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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
MVP HEALTH PLAN INC
 
Employer identification number

14-1640868
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
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
Yes
 
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
1Wallace Altes
Former Director 		(i)

(ii)		 27,083
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		27,083
-------------
0 		0
-------------
0
2Arthur Roth
Former Director 		(i)

(ii)		 40,625
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		40,625
-------------
0 		0
-------------
0
3Debbie Sydow
Former Director 		(i)

(ii)		 16,250
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		16,250
-------------
0 		0
-------------
0
4Denise Gonick
CEO and Director 		(i)

(ii)		 575,528
-------------
219,183 		793,704
-------------
302,272 		192,430
-------------
73,284 		25,757
-------------
9,810 		3,831
-------------
1,459 		1,591,250
-------------
606,008 		65,423
-------------
24,915
5Christopher DelVecchio
President & COO (Beg. 6/11/18) 		(i)

(ii)		 461,327
-------------
175,691 		455,662
-------------
173,533 		55,178
-------------
21,014 		30,688
-------------
11,687 		3,831
-------------
1,459 		1,006,686
-------------
383,384 		10,872
-------------
4,141
6Karla Austen
Treasurer 		(i)

(ii)		 331,739
-------------
130,015 		233,350
-------------
91,455 		50,439
-------------
19,768 		26,133
-------------
10,242 		3,990
-------------
1,564 		645,651
-------------
253,044 		16,408
-------------
6,431
7Monice Barbero
Secretary (Beg. 6/12/18) 		(i)

(ii)		 134,032
-------------
52,261 		17,987
-------------
7,013 		41,213
-------------
16,070 		6,586
-------------
2,568 		1,450
-------------
565 		201,268
-------------
78,477 		0
-------------
0
8James Poole III
Frm Sr Leader Corp Security 		(i)

(ii)		 87,998
-------------
25,817 		106,366
-------------
31,206 		9,934
-------------
2,915 		26,995
-------------
7,920 		4,782
-------------
1,403 		236,075
-------------
69,261 		0
-------------
0
9Emily Titsworth
Secretary (Thru 6/11/18) 		(i)

(ii)		 161,372
-------------
62,922 		93,347
-------------
36,398 		10,307
-------------
4,019 		28,256
-------------
11,017 		1,403
-------------
547 		294,685
-------------
114,903 		0
-------------
0
10Catherine Buhler Clancy
Sr Leader Ops & Medicaid 		(i)

(ii)		 223,731
-------------
156,941 		168,276
-------------
118,040 		29,452
-------------
20,659 		21,379
-------------
14,996 		4,578
-------------
3,212 		447,416
-------------
313,848 		6,006
-------------
4,213
11Michael Della Villa
Sr Leader IT and Transform 		(i)

(ii)		 213,689
-------------
85,977 		87,643
-------------
35,263 		14,885
-------------
5,989 		21,692
-------------
8,728 		7,644
-------------
3,075 		345,553
-------------
139,032 		0
-------------
0
12Patrick Glavey
Sr Leader Medicare 		(i)

(ii)		 333,092
-------------
0 		252,275
-------------
0 		60,135
-------------
0 		42,102
-------------
0 		370
-------------
0 		687,974
-------------
0 		0
-------------
0
13Dawn Jablonski
Special Counsel 		(i)

(ii)		 20,275
-------------
7,905 		141,420
-------------
55,142 		198,949
-------------
77,574 		6,046
-------------
2,358 		550
-------------
214 		367,240
-------------
143,193 		45,156
-------------
17,607
14Elizabeth Malko
EVP, Chief Medical Officer 		(i)

(ii)		 230,106
-------------
72,766 		253,085
-------------
80,033 		142,419
-------------
45,037 		32,194
-------------
10,181 		4,488
-------------
1,419 		662,292
-------------
209,436 		4,654
-------------
1,472
15Carl Cameron
VP, Medical Affairs 		(i)

(ii)		 234,181
-------------
74,055 		103,296
-------------
32,665 		51,109
-------------
16,162 		32,194
-------------
10,181 		3,881
-------------
1,227 		424,661
-------------
134,290 		35,446
-------------
11,209
16Cupid Gascon
Sr Leader Clinical Trans 		(i)

(ii)		 223,936
-------------
70,815 		99,006
-------------
31,309 		15,105
-------------
4,777 		32,194
-------------
10,181 		7,407
-------------
2,342 		377,648
-------------
119,424 		0
-------------
0
17Augusta Martin
Sr Leader Client Engagement 		(i)

(ii)		 122,564
-------------
179,820 		54,479
-------------
79,929 		20,250
-------------
29,709 		16,470
-------------
24,163 		1,706
-------------
2,502 		215,469
-------------
316,123 		12,247
-------------
17,970
18Carole Montepare
Sr Leader Sales & Acct Mgmt 		(i)

(ii)		 128,765
-------------
188,918 		56,437
-------------
82,801 		10,325
-------------
15,148 		15,910
-------------
23,341 		1,869
-------------
2,741 		213,306
-------------
312,949 		0
-------------
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
SCHEDULE J, PART I, LINE 1A & 1B THE PAYMENT OF THESE EXPENSES ARE PAID AS PART OF THE TOTAL REWARDS PACKAGE TO EXECUTIVES AS REVIEWED WITHIN OUR OVERALL COMPENSATION PHILOSOPHY.
SCHEDULE J, PART I, LINE 4A The following employees listed on Schedule J received separation payments during 2018: Malko, Elizabeth $132,000.06 Jablonski, Dawn $152,500.14
SCHEDULE J, PART I, LINE 4B During the year, several of the persons listed on Schedule J participated in a supplemental non-qualified retirement plan. Employer and employee contributions during the year to this plan have been reported, as required, on Schedule J, Part II, Columns (B)(III) and (C). The following officers and key employees received payments under this supplemental non-qualified retirement plan during the year: Gonick, Denise $90,338 Austen, Karla $22,839 Jablonski, Dawn $62,763 Del Vecchio, Christopher $15,013 Buhler Clancy, Catherine $10,219 Malko, Elizabeth $ 6,126 Cameron, Carl $46,655 Martin, Augusta $30,217
SCHEDULE J, PART I, LINE 6B RELATIVE TO BONUSES, MVP'S BOARD HAS A COMPENSATION COMMITTEE MADE UP OF FOUR BOARD MEMBERS WHO PROVIDE GOVERNANCE OVERSIGHT PROCEDURES TO ENSURE ADEQUATE BOARD OVERSIGHT OF ITS EXECUTIVE COMPENSATION PROGRAMS. THE COMPENSATION COMMITTEE MEETS AT LEAST TWO TIMES PER YEAR AND MAINTAINS FORMAL MINUTES EVIDENCING THIS OVERSIGHT. ADDITIONALLY, MVP ENGAGES AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPETITIVENESS OF EXISTING REMUNERATION LEVELS FOR PURPOSES OF ATTRACTING AND RETAINING TALENTED STAFF AT ALL LEVELS. MVP PROVIDES BONUS PROGRAMS TO EMPLOYEES THAT TIE VARIABLE PAY AND INDIVIDUAL PERFORMANCE TO THE CORPORATE GOALS OF THE ORGANIZATION. THE PLANS INCLUDE LONG-TERM INCENTIVES FOR EXECUTIVES, MANAGEMENT-INCENTIVES FOR MANAGEMENT-LEVEL AND ABOVE, AND PERFORMANCE INCENTIVES FOR THE BALANCE OF THE ORGANIZATION.
Schedule J (Form 990) 2018
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