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
KENNEDY KRIEGER CHILDREN'S HOSPITAL INC
 
Employer identification number

52-0607971
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
 
No
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
1GARY W GOLDSTEIN MDPRESIDENT & CEO (i)
(ii)
277,234
.................
238,160
134,477
.................
115,523
161,771
.................
138,971
6,993
.................
6,007
12,322
.................
10,586
592,797
.................
509,247
0
.................
0
2JAMES M ANDERS JRCOO & TREASURER (i)
(ii)
197,790
.................
169,914
96,823
.................
83,177
108,196
.................
92,946
6,993
.................
6,007
8,946
.................
7,684
418,748
.................
359,728
0
.................
0
3MICHAEL VD JOHNSTON MDCMO & SECRETARY (i)
(ii)
175,902
.................
175,902
62,500
.................
62,500
92,573
.................
92,573
6,500
.................
6,500
9,265
.................
9,265
346,740
.................
346,740
0
.................
0
4MICHAEL J NEUMANSVP OF FINANCE (i)
(ii)
123,811
.................
106,361
18,827
.................
16,173
22,654
.................
19,461
6,993
.................
6,007
15,082
.................
12,957
187,367
.................
160,959
0
.................
0
5CHRISTINA SADOWSKY MDCHIEF OF MEDICAL STAFF (i)
(ii)
192,410
.................
0
0
.................
0
12,905
.................
0
10,323
.................
0
10,333
.................
0
225,971
.................
0
0
.................
0
6MICHAEL F CATALDO PHDSVP & PROGRAM DIRECTOR (i)
(ii)
188,614
.................
62,871
63,462
.................
21,154
37,513
.................
12,504
9,750
.................
3,250
7,779
.................
2,593
307,118
.................
102,372
0
.................
0
7LAINY LEBOW-SACHSDIR OF EXTERNAL RELATIONS (i)
(ii)
36,518
.................
206,933
12,000
.................
68,000
11,048
.................
62,603
1,950
.................
11,050
2,758
.................
15,627
64,274
.................
364,213
0
.................
0
8LANA R WARREN PHDSVP OF CLINICAL SERVICES (i)
(ii)
166,192
.................
0
20,769
.................
0
38,188
.................
0
10,562
.................
0
7,833
.................
0
243,544
.................
0
0
.................
0
9TAMI W SWEARINGEN RNSVP OF NURSING (i)
(ii)
167,123
.................
0
20,769
.................
0
46,690
.................
0
11,101
.................
0
25,051
.................
0
270,734
.................
0
0
.................
0
10RAYMOND SHORTSVP OF HUMAN RESOURCES (i)
(ii)
84,840
.................
72,882
8,068
.................
6,931
13,508
.................
11,604
5,334
.................
4,582
17,315
.................
14,874
129,065
.................
110,873
0
.................
0
11FRANK PIDCOCK MDPROGRAM DIRECTOR (i)
(ii)
221,308
.................
0
0
.................
0
35,120
.................
0
11,792
.................
0
23,551
.................
0
291,771
.................
0
0
.................
0
12JAMES RUBENSTEIN MDPROGRAM DIRECTOR (i)
(ii)
181,919
.................
0
31,911
.................
0
12,646
.................
0
11,238
.................
0
7,833
.................
0
245,547
.................
0
0
.................
0
13BRUCE SHAPIRO MDPROGRAM DIRECTOR (i)
(ii)
208,370
.................
0
0
.................
0
16,932
.................
0
10,889
.................
0
18,530
.................
0
254,721
.................
0
0
.................
0
14ELAINE TIERNEY MDPROGRAM DIRECTOR (i)
(ii)
205,527
.................
0
0
.................
0
10,495
.................
0
11,020
.................
0
10,489
.................
0
237,531
.................
0
0
.................
0
15JAY SHAPIRO MDPROGRAM DIRECTOR (i)
(ii)
192,869
.................
0
0
.................
0
12,449
.................
0
9,885
.................
0
18,130
.................
0
233,333
.................
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
PART I, LINE 1A CERTAIN OFFICERS AND KEY EMPLOYEES WERE PROVIDED ADDITIONAL COMPENSATION TO OFFSET THE TAX IMPACT OF EXECUTIVE LIFE INSURANCE AND LONG TERM DISABILITY PREMIUMS MADE ON THEIR BEHALF. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS. THESE INDIVIDUALS ARE: GARY W. GOLDSTEIN, M.D. JAMES M. ANDERS, JR. MICHAEL V.D. JOHNSTON, M.D. MICHAEL F. CATALDO, PHD MICHAEL J. NEUMAN LAINY LEBOW-SACHS LANA R. WARREN, PHD TAMI W. SWEARINGEN, RN RAYMOND SHORT
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version: