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" on 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
2015
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 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 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 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
 
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 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 non-fixed
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) 2015
Page 2

Schedule J (Form 990) 2015
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 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 on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Steven G LittlesonPresident, MHC/Trustee (i)

(ii)		 689,432
-------------
0 		280,000
-------------
0 		248,204
-------------
0 		166,302
-------------
0 		32,806
-------------
0 		1,416,744
-------------
0 		228,197
-------------
0
2John K Lloyd FACHEPresident/CEO - Trustee (i)

(ii)		 1,140,835
-------------
0 		800,000
-------------
0 		72,289
-------------
0 		1,082,972
-------------
0 		53,556
-------------
0 		3,149,652
-------------
0 		0
-------------
0
3Salvatore InciardiPres/Trustee, Sr. VP Bus Dev (i)

(ii)		 356,817
-------------
0 		180,000
-------------
0 		156,377
-------------
0 		108,951
-------------
0 		23,358
-------------
0 		825,503
-------------
0 		146,625
-------------
0
4Michele MendelsonVP & Sec/Trustee, VP Home Care (i)

(ii)		 225,603
-------------
0 		65,000
-------------
0 		28,979
-------------
0 		32,085
-------------
0 		32,590
-------------
0 		384,257
-------------
0 		0
-------------
0
5Joseph M LemaireTreas/Trust,EVP/PARTNER CO OPS (i)

(ii)		 787,587
-------------
0 		200,000
-------------
0 		209,440
-------------
0 		386,113
-------------
0 		34,751
-------------
0 		1,617,891
-------------
0 		0
-------------
0
6Joseph StampePres/Trustee, Pres Foundations (i)

(ii)		 286,302
-------------
0 		70,000
-------------
0 		12,292
-------------
0 		42,600
-------------
0 		34,671
-------------
0 		445,865
-------------
0 		0
-------------
0
7Timothy J HoganTrustee, Regional Pres RMC/BCH (i)

(ii)		 606,049
-------------
0 		184,000
-------------
0 		214,583
-------------
0 		113,132
-------------
0 		32,794
-------------
0 		1,150,558
-------------
0 		158,408
-------------
0
8Jennifer SmithTrustee, Exec Dir. RMCF & BCHF (i)

(ii)		 158,783
-------------
0 		3,200
-------------
0 		2,168
-------------
0 		7,800
-------------
0 		20,123
-------------
0 		192,074
-------------
0 		0
-------------
0
9Kenneth N Sable MDTrustee, President JSUMC (i)

(ii)		 676,196
-------------
0 		0
-------------
0 		30,813
-------------
0 		0
-------------
0 		37,139
-------------
0 		744,148
-------------
0 		0
-------------
0
10Dean Q LinPres/Trustee, President OMC (i)

(ii)		 484,297
-------------
0 		137,500
-------------
0 		80,003
-------------
0 		80,425
-------------
0 		21,225
-------------
0 		803,450
-------------
0 		32,141
-------------
0
11Matthew LangTrustee, Executive Dir. OMCF (i)

(ii)		 124,406
-------------
0 		0
-------------
0 		2,135
-------------
0 		3,406
-------------
0 		20,091
-------------
0 		150,038
-------------
0 		0
-------------
0
12Joseph P CoyleTrustee, President SOMC (i)

(ii)		 431,451
-------------
0 		138,500
-------------
0 		169,445
-------------
0 		60,824
-------------
0 		25,505
-------------
0 		825,725
-------------
0 		124,459
-------------
0
13Timothy Nolan 11 - 130EVP Meridian Health Solutions (i)

(ii)		 70,039
-------------
0 		650,000
-------------
0 		40,471
-------------
0 		7,800
-------------
0 		2,788
-------------
0 		771,098
-------------
0 		0
-------------
0
14Patrick Young Eff 53115EVP Meridian Health Solutions (i)

(ii)		 310,909
-------------
0 		0
-------------
0 		15,535
-------------
0 		0
-------------
0 		13,847
-------------
0 		340,291
-------------
0 		0
-------------
0
15Ann B Gavzy EsqSr. VP Legal Affairs (i)

(ii)		 416,799
-------------
0 		120,000
-------------
0 		161,180
-------------
0 		130,452
-------------
0 		23,387
-------------
0 		851,818
-------------
0 		133,475
-------------
0
16Rebecca WeberSr. VP & Chief Information Off (i)

(ii)		 397,679
-------------
0 		120,000
-------------
0 		77,441
-------------
0 		131,998
-------------
0 		23,396
-------------
0 		750,514
-------------
0 		44,948
-------------
0
17Sherrie StringSr. VP Human Resources (i)

(ii)		 392,348
-------------
0 		95,000
-------------
0 		59,139
-------------
0 		66,725
-------------
0 		16,862
-------------
0 		630,074
-------------
0 		29,263
-------------
0
18Kim Carpenter MDSr. VP Clinical Effectiveness (i)

(ii)		 371,567
-------------
0 		74,600
-------------
0 		15,581
-------------
0 		34,846
-------------
0 		32,353
-------------
0 		528,947
-------------
0 		0
-------------
0
19Maureen SintichSr. VP of Nursing (i)

(ii)		 376,372
-------------
0 		28,000
-------------
0 		18,891
-------------
0 		22,774
-------------
0 		23,379
-------------
0 		469,416
-------------
0 		0
-------------
0
20Marty Scott Eff 3215Sr. VP Chief Quality Officer (i)

(ii)		 377,508
-------------
0 		0
-------------
0 		20,774
-------------
0 		0
-------------
0 		26,719
-------------
0 		425,001
-------------
0 		0
-------------
0
21Joseph Reichman MDVP Clinical Effectiveness (i)

(ii)		 335,815
-------------
0 		66,300
-------------
0 		42,570
-------------
0 		26,496
-------------
0 		1,940
-------------
0 		473,121
-------------
0 		0
-------------
0
22Robert PalermoVP Finance (i)

(ii)		 298,572
-------------
0 		80,000
-------------
0 		61,698
-------------
0 		44,890
-------------
0 		34,244
-------------
0 		519,404
-------------
0 		35,464
-------------
0
23Terry MannaVP Managed Care (i)

(ii)		 301,966
-------------
0 		65,000
-------------
0 		25,595
-------------
0 		27,191
-------------
0 		31,874
-------------
0 		451,626
-------------
0 		0
-------------
0
24Marilyn KoczanVP Patient Financial Services (i)

(ii)		 271,825
-------------
0 		55,000
-------------
0 		58,740
-------------
0 		67,500
-------------
0 		4,136
-------------
0 		457,201
-------------
0 		28,735
-------------
0
25Ian Leber MDVP Clinical Effectiveness (i)

(ii)		 290,946
-------------
0 		63,000
-------------
0 		26,232
-------------
0 		9,125
-------------
0 		37,108
-------------
0 		426,411
-------------
0 		0
-------------
0
26Richard HandVP Finance (i)

(ii)		 259,523
-------------
0 		55,000
-------------
0 		41,434
-------------
0 		38,259
-------------
0 		18,538
-------------
0 		412,754
-------------
0 		13,925
-------------
0
27Theodore Zaleski MDVP Clinical Effectiveness (i)

(ii)		 303,482
-------------
0 		26,700
-------------
0 		20,415
-------------
0 		4,444
-------------
0 		31,694
-------------
0 		386,735
-------------
0 		0
-------------
0
28Vincent J Vivona DO JD FACPVP Clinical Eff (eff 8/2/15) (i)

(ii)		 217,217
-------------
0 		0
-------------
0 		19,030
-------------
0 		3,877
-------------
0 		31,004
-------------
0 		271,128
-------------
0 		0
-------------
0
29Mark Krasna MDOncology Medical Director (i)

(ii)		 695,904
-------------
0 		154,934
-------------
0 		15,487
-------------
0 		7,800
-------------
0 		32,188
-------------
0 		906,313
-------------
0 		0
-------------
0
30Alan Colicchio MDNeurosciences Medical Director (i)

(ii)		 477,814
-------------
0 		0
-------------
0 		30,378
-------------
0 		7,800
-------------
0 		31,939
-------------
0 		547,931
-------------
0 		0
-------------
0
31Frank GoldsteinVP Physician Services (i)

(ii)		 361,755
-------------
0 		90,000
-------------
0 		52,877
-------------
0 		41,747
-------------
0 		23,325
-------------
0 		569,704
-------------
0 		0
-------------
0
32James A Clarke MDVP Primary Care (i)

(ii)		 386,666
-------------
0 		77,000
-------------
0 		12,657
-------------
0 		9,125
-------------
0 		31,568
-------------
0 		517,016
-------------
0 		0
-------------
0
33James MolloyVP Government Relations (i)

(ii)		 314,724
-------------
0 		90,000
-------------
0 		10,480
-------------
0 		38,135
-------------
0 		22,706
-------------
0 		476,045
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015
Page 3

Schedule J (Form 990) 2015
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 2015 FORM W-2, BOX 1, AS TAXABLE WAGES AND WERE REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR FORMS 990 OF THE ORGANIZATION: STEVEN G. LITTLESON, $228,197; SALVATORE INCIARDI, $146,625; TIMOTHY J. HOGAN, $158,408; DEAN Q. LIN, $32,141; JOSEPH P. COYLE, $124,459; ANN B. GAVZY, ESQ., $133,475; REBECCA WEBER, $44,948; SHERRIE STRING, $29,263; ROBERT PALERMO, $35,464; MARILYN KOCZAN, $28,735; AND RICHARD HAND, $13,925. The amount reflected in Schedule J, Part II, Column B(iii) for the following individual includes an amount of compensation that was provided to the individual in accordance with his 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 amount outlined herein was included in the individual's 2015 form W-2, Boxes 1 and 5, as taxable wages: Joseph M. Lemaire, $170,000. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN (C) FOR THE FOLLOWING INDIVIDUALS INCLUDES A RETENTION BONUS WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER RECEIVE THIS BENEFIT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, AS TAXABLE WAGES: JOHN K. LLOYD, FACHE, $350,000 AND REBECCA WEBER, $70,000. 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 2015 FORM W-2, AS TAXABLE WAGES: JOSEPH M. LEMAIRE, $348,103; JOSEPH STAMPE, $34,800; DEAN Q. LIN, $71,300; REBECCA WEBER, $20,600; SHERRIE STRING, $57,600; KIM CARPENTER, $57,600; MAUREEN SINTICH, $16,900; ROBERT PALERMO, $15,600; MARILYN KOCZAN, $13,800 AND RICHARD HAND, $13,600. 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 2015 FORM W-2, AS TAXABLE WAGES: STEVEN G. LITTLESON $131,654; JOHN K. LLOYD, FACHE, $668,977; SALVATORE INCIARDI, $65,149; JOSEPH M. LEMAIRE, $30,210; TIMOTHY HOGAN, $80,176; JOSEPH COYLE, $32,173 AND ANN B. GAVZY, ESQ., $94,175.
SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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 2015 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 2015 FORM W-2, BOX 1, AS TAXABLE WAGES: STEVEN G. LITTLESON, $228,197; SALVATORE INCIARDI, $146,625; TIMOTHY J. HOGAN, $158,408; DEAN Q. LIN, $32,141; JOSEPH P. COYLE, $124,459; ANN B. GAVZY, ESQ., $133,475; REBECCA WEBER, $44,948; SHERRIE STRING, $29,263; ROBERT PALERMO, $35,464; MARILYN KOCZAN, $28,735; AND RICHARD HAND, $13,925.
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version: