Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 in 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 in 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 in 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 in 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) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in 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," to line 5a or 5b, describe in Part III.
6
For persons listed in 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," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in 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" to 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) 2013
Page 2

Schedule J (Form 990) 2013
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 in 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
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KEVIN SPLAINEPRESIDENT, SHH (i)
(ii)		 526,737
0 		221,384
0 		17,847
0 		206,185
0 		79,116
0 		1,051,269
0 		44,385
0
2RANDALL STASIKPRESIDENT / CEO, SHGM (i)
(ii)		 245,283
0 		81,435
0 		4,052
0 		68,784
0 		44,661
0 		444,216
0 		30,385
0
3MARK VIPPERMANPRESIDENT, SHL (i)
(ii)		 312,966
0 		0
0 		6,526
0 		11,785
0 		26,523
0 		357,800
0 		0
0
4THOMAS DAUGHERTYPRESIDENT, SHBR & SHRC (i)
(ii)		 185,137
0 		210,787
0 		2,616
0 		32,392
0 		36,523
0 		467,455
0 		162,394
0
5BRIAN BRASSERPRESIDENT, SHU & SHK (i)
(ii)		 148,127
0 		31,110
0 		924
0 		6,445
0 		28,018
0 		214,624
0 		0
0
6CHRISTINA FREESE-DECKERPRESIDENT, SHU & SHK - PART YEAR (i)
(ii)		 246,735
0 		90,462
0 		1,769
0 		79,327
0 		48,432
0 		466,725
0 		25,268
0
7HENRY VEENSTRAPRESIDENT, SHZ (i)
(ii)		 231,135
0 		107,607
0 		3,488
0 		46,184
0 		41,048
0 		429,461
0 		52,240
0
8MARC CHIRCOPSEE SCHEDULE O (i)
(ii)		 377,984
0 		175,005
0 		27,820
0 		115,248
0 		61,892
0 		757,948
0 		49,313
0
9JEFFREY MISLEVYSEE SCHEDULE O (i)
(ii)		 235,770
0 		62,015
0 		13,169
0 		62,905
0 		47,606
0 		421,465
0 		0
0
10RONALD KNAUSSEE SCHEDULE O (i)
(ii)		 0
354,564 		0
125,952 		0
8,584 		0
157,386 		0
71,895 		0
718,382 		0
28,887
11LINDA ERICKSON-JOELSEE SCHEDULE O (i)
(ii)		 152,992
0 		30,877
0 		774
0 		5,454
0 		17,474
0 		207,570
0 		0
0
12LARRY OBERSTSEE SCHEDULE O (i)
(ii)		 128,199
0 		30,940
0 		35,004
0 		6,252
0 		13,451
0 		213,846
0 		0
0
13RONALD TOZERSECRETARY, SHKCC - PART YEAR (i)
(ii)		 126,072
0 		25,010
0 		4,717
0 		7,946
0 		20,216
0 		183,962
0 		0
0
14KAREN PAKKALASEE SCHEDULE O (i)
(ii)		 154,930
0 		30,381
0 		774
0 		8,678
0 		4,370
0 		199,133
0 		0
0
15JAMES FAHNER MDCHAIR, SHMG (i)
(ii)		 279,967
0 		27,824
0 		7,983
0 		37,075
0 		20,682
0 		373,531
0 		0
0
16GREGORY GADBOIS MDVICE CHAIR, SHMG (i)
(ii)		 207,779
0 		250
0 		437
0 		11,647
0 		18,067
0 		238,180
0 		0
0
17PHILIP HENDERSON MDTREASURER, SHMG (i)
(ii)		 265,104
0 		40,450
0 		8,104
0 		20,400
0 		23,459
0 		357,516
0 		0
0
18SETH WOLK MDPRESIDENT, SHMG (i)
(ii)		 525,913
900 		148,329
0 		4,902
0 		9,068
0 		16,718
0 		704,930
900 		0
0
19KENNETH FAWCETT JR MDINTERIM PRESIDENT, SHMG - PART YEAR (i)
(ii)		 390,242
0 		202,513
0 		9,740
0 		134,944
0 		71,005
0 		808,444
0 		51,162
0
20VICKI WEAVERPRESIDENT, SHF (i)
(ii)		 250,802
0 		0
0 		4,703
0 		20,308
0 		8,651
0 		284,464
0 		0
0
21MATTHEW VAN VRANKENSEE SCHEDULE O (i)
(ii)		 0
897,180 		0
363,979 		0
20,987 		0
225,921 		0
117,408 		0
1,625,476 		0
76,239
22RICHARD BREONSEE SCHEDULE O (i)
(ii)		 0
1,151,873 		0
660,130 		0
41,157 		0
552,879 		0
186,788 		0
2,592,827 		0
141,380
23RALPH ROGERS MDSEE SCHEDULE O (i)
(ii)		 454,031
0 		153,427
0 		14,251
0 		128,092
0 		88,234
0 		838,035
0 		39,560
0
24JAMES FUSON MDDIRECTOR, SHH - PART YEAR (i)
(ii)		 375,918
0 		250
0 		9,796
0 		25,500
0 		12,632
0 		424,096
0 		0
0
25DAVID OTTENBAKER MDSEE SCHEDULE O (i)
(ii)		 328,148
0 		106,404
0 		1,476
0 		22,950
0 		18,431
0 		477,410
0 		0
0
26PATRICK O'HAREDIRECTOR, SHL (i)
(ii)		 0
402,055 		0
224,407 		0
19,624 		0
150,898 		0
65,648 		0
862,631 		0
92,862
27THOMAS CAMPANA MDDIRECTOR, SHBR & SHRC (i)
(ii)		 293,927
0 		35,250
0 		1,619
0 		16,575
0 		22,593
0 		369,964
0 		0
0
28DOUGLAS APPLE MDDIRECTOR, SHU & SHK (i)
(ii)		 302,759
0 		98,292
0 		755
0 		14,025
0 		18,055
0 		433,885
0 		0
0
29RUEL LIRIODIRECTOR, SHZ - PART YEAR (i)
(ii)		 269,898
0 		250
0 		1,783
0 		14,025
0 		20,931
0 		306,887
0 		0
0
30CAROLE MONTGOMERYDIRECTOR, SHZ - PART YEAR (i)
(ii)		 355,818
0 		129,838
0 		1,100
0 		111,657
0 		56,629
0 		655,042
0 		39,188
0
31RICHARD STRABBING DODIRECTOR, SHZ (i)
(ii)		 276,499
0 		0
0 		747
0 		7,501
0 		13,232
0 		297,979
0 		0
0
32THOMAS VISSERDIRECTOR, SHZ (i)
(ii)		 542,570
0 		250
0 		1,698
0 		17,850
0 		18,271
0 		580,640
0 		0
0
33JASON SLAIKEU MDSEE SCHEDULE O (i)
(ii)		 465,375
0 		250
0 		10,680
0 		10,200
0 		17,226
0 		503,730
0 		0
0
34JAY LABINEDIRECTOR, SHCC (i)
(ii)		 0
292,069 		0
52,396 		0
790 		0
37,009 		0
28,526 		0
410,790 		0
0
35MICHAEL HARRISON MDDIRECTOR, SHMG (i)
(ii)		 397,564
0 		111,097
0 		2,642
0 		17,850
0 		27,762
0 		556,916
0 		0
0
36LESLIE JURECKO MDDIRECTOR, SHMG (i)
(ii)		 187,984
0 		9,578
0 		1,433
0 		11,989
0 		20,264
0 		231,249
0 		0
0
37DONALD KIM MDDIRECTOR, SHMG - PART YEAR (i)
(ii)		 510,941
0 		250
0 		5,098
0 		17,850
0 		26,976
0 		561,115
0 		0
0
38THOMAS RUPP MDDIRECTOR, SHMG (i)
(ii)		 628,248
0 		250
0 		2,622
0 		17,850
0 		7,613
0 		656,583
0 		0
0
39JOHN SCHUEN MDDIRECTOR, SHMG (i)
(ii)		 270,481
0 		27,118
0 		4,160
0 		25,668
0 		22,880
0 		350,307
0 		0
0
40DAVID WOHNS MDDIRECTOR, SHMG (i)
(ii)		 0
496,345 		0
117,172 		0
4,902 		0
33,000 		0
33,785 		0
685,204 		0
0
41BRETT ZIMMERMAN DODIRECTOR, SHMG (i)
(ii)		 362,451
0 		10,250
0 		717
0 		10,200
0 		20,572
0 		404,190
0 		0
0
42WILLIAM JEWELLSECRETARY, SHH (i)
(ii)		 242,623
0 		89,683
0 		2,093
0 		71,854
0 		40,928
0 		447,181
0 		24,550
0
43LISA SHANNONCHIEF OPERATING OFFICER, SHH (i)
(ii)		 422,237
0 		171,391
0 		4,973
0 		169,588
0 		69,479
0 		837,668
0 		29,786
0
44KERRI NELSONVP, FINANCE, SHL (i)
(ii)		 162,090
0 		0
0 		182
0 		6,466
0 		18,396
0 		187,134
0 		0
0
45JOSEPH HOHENBERGERCFO, SHBR - PART YEAR (i)
(ii)		 84,744
0 		0
0 		65,712
0 		3,015
0 		2,018
0 		155,489
0 		0
0
46THOMAS KNOERLCFO, SHBR & SHRC (i)
(ii)		 164,438
0 		31,120
0 		878
0 		11,723
0 		15,909
0 		224,067
0 		0
0
47RYAN JOHNSONVP, FINANCE, SHU & SHK (i)
(ii)		 141,579
0 		28,786
0 		302
0 		5,869
0 		17,992
0 		194,527
0 		0
0
48RYAN POWERSVP, FINANCE, SHZ (i)
(ii)		 132,259
0 		24,961
0 		831
0 		5,435
0 		16,498
0 		179,984
0 		0
0
49MARK KADLECCOO, SVP OPERATIONS, SHMG (i)
(ii)		 325,411
0 		125,473
0 		4,938
0 		97,789
0 		61,112
0 		614,722
0 		36,225
0
50PAULINE KRYWANSKISR VICE PRESIDENT, FINANCE, SHMG (i)
(ii)		 283,291
0 		107,591
0 		2,958
0 		93,460
0 		38,805
0 		526,105
0 		31,932
0
51THOMAS MCGRAWSECRETARY, SHMG (i)
(ii)		 264,465
0 		102,054
0 		6,664
0 		80,943
0 		54,044
0 		508,170
0 		29,496
0
52LARRY JONGEKRIJGCFO, SHF (i)
(ii)		 156,751
0 		4,988
0 		442
0 		9,082
0 		19,446
0 		190,709
0 		0
0
53ROBERT CONNORSPRESIDENT, DVCH, SHH (i)
(ii)		 475,959
0 		753,746
0 		7,303
0 		162,450
0 		63,415
0 		1,462,873
0 		637,316
0
54KONSTANTIN ELISEVICHACADEMIC CHAIR, NEUROSCIENCES, SHMG (i)
(ii)		 917,235
0 		248,731
0 		7,423
0 		17,850
0 		17,607
0 		1,208,846
0 		0
0
55MARCUS HAWDEPT CHIEF, HDVCH CARDIOTHORAC, SHH (i)
(ii)		 992,390
0 		250
0 		10,062
0 		5,100
0 		21,619
0 		1,029,420
0 		0
0
56JON SCHRAMSECTION CHIEF, PHYSICIAN, SHMG (i)
(ii)		 985,626
0 		250
0 		2,622
0 		14,025
0 		20,136
0 		1,022,659
0 		0
0
57JAMES LEBOLTPHYSICIAN, SHMG (i)
(ii)		 981,327
0 		250
0 		2,106
0 		10,200
0 		24,053
0 		1,017,935
0 		0
0
58BRUCE FLETTERPHYSICIAN, SHMG (i)
(ii)		 892,241
0 		250
0 		2,169
0 		14,025
0 		20,970
0 		929,656
0 		0
0
59M ASHRAF MANSOURFORMER VICE CHAIR, SHMG (i)
(ii)		 580,445
0 		158,480
0 		5,152
0 		17,850
0 		12,952
0 		774,879
0 		0
0
60JAMES TUCCI MDFORMER PRESIDENT, SHMG (i)
(ii)		 0
560,449 		0
189,582 		0
40,539 		0
188,868 		0
85,619 		0
1,065,057 		0
0
61MICHAEL P FREEDFORMER SECRETARY / TREASURER, SHCC (i)
(ii)		 0
716,248 		0
382,842 		0
44,294 		0
321,897 		0
96,936 		0
1,562,217 		0
62,723
62MARCUS BEVERSLUISFORMER TREASURER, SHMG (i)
(ii)		 194,708
0 		250
0 		2,591
0 		17,861
0 		9,968
0 		225,379
0 		0
0
63TIMOTHY HEINRICHFORMER VP, COO, SHL (i)
(ii)		 195,405
0 		0
0 		1,622
0 		7,950
0 		16,805
0 		221,782
0 		0
0
64JOHN SELLAFORMER CFO, SHGM (i)
(ii)		 167,923
0 		42,839
0 		1,496
0 		8,979
0 		18,719
0 		239,956
0 		0
0
65MARK GUZICKISEE SCHEDULE O (i)
(ii)		 219,136
0 		58,039
0 		2,695
0 		33,741
0 		48,182
0 		361,793
0 		0
0
66JEFFERY LEMONSEE SCHEDULE O (i)
(ii)		 264,772
0 		431,768
0 		84,825
0 		75,328
0 		48,186
0 		904,879
0 		349,536
0
67JAMES DAVIDSONSEE SCHEDULE O (i)
(ii)		 211,056
0 		55,235
0 		2,128
0 		15,008
0 		16,254
0 		299,680
0 		0
0
68PAUL BONISSEE SCHEDULE O (i)
(ii)		 305,974
0 		111,137
0 		7,624
0 		113,247
0 		54,120
0 		592,102
0 		28,221
0
Schedule J (Form 990) 2013
Page 3

Schedule J (Form 990) 2013
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 PROVIDED FIRST CLASS TRAVEL AND/OR CHARTER TRAVEL FOR THREE EXECUTIVE EMPLOYEES. IN CERTAIN LIMITED SITUATIONS WHEN COMMERCIAL AIR TRAVEL WAS NOT AVAILABLE FOR A DESTINATION OR NOT EFFICIENT DUE TO SCHEDULES AND/OR CONNECTIONS, CHARTER AIR TRAVEL WAS UTILIZED.
Schedule J, Part I, Line 1a, Travel for companions THE ORGANIZATION PROVIDED COMPANION TRAVEL FOR ONE EXECUTIVE EMPLOYEE AND TWO BOARD MEMBERS. THE RELATED AMOUNTS WERE TREATED AS TAXABLE COMPENSATION AND INCLUDED IN FORM W-2 OR FORM 1099 AS REQUIRED ACCORDING TO THE REPORTING THRESHOLDS.
Schedule J, Part I, Line 1a, Health or social club dues or initiation fees THE ORGANIZATION PROVIDED HEALTH CLUB DUES FOR ELEVEN 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 SEE DISCLOSURE ON SCHEDULE O FOR FORM 990, PART VI, SEC B, LINE 15A
Schedule J, Part I, Line 4a, Severance or change-of-control payment $ 82,966 JEFFERY LEMON $ 34,382 LARRY OBERST
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan $ 28,221 PAUL BONIS $141,380 RICHARD BREON $ 49,313 MARC CHIRCOP $637,316 ROBERT CONNORS $162,394 THOMAS DAUGHERTY $ 51,162 KENNETH FAWCETT, JR. $ 67,723 MICHAEL FREED $ 25,268 CHRISTINA FREESE-DECKER $ 24,550 WILLIAM JEWELL $ 36,225 MARK KADLEC $ 28,887 RONALD KNAUS $ 31,932 PAULINE KRYWANSKI $349,536 JEFFERY LEMON $ 29,496 THOMAS MCGRAW $ 39,188 CAROLE MONTGOMERY $ 92,862 PATRICK O'HARE $ 39,560 RALPH ROGERS $ 29,786 LISA SHANNON $ 44,385 KEVIN SPLAINE $ 30,385 RANDALL STASIK $ 76,239 MATTHEW VAN VRANKEN $ 52,240 HENRY VEENSTRA 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. DURING THE YEAR THE FOLLOWING INDIVIDUALS PARTICPATED IN THE PLAN(S) BUT DID NOT RECEIVE A DISTRIBUTION: MARK GUZICKI, JAY LABINE, JEFFREY MISLEVY, JAMES TUCCI, DAVID WOHNS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR.
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) 2013

Additional Data


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