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ObjectId: 202003189349302815 - Submission: 2020-11-13
TIN: 31-1626179
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
19
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTH SYSTEM INC
Employer identification number
31-1626179
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 on 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 on 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.
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
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 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
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) 2019
Page 2
Schedule J (Form 990) 2019
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
DR ROBERT F ELDER
BOARD MEMBER
(i)
(ii)
556,243
-------------
0
32,449
-------------
0
3,810
-------------
0
57,809
-------------
0
828
-------------
0
651,139
-------------
0
0
-------------
0
2
BENJAMIN M CUNNINGHAM JR
SR VP & CFO
(i)
(ii)
395,450
-------------
0
91,176
-------------
0
690
-------------
0
49,187
-------------
0
14,325
-------------
0
550,828
-------------
0
0
-------------
0
3
JANELL R CECIL
SR VP & CNO
(i)
(ii)
448,430
-------------
0
64,750
-------------
0
5,070
-------------
0
82,588
-------------
0
14,495
-------------
0
615,333
-------------
0
0
-------------
0
4
WILLIAM D HALL
EXECUTIVE VICE PRESIDENT
(i)
(ii)
697,133
-------------
0
146,625
-------------
0
5,467
-------------
0
144,252
-------------
0
9,419
-------------
0
1,002,896
-------------
0
0
-------------
0
5
JERRY L EPPS
SR VP & CMO
(i)
(ii)
236,985
-------------
0
123,750
-------------
0
2,260
-------------
0
41,394
-------------
0
355
-------------
0
404,744
-------------
0
0
-------------
0
6
JOSEPH R LANDSMAN JR
PRESIDENT & CEO
(i)
(ii)
2,417,683
-------------
0
384,120
-------------
0
7,445
-------------
0
300,613
-------------
0
9,638
-------------
0
3,119,499
-------------
0
0
-------------
0
7
STEVEN R ROSS
SR VICE PRESIDENT
(i)
(ii)
557,821
-------------
0
89,000
-------------
0
6,871
-------------
0
103,147
-------------
0
6,080
-------------
0
762,919
-------------
0
0
-------------
0
8
BENNETT COX
SR VP & GENERAL COUNSEL
(i)
(ii)
443,824
-------------
0
62,841
-------------
0
2,700
-------------
0
86,946
-------------
0
1,005
-------------
0
597,316
-------------
0
0
-------------
0
9
BRUCE R HARTMANN
SR VP & CHIEF COMMUNITY RELATIONS OF
(i)
(ii)
345,591
-------------
0
36,329
-------------
0
14,766
-------------
0
38,820
-------------
0
9,096
-------------
0
444,602
-------------
0
0
-------------
0
10
KATHERINE BOYD
SR. VP & CHIEF DEVELOPMENT OFFICER
(i)
(ii)
358,282
-------------
0
51,381
-------------
0
5,027
-------------
0
4,256
-------------
0
4,373
-------------
0
423,319
-------------
0
0
-------------
0
11
DR KEITH GRAY
SR VP & CHIEF MEDICAL OFFICER
(i)
(ii)
570,892
-------------
0
17,500
-------------
0
775
-------------
0
57,169
-------------
0
676
-------------
0
647,012
-------------
0
0
-------------
0
12
DR JAMES SHAMIYEH
SR VP & CHIEF QUALITY OFFICER
(i)
(ii)
471,372
-------------
0
20,334
-------------
0
653
-------------
0
46,682
-------------
0
12,819
-------------
0
551,860
-------------
0
0
-------------
0
13
JOHN L BELL
PHYSICIAN/MEDICAL DIR
(i)
(ii)
863,581
-------------
0
36,525
-------------
0
2,210
-------------
0
84,874
-------------
0
765
-------------
0
987,955
-------------
0
0
-------------
0
14
DAVID N ALJADIR
PHYSICIAN
(i)
(ii)
539,647
-------------
0
425,683
-------------
0
300
-------------
0
90,098
-------------
0
14,325
-------------
0
1,070,053
-------------
0
0
-------------
0
15
MICHAEL B FREEMAN
PHYSICIAN
(i)
(ii)
592,503
-------------
0
528,025
-------------
0
1,980
-------------
0
103,001
-------------
0
420
-------------
0
1,225,929
-------------
0
0
-------------
0
16
OSCAR GRANDAS
PHYSICIAN
(i)
(ii)
774,837
-------------
0
361,635
-------------
0
1,290
-------------
0
106,292
-------------
0
420
-------------
0
1,244,474
-------------
0
0
-------------
0
17
SUSAN M NEWMAN
PHYSICIAN
(i)
(ii)
470,591
-------------
0
467,785
-------------
0
450
-------------
0
14,000
-------------
0
7,458
-------------
0
960,284
-------------
0
0
-------------
0
18
ANTONY J CHARLES
PHYSICIAN
(i)
(ii)
543,483
-------------
0
413,946
-------------
0
450
-------------
0
91,440
-------------
0
14,325
-------------
0
1,063,644
-------------
0
0
-------------
0
19
DR MELISSA P LAPINSKA
BOARD MEMBER (ROTATED OFF)
(i)
(ii)
314,506
-------------
0
0
-------------
0
300
-------------
0
31,530
-------------
0
828
-------------
0
347,164
-------------
0
0
-------------
0
20
THOMAS FISHER
FORMER VP & CFO
(i)
(ii)
108,430
-------------
0
0
-------------
0
0
-------------
0
57,337
-------------
0
693
-------------
0
166,460
-------------
0
0
-------------
0
Schedule J (Form 990) 2019
Page 3
Schedule J (Form 990) 2019
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 4B
THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. THE ALLOCATIONS MADE TO THE NONQUALIFIED DEFERRED COMPENSATION PLANS FOR THE YEAR WERE: $76,098 DAVID N. ALJADIR $77,440 ANTONY J. CHARLES $92,292 OSCAR GRANDAS $89,001 MICHAEL B. FREEMAN $24,820 BRUCE R. HARTMANN $72,946 BENNETT COX $70,874 JOHN L. BELL $68,588 JANELL R. CECIL $89,147 STEVEN R. ROSS $35,150 JERRY L. EPPS $130,252 WILLIAM D. HALL $35,187 BENJAMIN M. CUNNINGHAM, JR. $286,613 JOSEPH R. LANDSMAN, JR. $17,530 DR. MELISSA P. LAPINSKA $43,809 DR. ROBERT F. ELDER $43,169 DR. KEITH GRAY $32,682 DR. JAMES SHAMIYEH
PART I, LINE 7
THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S HUMAN RESOURCES COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION.
Schedule J (Form 990) 2019
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