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.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
Highmark Health Group
 
Employer identification number

82-1406555
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
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 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 nonfixed
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
Yes
 
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) 2017
Page 2

Schedule J (Form 990) 2017
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
1Carol Bucci
Director
(i)

(ii)
218,573
-------------
0
20,524
-------------
0
3,727
-------------
0
0
-------------
0
10,639
-------------
0
253,463
-------------
0
0
-------------
0
2Scott Hankinson
Director
(i)

(ii)
185,503
-------------
0
32,808
-------------
0
2,566
-------------
0
7,866
-------------
0
21,509
-------------
0
250,252
-------------
0
0
-------------
0
3Tony Farah MD
Director
(i)

(ii)
463,769
-------------
389,901
729,468
-------------
0
213,843
-------------
124,709
0
-------------
9,450
15,256
-------------
15,256
1,422,336
-------------
539,316
210,169
-------------
0
4David Goldberg
Director
(i)

(ii)
512,072
-------------
0
343,755
-------------
0
20,628
-------------
0
39,400
-------------
0
29,490
-------------
0
945,345
-------------
0
0
-------------
0
5Daniel R Casper MD
Director
(i)

(ii)
361,647
-------------
0
0
-------------
0
4,465
-------------
0
16,200
-------------
0
17,467
-------------
0
399,779
-------------
0
0
-------------
0
6Paul Reilly MD
Director
(i)

(ii)
156,298
-------------
0
0
-------------
0
824
-------------
0
9,681
-------------
0
18,604
-------------
0
185,407
-------------
0
0
-------------
0
7David Parda MD
Director
(i)

(ii)
999,430
-------------
0
0
-------------
0
4,257
-------------
0
13,500
-------------
0
27,105
-------------
0
1,044,292
-------------
0
0
-------------
0
8Thomas Corkery DO
Director
(i)

(ii)
293,164
-------------
0
0
-------------
0
11,239
-------------
0
13,500
-------------
0
20,529
-------------
0
338,432
-------------
0
0
-------------
0
9Jennifer Lewis MD
Director
(i)

(ii)
294,332
-------------
0
0
-------------
0
392
-------------
0
10,800
-------------
0
20,287
-------------
0
325,811
-------------
0
0
-------------
0
10Michael Culig MD
Director
(i)

(ii)
530,344
-------------
0
0
-------------
0
3,564
-------------
0
16,200
-------------
0
26,449
-------------
0
576,557
-------------
0
0
-------------
0
11Jason Roeback
Director
(i)

(ii)
143,069
-------------
0
10,000
-------------
0
637
-------------
0
0
-------------
0
8,290
-------------
0
161,996
-------------
0
0
-------------
0
12Thomas Murphy
Director
(i)

(ii)
204,925
-------------
0
0
-------------
0
842
-------------
0
0
-------------
0
23,256
-------------
0
229,023
-------------
0
0
-------------
0
13David Stapor MD
Director
(i)

(ii)
164,982
-------------
212,500
20,750
-------------
10,950
0
-------------
0
0
-------------
0
3,504
-------------
15,993
189,236
-------------
239,443
0
-------------
0
14Thomas Vankirk
Director
(i)

(ii)
0
-------------
613,071
0
-------------
1,166,592
0
-------------
132,018
0
-------------
20,484
0
-------------
10,029
0
-------------
1,942,194
0
-------------
0
15Karen Hanlon
Director
(i)

(ii)
0
-------------
626,118
0
-------------
938,814
0
-------------
22,926
0
-------------
160,123
0
-------------
24,673
0
-------------
1,772,654
0
-------------
0
16Paul Gausman DO
Director
(i)

(ii)
224,501
-------------
0
44,117
-------------
0
486
-------------
0
0
-------------
0
8,044
-------------
0
277,148
-------------
0
0
-------------
0
17Jeffrey Kim MD
Director
(i)

(ii)
223,197
-------------
0
60,593
-------------
0
192
-------------
0
0
-------------
0
19,075
-------------
0
303,057
-------------
0
0
-------------
0
18Chris Serafini DO
Director
(i)

(ii)
283,862
-------------
0
20,659
-------------
0
183
-------------
0
0
-------------
0
19,396
-------------
0
324,100
-------------
0
0
-------------
0
19Susan Moore MD
Director
(i)

(ii)
189,936
-------------
0
0
-------------
0
2,016
-------------
0
1,319
-------------
0
22,692
-------------
0
215,963
-------------
0
0
-------------
0
20Donald McNary
Director
(i)

(ii)
175,002
-------------
0
0
-------------
0
681
-------------
0
7,103
-------------
0
9,011
-------------
0
191,797
-------------
0
0
-------------
0
21Madhusudan Menon MD
Director
(i)

(ii)
38,252
-------------
214,846
15,000
-------------
70,934
0
-------------
0
0
-------------
0
2
-------------
0
53,254
-------------
285,780
0
-------------
0
22Dawn Karns DO
Director
(i)

(ii)
155,419
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
600
-------------
0
156,019
-------------
0
0
-------------
0
23Robert Lupo MD
Director
(i)

(ii)
553,351
-------------
0
278,462
-------------
0
916
-------------
0
0
-------------
0
19,659
-------------
0
852,388
-------------
0
0
-------------
0
24Jeffrey McGovern
Director
(i)

(ii)
544,951
-------------
0
187,034
-------------
0
2,580
-------------
0
0
-------------
0
21,231
-------------
0
755,796
-------------
0
0
-------------
0
25Daniel Onorato
Director
(i)

(ii)
0
-------------
458,461
0
-------------
536,264
0
-------------
67,976
0
-------------
17,784
0
-------------
35,733
0
-------------
1,116,218
0
-------------
0
26Ross Peterson MD
Director
(i)

(ii)
669,095
-------------
0
139,013
-------------
0
540
-------------
0
0
-------------
0
30,290
-------------
0
838,938
-------------
0
0
-------------
0
27Salam Shameen MD
Director
(i)

(ii)
422,788
-------------
0
0
-------------
0
444
-------------
0
0
-------------
0
6,652
-------------
0
429,884
-------------
0
0
-------------
0
28Donald Whiting MD
Director
(i)

(ii)
1,583,101
-------------
0
93,332
-------------
0
2,489
-------------
0
13,500
-------------
0
24,356
-------------
0
1,716,778
-------------
0
0
-------------
0
29James Benedict
Director
(i)

(ii)
652,813
-------------
0
75,000
-------------
0
79,115
-------------
0
34,625
-------------
0
29,203
-------------
0
870,756
-------------
0
0
-------------
0
30Brian Parker MD
Director
(i)

(ii)
474,062
-------------
0
75,000
-------------
0
268,660
-------------
0
16,742
-------------
0
26,089
-------------
0
860,553
-------------
0
0
-------------
0
31Parminder Sharma MD
Director
(i)

(ii)
785,541
-------------
0
0
-------------
0
3,946
-------------
0
16,200
-------------
0
20,859
-------------
0
826,546
-------------
0
0
-------------
0
32Luis Rivera
Director
(i)

(ii)
83,860
-------------
0
30,000
-------------
0
46,839
-------------
0
0
-------------
0
9,214
-------------
0
169,913
-------------
0
0
-------------
0
33Vincent McVittie
Director
(i)

(ii)
194,207
-------------
0
159,214
-------------
0
219,579
-------------
0
0
-------------
0
26,371
-------------
0
599,371
-------------
0
0
-------------
0
34Dmitriy Mnuskin MD
Director
(i)

(ii)
379,877
-------------
0
0
-------------
0
2,732
-------------
0
13,500
-------------
0
24,362
-------------
0
420,471
-------------
0
0
-------------
0
35James Amsterdam MD
Director
(i)

(ii)
392,627
-------------
0
0
-------------
0
5,182
-------------
0
0
-------------
0
21,426
-------------
0
419,235
-------------
0
0
-------------
0
36Ambaram Chauhan MD
Director
(i)

(ii)
91,553
-------------
463,814
0
-------------
10,317
0
-------------
24,000
0
-------------
0
2,939
-------------
0
94,492
-------------
498,131
0
-------------
0
37Brian Jones MD
Director
(i)

(ii)
364,530
-------------
0
90,532
-------------
0
154
-------------
0
0
-------------
0
20,905
-------------
0
476,121
-------------
0
0
-------------
0
38Patrick Recio DO
Director
(i)

(ii)
416,469
-------------
0
4,525
-------------
0
649
-------------
0
0
-------------
0
21,298
-------------
0
442,941
-------------
0
0
-------------
0
39Venkatraman Srinivasan MD
Trustee
(i)

(ii)
916,080
-------------
0
0
-------------
0
8,809
-------------
0
2,641
-------------
0
19,544
-------------
0
947,074
-------------
0
0
-------------
0
40Cynthia Hundorfean
Director & President
(i)

(ii)
934,212
-------------
0
647,539
-------------
0
26,846
-------------
0
131,465
-------------
0
16,308
-------------
0
1,756,370
-------------
0
0
-------------
0
41William Englert
Director & President
(i)

(ii)
294,418
-------------
0
0
-------------
0
1,513
-------------
0
16,200
-------------
0
3,345
-------------
0
315,476
-------------
0
0
-------------
0
42Louise Urban
Director & President
(i)

(ii)
430,465
-------------
0
105,402
-------------
0
9,950
-------------
0
0
-------------
0
20,741
-------------
0
566,558
-------------
0
0
-------------
0
43Mark Rubino MD
Director & President
(i)

(ii)
557,354
-------------
0
0
-------------
0
3,084
-------------
0
13,500
-------------
0
20,434
-------------
0
594,372
-------------
0
0
-------------
0
44Christopher Clark DO
Director & President
(i)

(ii)
184,106
-------------
143,136
0
-------------
67,204
287
-------------
2,778
0
-------------
7,653
12,342
-------------
29,372
196,735
-------------
250,143
0
-------------
0
45Ronald Andro
Director & President
(i)

(ii)
499,825
-------------
0
0
-------------
0
2,878
-------------
0
16,200
-------------
0
24,277
-------------
0
543,180
-------------
0
0
-------------
0
46Jeffrey Cohen MD
Director & President
(i)

(ii)
846,472
-------------
0
0
-------------
0
4,782
-------------
0
16,200
-------------
0
22,786
-------------
0
890,240
-------------
0
0
-------------
0
47G Scott Long MD
Director & President
(i)

(ii)
899,492
-------------
0
0
-------------
0
2,069
-------------
0
13,500
-------------
0
10,245
-------------
0
925,306
-------------
0
0
-------------
0
48Allison Quick
Director & President
(i)

(ii)
143,192
-------------
0
25,000
-------------
0
3,038
-------------
0
4,321
-------------
0
25,306
-------------
0
200,857
-------------
0
0
-------------
0
49Scott Whalen
Dir. & President
(i)

(ii)
262,271
-------------
0
0
-------------
0
498,150
-------------
0
665,695
-------------
0
8,506
-------------
0
1,434,622
-------------
0
119,698
-------------
0
50Mark Nussbaum
Director & Vice President
(i)

(ii)
130,809
-------------
0
0
-------------
0
34,865
-------------
0
0
-------------
0
10,881
-------------
0
176,555
-------------
0
0
-------------
0
51Keith LeJeune
Director & Vice President
(i)

(ii)
289,059
-------------
0
43,794
-------------
0
10,217
-------------
0
9,450
-------------
0
26,429
-------------
0
378,949
-------------
0
0
-------------
0
52Jacqueline Bauer
Director & Secretary
(i)

(ii)
395,941
-------------
0
268,372
-------------
0
21,353
-------------
0
68,151
-------------
0
18,119
-------------
0
771,936
-------------
0
0
-------------
0
53Maggie Biebel MD
Dir. & Secretary
(i)

(ii)
181,985
-------------
0
0
-------------
0
120
-------------
0
0
-------------
0
6,633
-------------
0
188,738
-------------
0
0
-------------
0
54Jeffrey Crudele
Director & Treasurer
(i)

(ii)
603,712
-------------
0
486,802
-------------
0
23,910
-------------
0
62,799
-------------
0
30,914
-------------
0
1,208,137
-------------
0
0
-------------
0
55James Rohrbaugh
Director & Treasurer
(i)

(ii)
316,183
-------------
0
0
-------------
0
479
-------------
0
0
-------------
0
19,420
-------------
0
336,082
-------------
0
0
-------------
0
56Mark Leone DO
Director & Treasurer
(i)

(ii)
203,027
-------------
0
48,740
-------------
0
260
-------------
0
0
-------------
0
19,825
-------------
0
271,852
-------------
0
0
-------------
0
57Alfred Mansfield
Dir. & Treasurer (Thru 7/5/17)
(i)

(ii)
244,697
-------------
0
0
-------------
0
31,796
-------------
0
0
-------------
0
12,159
-------------
0
288,652
-------------
0
0
-------------
0
58Maureen Chadwick
Assistant Secretary
(i)

(ii)
224,213
-------------
0
0
-------------
0
15,347
-------------
0
33,959
-------------
0
14,713
-------------
0
288,232
-------------
0
6,418
-------------
0
59Chong Park MD
Chief Medical Officer
(i)

(ii)
199,345
-------------
357,521
0
-------------
0
0
-------------
2,000
0
-------------
0
4,995
-------------
8,689
204,340
-------------
368,210
0
-------------
0
60Richard Thompson
Vice President
(i)

(ii)
338,475
-------------
0
126,088
-------------
0
18,124
-------------
0
9,450
-------------
0
7,115
-------------
0
499,252
-------------
0
0
-------------
0
61George J Magovern Jr MD
Physician
(i)

(ii)
676,207
-------------
0
0
-------------
0
9,845
-------------
0
16,200
-------------
0
33,635
-------------
0
735,887
-------------
0
0
-------------
0
62Patrick Demeo MD
Physician
(i)

(ii)
1,175,722
-------------
0
0
-------------
0
4,902
-------------
0
13,500
-------------
0
21,327
-------------
0
1,215,451
-------------
0
0
-------------
0
63Margaret Dicuccio
COO & CNO
(i)

(ii)
297,958
-------------
0
0
-------------
0
1,335
-------------
0
10,800
-------------
0
10,887
-------------
0
320,980
-------------
0
0
-------------
0
64Susan Manzi MD
Physician
(i)

(ii)
646,433
-------------
0
0
-------------
0
2,472
-------------
0
13,500
-------------
0
6,906
-------------
0
669,311
-------------
0
0
-------------
0
65Allan Klapper MD
Physician
(i)

(ii)
657,404
-------------
0
0
-------------
0
1,618
-------------
0
10,800
-------------
0
23,429
-------------
0
693,251
-------------
0
0
-------------
0
66Ngoc Thai MD
Department Chair
(i)

(ii)
876,355
-------------
0
0
-------------
0
1,983
-------------
0
10,800
-------------
0
24,845
-------------
0
913,983
-------------
0
0
-------------
0
67Robert White
Chief Medical Info Officer
(i)

(ii)
479,045
-------------
0
132,398
-------------
0
28,395
-------------
0
33,756
-------------
0
27,273
-------------
0
700,867
-------------
0
0
-------------
0
68Kenyokee Crowell
Sr. Vice President
(i)

(ii)
456,763
-------------
0
111,864
-------------
0
52,776
-------------
0
25,678
-------------
0
35,619
-------------
0
682,700
-------------
0
0
-------------
0
69Beth Casagranda MD
Physician
(i)

(ii)
605,434
-------------
0
0
-------------
0
513
-------------
0
8,775
-------------
0
22,003
-------------
0
636,725
-------------
0
0
-------------
0
70Anthony Lupetin MD
Physician
(i)

(ii)
556,739
-------------
0
0
-------------
0
5,916
-------------
0
16,200
-------------
0
9,297
-------------
0
588,152
-------------
0
0
-------------
0
71Jan Silverman MD
Physician
(i)

(ii)
534,053
-------------
0
0
-------------
0
5,574
-------------
0
16,200
-------------
0
30,091
-------------
0
585,918
-------------
0
0
-------------
0
72Claire Zangerle
Chief Nursing Officer
(i)

(ii)
402,399
-------------
0
31,657
-------------
0
62,872
-------------
0
10,374
-------------
0
14,817
-------------
0
522,119
-------------
0
0
-------------
0
73Brian Johnson MD
Physician
(i)

(ii)
385,281
-------------
0
0
-------------
0
246
-------------
0
8,775
-------------
0
20,944
-------------
0
415,246
-------------
0
0
-------------
0
74John Lawrence MD
Physician
(i)

(ii)
363,846
-------------
0
0
-------------
0
12,222
-------------
0
0
-------------
0
9,896
-------------
0
385,964
-------------
0
0
-------------
0
75Donald Jaffee
Chief Financial Officer
(i)

(ii)
350,694
-------------
0
0
-------------
0
11,889
-------------
0
13,500
-------------
0
18,745
-------------
0
394,828
-------------
0
0
-------------
0
76Marti Strand
Chief Rev Cycle Officer
(i)

(ii)
294,745
-------------
0
20,000
-------------
0
7,559
-------------
0
8,953
-------------
0
22,677
-------------
0
353,934
-------------
0
0
-------------
0
77Suzanne Labriola MD
Physician
(i)

(ii)
275,059
-------------
0
0
-------------
0
274
-------------
0
8,775
-------------
0
8,411
-------------
0
292,519
-------------
0
0
-------------
0
78David Alexander
Sr. Vice President
(i)

(ii)
161,959
-------------
0
50,000
-------------
0
53,725
-------------
0
0
-------------
0
14,072
-------------
0
279,756
-------------
0
0
-------------
0
79Nicholas Sotereanos MD
Physician
(i)

(ii)
1,363,028
-------------
0
0
-------------
0
4,901
-------------
0
13,500
-------------
0
27,619
-------------
0
1,409,048
-------------
0
0
-------------
0
80Daniel Altman MD
Physician
(i)

(ii)
1,737,187
-------------
0
0
-------------
0
4,902
-------------
0
13,500
-------------
0
9,837
-------------
0
1,765,426
-------------
0
0
-------------
0
81Gregory Altman MD
Physician
(i)

(ii)
1,757,670
-------------
0
0
-------------
0
2,622
-------------
0
10,800
-------------
0
22,823
-------------
0
1,793,915
-------------
0
0
-------------
0
82Edward Westrick MD
Physician
(i)

(ii)
1,779,727
-------------
0
0
-------------
0
1,026
-------------
0
8,775
-------------
0
24,040
-------------
0
1,813,568
-------------
0
0
-------------
0
83John Paul
Former Director & President
(i)

(ii)
0
-------------
0
80,466
-------------
0
640,203
-------------
0
0
-------------
0
0
-------------
0
720,669
-------------
0
640,203
-------------
0
84Jacqueline Dailey
Former CIO
(i)

(ii)
0
-------------
0
0
-------------
0
252,960
-------------
0
0
-------------
0
1,704
-------------
0
254,664
-------------
0
252,960
-------------
0
85William Goldfarb
Former Director
(i)

(ii)
61,611
-------------
0
256,478
-------------
0
370,603
-------------
0
0
-------------
0
1,463
-------------
0
690,155
-------------
0
0
-------------
0
86Jane Sarra
Former Director & President
(i)

(ii)
0
-------------
0
0
-------------
0
98,524
-------------
0
0
-------------
0
0
-------------
0
98,524
-------------
0
0
-------------
0
87Timothy Loch
Former Director
(i)

(ii)
21,289
-------------
0
0
-------------
0
72,438
-------------
0
0
-------------
0
755
-------------
0
94,482
-------------
0
72,438
-------------
0
88Jason Zajac
Former Trustee & President
(i)

(ii)
18,750
-------------
0
119,630
-------------
0
162,519
-------------
0
0
-------------
0
0
-------------
0
300,899
-------------
0
0
-------------
0
89JOHN BALACKO MD
DIRECTOR
(i)

(ii)
649,656
-------------
0
0
-------------
0
2,218
-------------
0
13,500
-------------
0
18,503
-------------
0
683,877
-------------
0
0
-------------
0
90robert moraca md
physician
(i)

(ii)
995,836
-------------
0
242,031
-------------
0
0
-------------
0
10,800
-------------
0
17,604
-------------
0
1,266,271
-------------
0
0
-------------
0
Schedule J (Form 990) 2017
Page 3

Schedule J (Form 990) 2017
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 TAX INDEMNIFICATION AND GROSS UPS A SELECT NUMBER OF EXECUTIVES LISTED IN FORM 990, PART VII RECEIVED TAX GROSS-UP PAYMENTS FROM THE ORGANIZATION during the year ended december 31, 2017. THESE WERE INCLUDED IN BOX 5 OF THEIR IRS FORM W-2. JEFF CRUDELE MARK NUSSBAUM KEITH LEJEUNE JIM BENEDICT BRIAN PARKER ALLIE QUICK ROBERT WHITE KENYOKEE CROWELL CLAIRE ZANGERLE DAVID ALEXANDER LUIS RIVERA
SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS OF DECEMBER 31, 2017. THESE AMOUNTS ARE INCLUDED IN THEIR BOX 5 OF THEIR IRS FORM W-2. VINCENT MCVITTIE $204,000 SCOTT WHALEN $334,231 JACQUELINE DAILEY $252,637 JOHN PAUL $640,203 WILLIAM GOLDFARB $370,193 JANE SARRA $98,524 TIMOTHY LOCH $72,115 JASON ZAJAC $162,500
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS RECEIVED OR PROVIDED 457(F) CONTRIBUTIONS INCLUDED IN 2017 W-2 COMPENSATION: TONY FARAH, M.D. $210,169 Scott Whalen $119,698 Maureen Chadwick $6,418 THE FOLLOWING INDIVIDUALS HAD 457(F) OR CONTRIBUTIONS DEFERRED IN 2017: CYNTHIA HUNDORFEAN $122,015 JEFFREY CRUDELE $53,349 JACQUELINE BAUER $34,167 JAMES BENEDICT $25,175 DAVID GOLDBERG $29,950 BRIAN PARKER, M.D. $7,292 KAREN HANLON $131,539 ROBERT WHITE $24,306 KENYOKEE CROWELL $16,228 CLAIRE ZANGERLE $924
SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS HIGHMARK HEALTH GROUP (HHG) PROVIDES BONUS COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. IN THE VAST MAJORITY OF ARRANGEMENTS, THIS COMPONENT IS BASED UPON ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES AND RESULTS IN FIXED PAYMENTS. CERTAIN ENTITIES WITHIN THE HIGHMARK HEALTH GROUP, HOWEVER, HAVE ENTERED INTO ARRANGEMENTS WHICH PROVIDE FOR OTHER BONUSES WHICH ARE DISCRETIONARY IN NATURE, TO A LIMITED NUMBER OF THOSE PERSONS LISTED IN THIS FORM 990, PART VII, SECTION A, LINE 1A. NOTWITHSTANDING SUCH DISCRETION AND ASSUMING FULL PAYOUT OF SUCH DISCRETIONARY PAYMENTS, THE TOTAL COMPENSATION PAID TO THOSE PERSONS FALLS WITHIN THE RANGE OF FAIR MARKET VALUE.
SCHEDULE J, PART I, LINES 8 AND 9 PAID OR ACCRUED COMPENSATION PURSUANT TO A CONTRACT SUBJECT TO THE INITIAL CONTRACT EXCEPTION HIGHMARK HEALTH GROUP (HHG) HAS CERTAIN EMPLOYMENT CONTRACTS WHICH MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION UNDER IRC REGULATION 53.4958-4(A)(3). IF SO QUALIFIED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN IRC REGULATION 53.4958-6(C) WERE FOLLOWED.
Schedule J (Form 990) 2017
Additional Data


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