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
MERIDIAN HEALTH SYSTEM INC - SUBORDINATES
 
Employer identification number

01-0649794
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
 
 
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
 
 
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), 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
Yes
 
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) 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
1Marc H LoryTrustee, Pres MHC (1/1-10/3) (i)
(ii)		 508,263
.................
0 		115,000
.................
0 		347,946
.................
0 		94,142
.................
0 		19,403
.................
0 		1,084,754
.................
0 		0
.................
0
2John K Lloyd fachePRESIDENT/CEO - TRUSTEE (i)
(ii)		 1,053,498
.................
0 		770,000
.................
0 		670,790
.................
0 		1,030,632
.................
0 		38,578
.................
0 		3,563,498
.................
0 		0
.................
0
3Salvatore InciardiPres/Trustee, Sr. VP Bus Dev (i)
(ii)		 347,516
.................
0 		223,100
.................
0 		155,604
.................
0 		93,069
.................
0 		25,367
.................
0 		844,656
.................
0 		145,359
.................
0
4Michele MendelsonVP & Sec/Trustee, VP Home Care (i)
(ii)		 220,003
.................
0 		59,000
.................
0 		21,922
.................
0 		30,586
.................
0 		35,453
.................
0 		366,964
.................
0 		0
.................
0
5Robert PalermoTreas/Trustee, VP Finance (i)
(ii)		 284,172
.................
0 		80,000
.................
0 		59,096
.................
0 		43,260
.................
0 		36,995
.................
0 		503,523
.................
0 		34,465
.................
0
6Alan Cabasso MDSecretary/Trustee, MPI Phys (i)
(ii)		 0
.................
233,885 		0
.................
0 		0
.................
21,517 		0
.................
51,590 		0
.................
32,057 		0
.................
339,049 		0
.................
0
7Carl M Marchetti MDPres/Trustee, PresIDENT MPI (i)
(ii)		 163,961
.................
0 		26,472
.................
0 		27,774
.................
0 		26,963
.................
0 		21,189
.................
0 		266,359
.................
0 		0
.................
0
8Steven Kairys MDTrustee, MPI PhysICIAN (i)
(ii)		 0
.................
347,546 		0
.................
18,450 		0
.................
83,733 		0
.................
38,305 		0
.................
35,487 		0
.................
523,521 		0
.................
0
9Elliot Frank MDTrustee, MPI PhysICIAN (i)
(ii)		 0
.................
378,032 		0
.................
42,650 		0
.................
34,355 		0
.................
49,106 		0
.................
27,904 		0
.................
532,047 		0
.................
0
10David Kountz MDTrustee, MPI PhysICIAN (i)
(ii)		 242,611
.................
0 		25,000
.................
0 		16,784
.................
0 		28,145
.................
0 		34,873
.................
0 		347,413
.................
0 		0
.................
0
11Mark G Martens MDTrustee, MPI PhysICIAN (i)
(ii)		 0
.................
411,773 		0
.................
25,500 		0
.................
80,245 		0
.................
8,950 		0
.................
35,042 		0
.................
561,510 		0
.................
0
12Joseph StampePres/Trustee, Pres Foundations (i)
(ii)		 284,203
.................
0 		0
.................
0 		8,988
.................
0 		0
.................
0 		36,067
.................
0 		329,258
.................
0 		0
.................
0
13Steven G LittlesonTrustee, Pres MHC(EFF 10/3/14) (i)
(ii)		 604,538
.................
0 		176,000
.................
0 		225,285
.................
0 		143,170
.................
0 		35,020
.................
0 		1,184,013
.................
0 		212,512
.................
0
14James A Clarke MDTrustee, VP Primary Care (i)
(ii)		 368,728
.................
0 		65,000
.................
0 		12,188
.................
0 		8,954
.................
0 		34,141
.................
0 		489,011
.................
0 		0
.................
0
15Dean Q LinPres/Trustee, PresIDENT OMC (i)
(ii)		 441,650
.................
0 		130,500
.................
0 		22,850
.................
0 		77,015
.................
0 		21,523
.................
0 		693,538
.................
0 		0
.................
0
16Timothy J HoganTrustee, Regional Pres RMC/BCH (i)
(ii)		 538,022
.................
0 		151,500
.................
0 		155,263
.................
0 		96,562
.................
0 		35,470
.................
0 		976,817
.................
0 		146,605
.................
0
17Jennifer SmithTrustee, ExecUTIVE Dir. RMCF (i)
(ii)		 127,111
.................
0 		10,250
.................
0 		1,991
.................
0 		6,898
.................
0 		22,306
.................
0 		168,556
.................
0 		0
.................
0
18Michael Bleiman MDTrustee, MPI Phys (i)
(ii)		 5,000
.................
271,496 		0
.................
99,830 		0
.................
14,677 		0
.................
10,584 		0
.................
4,455 		5,000
.................
401,042 		0
.................
0
19Joseph P CoyleTrustee, President SOMC (i)
(ii)		 422,315
.................
0 		103,000
.................
0 		743,898
.................
0 		72,708
.................
0 		35,420
.................
0 		1,377,341
.................
0 		731,194
.................
0
20Joseph LemaireExec VP/CFO (EFF 6/30/14) (i)
(ii)		 381,302
.................
0 		300,000
.................
0 		179,499
.................
0 		377,620
.................
0 		18,495
.................
0 		1,256,916
.................
0 		0
.................
0
21Timothy NolanEVP Meridian Health SolUTIONS (i)
(ii)		 606,000
.................
0 		200,000
.................
0 		25,639
.................
0 		35,844
.................
0 		2,347
.................
0 		869,830
.................
0 		0
.................
0
22Rebecca WeberSENIOR VP & CIO (i)
(ii)		 405,116
.................
0 		115,000
.................
0 		50,839
.................
0 		56,557
.................
0 		25,388
.................
0 		652,900
.................
0 		39,700
.................
0
23Ann GavzySENIOR VP Legal Affairs (i)
(ii)		 359,326
.................
0 		120,000
.................
0 		138,334
.................
0 		116,852
.................
0 		23,480
.................
0 		757,992
.................
0 		121,833
.................
0
24Sherrie StringSENIOR VP Human Resources (i)
(ii)		 357,141
.................
0 		95,000
.................
0 		29,615
.................
0 		54,340
.................
0 		28,019
.................
0 		564,115
.................
0 		0
.................
0
25Richard Scott MDSr. VP Clin Eff (1/1 - 8/15) (i)
(ii)		 331,184
.................
0 		120,000
.................
0 		18,113
.................
0 		94,408
.................
0 		24,353
.................
0 		588,058
.................
0 		0
.................
0
26Kim Carpenter MDSr. VP Clinical Effectiveness (i)
(ii)		 366,984
.................
0 		61,000
.................
0 		15,811
.................
0 		33,182
.................
0 		35,128
.................
0 		512,105
.................
0 		0
.................
0
27Joseph Reichman MDVP Clinical Effectiveness (i)
(ii)		 329,050
.................
0 		55,500
.................
0 		20,420
.................
0 		25,049
.................
0 		2,343
.................
0 		432,362
.................
0 		0
.................
0
28Marilyn KoczanVP Patient Financial Services (i)
(ii)		 253,427
.................
0 		60,000
.................
0 		56,513
.................
0 		64,811
.................
0 		5,278
.................
0 		440,029
.................
0 		27,655
.................
0
29Terry MannaVP Managed Care (i)
(ii)		 280,430
.................
0 		60,000
.................
0 		23,993
.................
0 		25,941
.................
0 		34,450
.................
0 		424,814
.................
0 		0
.................
0
30Richard HandVP Finance (i)
(ii)		 248,486
.................
0 		60,000
.................
0 		32,972
.................
0 		36,807
.................
0 		20,355
.................
0 		398,620
.................
0 		13,675
.................
0
31Ian Leber MDVP Clinical Effectiveness (i)
(ii)		 289,172
.................
0 		34,900
.................
0 		25,218
.................
0 		7,531
.................
0 		36,002
.................
0 		392,823
.................
0 		0
.................
0
32Theodore Zaleski MDVP Clinical Eff (EFF 6/30/14) (i)
(ii)		 145,087
.................
0 		0
.................
0 		8,209
.................
0 		0
.................
0 		17,583
.................
0 		170,879
.................
0 		0
.................
0
33Frank GoldsteinVP Physician Services (i)
(ii)		 345,866
.................
0 		90,000
.................
0 		34,731
.................
0 		39,818
.................
0 		25,306
.................
0 		535,721
.................
0 		0
.................
0
34James MolloyVP Government Relations (i)
(ii)		 298,950
.................
0 		75,000
.................
0 		7,402
.................
0 		36,344
.................
0 		15,162
.................
0 		432,858
.................
0 		0
.................
0
35Maureen BuonoVP Clinical Integration (i)
(ii)		 287,914
.................
0 		50,003
.................
0 		19,826
.................
0 		7,592
.................
0 		181
.................
0 		365,516
.................
0 		0
.................
0
36Ramon SolhkhahDept of Psychiatry Chair (i)
(ii)		 321,369
.................
0 		23,250
.................
0 		10,422
.................
0 		8,950
.................
0 		13,870
.................
0 		377,861
.................
0 		0
.................
0
37Margaret QuinnSr. Director Health Info. (i)
(ii)		 283,215
.................
0 		40,092
.................
0 		17,068
.................
0 		39,166
.................
0 		34,287
.................
0 		413,828
.................
0 		0
.................
0
38John GantnerFORMER OFFICER (i)
(ii)		 0
.................
0 		275,000
.................
0 		86,115
.................
0 		0
.................
0 		72
.................
0 		361,187
.................
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; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 1, AS TAXABLE WAGES AND WERE REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR FORMS 990 OF THE ORGANIZATION: JOSEPH COYLE, $731,194; SALVATORE INCIARDI, $145,359; STEVEN G. LITTLESON, $212,512; TIMOTHY J. HOGAN, $146,605; ANN B. GAVZY, ESQ., $121,833; ROBERT PALERMO, $34,465; MARILYN KOCZAN, $27,655; REBECCA WEBER, $39,700 AND RICHARD HAND, $13,675. The amount reflected in Schedule J, Part II, Column B(iii) for the following individuals includes amounts of compensation that were provided to the individuals in accordance with their employment contract and terms of employment at Meridian Health and in accordance with Meridian Health's compensation review and approval process described in our response to Core Form, Part VI, Question 15 to ensure compensation is reasonable and at fair market value rates. The amounts outlined herein were included in each individual's 2014 form W-2, Boxes 1 and 5, as taxable wages: John K. Lloyd, FACHE, $600,000; Marc H. Lory, $282,900; and Joseph Lemaire, $170,000. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VARIABLE COMPENSATION WHICH IS CALCULATED BASED ON A PERCENTAGE OF THE ORGANIZATION'S GROSS REVENUE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOXES 1 AND 5 AS TAXABLE WAGES: ALAN CABASSO, M.D., $19,028; ELLIOT FRANK, M.D., $7,941; JEROME VERNICK, M.D., $23,937; STEVEN W. KAIRYS, M.D., $20,136 AND MARK MARTENS, M.D., $13,090. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR JOHN K. LLOYD, FACHE INCLUDES A RETENTION BONUS IN THE AMOUNT OF $350,000 WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, MR. LLOYD MAY NEVER RECEIVE THIS BENEFIT. THIS AMOUNT WAS NOT INCLUDED IN HIS 2014 FORM W-2, AS TAXABLE WAGES. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, AS TAXABLE WAGES: ROBERT PALERMO, $15,300; JOSEPH LEMAIRE, $377,620; TIMOTHY NOLAN, $30,000; REBECCA WEBER, $20,200; DEAN Q. LIN, $67,500, RICHARD SCOTT, M.D., $64,300; MARILYN KOCZAN, $13,500; RICHARD HAND, $13,300 AND SHERRIE STRING, $45,200. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDE INTEREST CREDITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $619,423; MARC H. LORY, $59,114; STEVEN G. LITTLESON $113,244; TIMOTHY HOGAN, $68,263; SALVATORE INCIARDI, $54,401; ANN B. GAVZY, ESQ., $82,235; AND JOSEPH COYLE, $45,423.
SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOXES 1 AND 5 AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN f THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) FOR THE FOLLOWING INDIVIDUALS REPRESENT UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT BECAME TAXABLE IN 2014 BECAUSE THEY WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE, AND WERE REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR FORMS 990 OF THE ORGANIZATION. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2014 FORM W-2, BOX 1, AS TAXABLE WAGES: JOSEPH COYLE, $731,194; SALVATORE INCIARDI, $145,359; STEVEN G. LITTLESON, $212,512; ANN B. GAVZY, ESQ., $121,833; TIMOTHY J. HOGAN $146,605; ROBERT PALERMO, $34,465; MARILYN KOCZAN, $27,655; REBECCA WEBER, $39,700 AND RICHARD HAND, $13,675.
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version: