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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
PASADENA HOSPITAL ASSOCIATION LTD
 
Employer identification number

95-1644036
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
 
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 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
 
No
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) 2014
Page 2

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1STEPHEN A RALPHBOARD OF DIRECTORS-PRES/CEO (i)
(ii)
669,635
.................
0
192,000
.................
0
3,047,079
.................
0
237,370
.................
0
11,150
.................
0
4,157,234
.................
0
3,009,753
.................
0
2JAMES S NOBLEASST SEC/TREAS/EVP/COO/CFO (i)
(ii)
513,839
.................
0
140,000
.................
0
180,261
.................
0
70,268
.................
0
15,887
.................
0
920,255
.................
0
97,803
.................
0
3JANE HADERLEINSVP, EXTERNAL AFFAIRS (i)
(ii)
373,525
.................
0
91,000
.................
0
97,655
.................
0
71,452
.................
0
15,887
.................
0
649,519
.................
0
85,803
.................
0
4BERNADETTE L MERLINOVP, AMBULATORY SERVICES (i)
(ii)
234,641
.................
0
53,000
.................
0
19,574
.................
0
61,961
.................
0
10,888
.................
0
380,064
.................
0
0
.................
0
5BONNIE L KASSSVP, HOSPITAL OPERATIONS (i)
(ii)
349,630
.................
0
87,000
.................
0
96,755
.................
0
168,067
.................
0
10,760
.................
0
712,212
.................
0
67,312
.................
0
6DEBRA L TAFOYAVP & CIO HR/IS (i)
(ii)
243,289
.................
0
53,000
.................
0
20,155
.................
0
195,265
.................
0
11,150
.................
0
522,859
.................
0
0
.................
0
7PAULA VERRETTE MDSVP & CMO QUALITY & PHYS. SVCS (i)
(ii)
420,877
.................
0
107,000
.................
0
22,916
.................
0
157,746
.................
0
10,760
.................
0
719,299
.................
0
0
.................
0
8DEBRA A ORTEGACHRO & VP ADMIN SVCS (i)
(ii)
272,705
.................
0
61,000
.................
0
87,514
.................
0
44,367
.................
0
11,150
.................
0
476,736
.................
0
68,415
.................
0
9EUGENE E GUTIERREZ IVVP, FINANCE & CONGRESS SERVICE (i)
(ii)
207,711
.................
0
46,000
.................
0
20,335
.................
0
11,439
.................
0
16,121
.................
0
301,606
.................
0
0
.................
0
10GLORIA M SANCHEZ-RICOVP, CHIEF NURSE EXECUTIVE (i)
(ii)
219,997
.................
0
22,940
.................
0
19,129
.................
0
68,067
.................
0
16,121
.................
0
346,254
.................
0
0
.................
0
11RAJINDER S TAKHARVP, Bus & Provider Strategy (i)
(ii)
352,264
.................
0
91,547
.................
0
29,645
.................
0
6,058
.................
0
16,277
.................
0
495,791
.................
0
0
.................
0
12NANCY GREENGOLDVP, CLINICAL INTEGRATION (i)
(ii)
315,139
.................
0
20,000
.................
0
17,500
.................
0
1,160
.................
0
5,392
.................
0
359,191
.................
0
0
.................
0
13DAVID LEEPRESIDENT/CEO HMF (i)
(ii)
231,920
.................
0
53,000
.................
0
19,168
.................
0
6,206
.................
0
5,392
.................
0
315,686
.................
0
0
.................
0
14LILA M CHENEYEXECUTIVE DIR.SURG/WOMEN SRVS. (i)
(ii)
226,142
.................
0
23,927
.................
0
0
.................
0
78,988
.................
0
10,760
.................
0
339,817
.................
0
0
.................
0
15JOHN F GOEDERSEX.DIR.STRATEGIC PLANNING (i)
(ii)
219,716
.................
0
27,440
.................
0
0
.................
0
52,072
.................
0
16,511
.................
0
315,739
.................
0
0
.................
0
16JEFFREY P WEIGANDDIRECTOR REAL ESTATE (i)
(ii)
212,594
.................
0
16,876
.................
0
17,500
.................
0
251,783
.................
0
11,150
.................
0
509,903
.................
0
0
.................
0
17SAMUEL I BRENEISEREX.DIR.MANAGED CARE CONTRACT. (i)
(ii)
201,348
.................
0
26,246
.................
0
16,500
.................
0
62,718
.................
0
5,361
.................
0
312,173
.................
0
0
.................
0
Schedule J (Form 990) 2014
Page 3

Schedule J (Form 990) 2014
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 SUPPLEMENTAL COMPENSATION INFORMATION STEPHEN A. RALPH, CEO, HAS MEMBERSHIPS IN ATHENAEUUM AND THE VALLEY HUNT CLUB, WHICH ARE SOCIAL CLUBS IN PASADENA. THE USAGE OF CLUBS WAS PRIMARILY FOR BUSINESS PURPOSES. AUTO ALLOWANCES WERE ADVANCED TO CERTAIN EXECUTIVES AND WERE REPORTED IN THEIR W-2.
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL COMPENSATION INFORMATION Pasadena Hospital Association (PHA) adopted a 457(f) non-qualified Retirement Plan, effective December 15, 2005. The purpose of the Plan is to encourage retention of people who are critical to the long-term health and mission of our organization, and to encourage them to think in terms of spending their full careers with us. This benefits the organization with continuity and stability of key members of our leadership team. The plan covers certain members of the executive management team of PHA. Participants in this plan are not eligible to participate in the 457(f) Retention Plan at the same time. As members of the executive management team of PHA, certain persons listed on Part VII of the 990 participate in the plan. The following participants received distribution from the 457(f) Retirement plan in 2014: Stephen A. Ralph - $3,009,753 The normal retirement date of the plan is age 65. Each participant of the plan is fully vested at the normal retirement date or when the participant's age plus years of service equals seventy-five. For participants with less than 20 years of service the normal retirement benefit is pro-rated. The benefits accrued for each individual under our 457(f) Retirement Plan were paid in a lump sum upon vesting. For Mr. Ralph, the amount reported in Column (F) of Schedule J. represents his accrued benefits under the 457(f) Retirement Plan for his 31 years of service plus earnings and interest thereon, all of which vested and were paid in a lump sum in 2014. The amount, amortized over the 31-year period and discounted for the earnings and interest (assumed to be 6.75% per year), would have been approximately $28,943 per year, representing the amount needed to be contributed on Mr. Ralph's behalf each year over the 31-year period. Prior to vesting in 2014, the 457(f) Retirement Plan benefit was subject to substantial risk of forfeiture. The current year's payout is reflected in Columns B (III) and column F of Schedule J. The amounts were reported on prior years Form 990 as deferred compensation in Column C. Within this context, the total amount paid to Mr. Ralph in 2014, including the distribution from the 457(f) Retirement Plan, is believed to be reasonable under the relevant rules and regulations, as well as within the competitive context within which the organization operates. Additionally, this payment is deemed appropriate and reasonable by the Compensation Committee of the Board of Directors and an independent compensation consultant. This plan was closed to new entrants effective January 1, 2014. Pasadena Hospital Association (PHA) adopted a 457(f) non-qualified Retention Plan, effective December 15, 2005. The purpose of the Plan is to encourage retention of people who are critical to the long-term health and mission of our organization, and to encourage them to think in terms of spending their full careers with us. This benefits the organization with continuity and stability of key members of our leadership team. The plan covers certain members of the executive management team of PHA. As members of the executive management team of PHA, certain persons listed on Part VII of the 990 participate in the plan. The following participants received distribution from the 457(f) Retention plan in 2014: James S. Noble - $97,803 Jane Haderlein - $85,803 Bonnie L. Kass - $67,312 Debra A. Ortega - $68,415 The benefits accrued for each individual under our 457(f) Retention Plan were paid in a lump sum upon vesting. Participants vest after three years of service. During the vesting period, the Retention Plan benefit is subject to substantial risk of forfeiture. 457(f) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE HOSPITAL TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A "SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. NO PAYOUTS WERE MADE FROM THE PLAN IN 2014.
Schedule J (Form 990) 2014

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