREE MEDICAL BENEFIT FOLLOWING RETIREMENT FROM THE BOARD. THE ACTUARIAL INCREASE OR DECREASE IN VALUE MAY CHANGE FOR VARIOUS REASONS, INCLUDING CONTINUED SERVICE, AGE, AND CHANGES IN ASSUMPTIONS, RESULTING IN NEGATIVE VALUES IN COLUMN (C) IN SOME INSTANCES.
PART VII, LINE 5 ONE FORMER OFFICER RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, ALVAREZ & MARSAL HOLDINGS, LLC.
Schedule J (Form 990) 2021

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