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
Regional Health Inc
 
Employer identification number

20-1487506
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
 
No
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
 
No
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
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 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
1Terry M Graber MDDirector; Family Practice (i)

(ii)		 0
-------------
546,672 		0
-------------
0 		0
-------------
47,141 		0
-------------
40,479 		0
-------------
21,935 		0
-------------
656,227 		0
-------------
47,141
2Brent R PhillipsPresident and CEO (i)

(ii)		 0
-------------
664,243 		0
-------------
54,500 		0
-------------
6,000 		0
-------------
47,250 		0
-------------
14,754 		0
-------------
786,747 		0
-------------
0
3Mark A ThompsonCFO (i)

(ii)		 0
-------------
374,676 		0
-------------
37,156 		0
-------------
7,807 		0
-------------
50,697 		0
-------------
16,626 		0
-------------
486,962 		0
-------------
7,807
4Maureen G HensonVP Human Resources (i)

(ii)		 0
-------------
228,049 		0
-------------
14,924 		0
-------------
0 		0
-------------
20,269 		0
-------------
1,607 		0
-------------
264,849 		0
-------------
0
5Richard S LatuchieVP Info Technology / CIO (i)

(ii)		 0
-------------
278,400 		0
-------------
18,830 		0
-------------
0 		0
-------------
14,588 		0
-------------
30,363 		0
-------------
342,181 		0
-------------
0
6Mary E MastenGeneral Counsel (i)

(ii)		 0
-------------
310,536 		0
-------------
20,217 		0
-------------
0 		0
-------------
24,203 		0
-------------
17,830 		0
-------------
372,786 		0
-------------
0
7Charles Hart MDFormer President Emeritus (i)

(ii)		 0
-------------
126,523 		0
-------------
83,929 		0
-------------
0 		0
-------------
7,605 		0
-------------
2,911 		0
-------------
220,968 		0
-------------
0
8Timothy H SughrueFormer COO RH & CEO RCRH, RHN (i)

(ii)		 0
-------------
254,755 		0
-------------
0 		0
-------------
340,963 		0
-------------
9,712 		0
-------------
8,096 		0
-------------
613,526 		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
Part I, Line 1a The following individuals received "Tax Indemnification and gross-up payments" for the cost of life insurance in excess of $50,000: Terry Graber 399 Maureen G. Henson 1,778 Richard S. Latuchie 3,186 Mary E. Masten 3,215 Brent Phillips 2,731 Mark A. Thompson 2,094
Part I, Lines 4a-b Regional Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives. The following individuals had amounts deferred into the account as reported in column C on Schedule J: Terry Graber, MD 25,667 Maureen G. Henson 12,792 Brent R. Phillips 39,300 Mark A. Thompson 32,081 Severance payments were made to the following individual: Timothy Sughrue 340,963
Part I, Line 7 Executives and Other Employees of System Entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the System's Peer group(s) in accordance with the terms of the Regional Health, Inc. Annual Incentive Plan for Selected Executives and Other Employees (Incentive Plan). In accordance with this plan, the Board's Compliance, Audit and Compensation Committee reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable.
Schedule J (Form 990) 2015
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