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ObjectId: 201933199349301028 - Submission: 2019-11-15
TIN: 94-1225374
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
18
Open to Public Inspection
Name of the organization
HUMANGOOD NORCAL
FKA AMERICAN BAPTIST HOMES OF THE WEST
Employer identification number
94-1225374
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.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax idemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
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.
Compensation committee
Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
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
No
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) 2018
Page 2
Schedule J (Form 990) 2018
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
1
S LOUISE RANKIN
GENERAL COUNSEL
(i)
(ii)
315,024
-------------
0
166,185
-------------
0
17,738
-------------
0
11,000
-------------
0
11,029
-------------
0
520,976
-------------
0
0
-------------
0
2
JOHN H COCHRANE III
PRESIDENT/CHIEF EXECUTIVE OFFICER
(i)
(ii)
0
-------------
500,010
0
-------------
417,644
0
-------------
53,795
0
-------------
11,000
0
-------------
11,054
0
-------------
993,503
0
-------------
0
3
PAMELA S CLAASSEN
CHIEF FINANCIAL OFFICER
(i)
(ii)
268,961
-------------
0
187,218
-------------
0
534,139
-------------
0
11,000
-------------
0
15,568
-------------
0
1,016,886
-------------
0
516,434
-------------
0
4
DANIEL OGUS
CHIEF OPERATING OFFICER
(i)
(ii)
0
-------------
390,036
0
-------------
308,633
0
-------------
31,123
0
-------------
11,000
0
-------------
13,848
0
-------------
754,640
0
-------------
0
5
DANIEL HUTSON
CHIEF STRATEGY OFFICER
(i)
(ii)
0
-------------
275,028
0
-------------
145,085
0
-------------
5,911
0
-------------
11,000
0
-------------
13,740
0
-------------
450,764
0
-------------
0
6
DENNIS GRADILLAS
VP SALES
(i)
(ii)
199,245
-------------
0
79,695
-------------
0
22,208
-------------
0
11,000
-------------
0
13,540
-------------
0
325,688
-------------
0
19,104
-------------
0
7
GREGORY BEARCE
VP REGIONAL OPERATIONS
(i)
(ii)
137,339
-------------
0
128,000
-------------
0
24,327
-------------
0
11,000
-------------
0
8,778
-------------
0
309,444
-------------
0
0
-------------
0
8
TARA MCGUINESS
VP REGIONAL OPERATIONS
(i)
(ii)
204,409
-------------
0
71,543
-------------
0
358,463
-------------
0
11,000
-------------
0
12,234
-------------
0
657,649
-------------
0
353,581
-------------
0
9
TYLER ICHIEN
VP REGIONAL OPERATIONS
(i)
(ii)
164,783
-------------
0
45,499
-------------
0
0
-------------
0
8,837
-------------
0
13,444
-------------
0
232,563
-------------
0
0
-------------
0
10
LISA HOLLAND
VP REGIONAL OPERATIONS
(i)
(ii)
135,958
-------------
0
39,597
-------------
0
0
-------------
0
7,216
-------------
0
13,292
-------------
0
196,063
-------------
0
0
-------------
0
11
MARC HERRERA
VP HEALTHCARE & QUALITY
(i)
(ii)
0
-------------
200,000
0
-------------
59,499
0
-------------
84
0
-------------
10,580
0
-------------
10,807
0
-------------
280,970
0
-------------
0
12
RUSSELL MAUK UNTIL 112018
VP CONSTRUCTION REDEVELOPMENT
(i)
(ii)
215,642
-------------
0
78,753
-------------
0
141,232
-------------
0
11,000
-------------
0
12,949
-------------
0
459,576
-------------
0
133,404
-------------
0
13
SOPHIA LUKAS UNTIL 092018
VP REGIONAL OPERATIONS MANAGER
(i)
(ii)
0
-------------
132,104
0
-------------
69,996
0
-------------
26,791
0
-------------
9,296
0
-------------
6,819
0
-------------
245,006
0
-------------
0
14
TERESE JUNTZ UNTIL 022018
SR. VP HUMAN RESOURCES
(i)
(ii)
39,809
-------------
0
0
-------------
0
708,803
-------------
0
3,600
-------------
0
1,486
-------------
0
753,698
-------------
0
206,161
-------------
0
15
JOSEPH GERARDI
CHIEF INFO OFFICER (UNTIL 12/2018)
(i)
(ii)
95,009
-------------
0
91,907
-------------
0
254,860
-------------
0
5,284
-------------
0
2,848
-------------
0
449,908
-------------
0
220,682
-------------
0
16
TROY KEACH
VP HUMAN RESOURCES
(i)
(ii)
222,008
-------------
0
105,450
-------------
0
2,421
-------------
0
11,000
-------------
0
1,326
-------------
0
342,205
-------------
0
0
-------------
0
17
KEITH KASIN
EXECUTIVE DIRECTOR
(i)
(ii)
120,183
-------------
0
30,120
-------------
0
126,037
-------------
0
6,860
-------------
0
672
-------------
0
283,872
-------------
0
103,741
-------------
0
18
ANDY MCDONALD
VP FINANCE
(i)
(ii)
230,018
-------------
0
80,503
-------------
0
54,205
-------------
0
11,000
-------------
0
13,697
-------------
0
389,423
-------------
0
45,911
-------------
0
Schedule J (Form 990) 2018
Page 3
Schedule J (Form 990) 2018
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 CHIEF EXECUTIVE OFFICER HAS A "DISCRETIONARY SPENDING ACCOUNT" THAT IS INCLUDED AS PART OF THE EXECUTIVE OFFICE CONTINGENCY BUDGET. ALL EXPENDITURES OF THESE FUNDS ARE SUBJECT TO CUSTOMARY APPROVAL PROCESSES AND ARE REVIEWED ON A RETROSPECTIVE BASIS WITH THE SUPPORTING DOCUMENTATION BY THE BOARD CHAIR OR COMPENSATION COMMITTEE. A COST REIMBURSEMENT BENEFIT OF $60/ MONTH IS AVAILABLE TO CERTAIN EXECUTIVE TEAM MEMBERS FOR MONTHLY GYM MEMBERSHIP DUES.
PART I, LINE 3
COMPENSATION OF THE CEO IS DETERMINED BY HUMANGOOD USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINES 4A-B
TERESE JUNTZ RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR 2018. CERTAIN INDIVIDUALS LISTED ON SCHEDULE J PARTICIPATED IN A NON- QUALIFIED DEFERRED COMPENSATION IRC 457(F) PLAN. THE BENEFITS UNDER THE 457(F) PLAN WERE DISCRETIONARY AND DID NOT VEST UNTIL THE PARTICIPANT REACHED 65, DIED OR BECAME DISABLE OR WAS INVOLUNTARILY TERMINATED WITHOUT CAUSE. ON DECEMBER 1, 2017, THE HUMANGOOD BOARD OF DIRECTORS ELECTED TO TERMINATE THE PLAN, AND IN 2018, FINAL TERMINATIONS PAYOUTS OF $2,143,000 WERE MADE AS INCLUDED IN COLUMN B(III) AND COLUMN F, OTHER REPORTABLE COMPENSATION OF SCHEDULE J.
Schedule J (Form 990) 2018
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