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
Centura Health Corporation
 
Employer identification number

84-1335382
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
 
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
1Banko Peter
Board Member/Pres/CEO
(i)

(ii)
1,155,354
-------------
0
947,993
-------------
0
12,398
-------------
0
337,795
-------------
0
36,848
-------------
0
2,490,388
-------------
0
0
-------------
0
2Enderson Dan
Treasurer/CFO/SVP
(i)

(ii)
598,776
-------------
0
350,098
-------------
0
12,143
-------------
0
172,818
-------------
0
37,084
-------------
0
1,170,919
-------------
0
0
-------------
0
3Sabin Margaret
Group CEO Penrose St. Fran
(i)

(ii)
137,647
-------------
0
0
-------------
0
1,633,441
-------------
0
101,847
-------------
0
32,891
-------------
0
1,905,826
-------------
0
0
-------------
0
4Ordelheide Kris
SVP Legal Svcs
(i)

(ii)
484,124
-------------
0
233,673
-------------
0
559,835
-------------
0
124,849
-------------
0
29,796
-------------
0
1,432,277
-------------
0
0
-------------
0
5Gessel Thomas
Group CEO
(i)

(ii)
694,603
-------------
0
473,129
-------------
0
46,613
-------------
0
143,741
-------------
0
33,840
-------------
0
1,391,926
-------------
0
0
-------------
0
6Sim Edward
COO
(i)

(ii)
719,236
-------------
0
385,590
-------------
0
11,372
-------------
0
124,207
-------------
0
38,142
-------------
0
1,278,547
-------------
0
0
-------------
0
7Dean Morre
SVP Chief Integration
(i)

(ii)
676,790
-------------
0
417,464
-------------
0
14,479
-------------
0
177,970
-------------
0
33,106
-------------
0
1,319,809
-------------
0
0
-------------
0
8Campbell Gary
Former CEO
(i)

(ii)
203,030
-------------
0
325,575
-------------
0
160,150
-------------
0
236,321
-------------
0
9,084
-------------
0
934,160
-------------
0
0
-------------
0
9Nicholson Pam
Former SVP Strategic Integration
(i)

(ii)
203,726
-------------
0
188,750
-------------
0
522,742
-------------
0
50,398
-------------
0
28,733
-------------
0
994,349
-------------
0
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
Part I, Line 1a Travel for companions: Centura Health Corporation (CHC) provides reimbursement for spousal travel when certain of its executives attend conferences sponsored by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the tax-exempt top-tier parent of Portercare Adventist Health Systesm (PAHS). PAHS is one of the two members of the filing organization. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: CHC has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses) provided to any employee may be grossed-up upon approval by the filing organization's CEO and CFO. Discretionary spending account: A cash discretionary spending account was provided in the current year to eligible executives in the form of a car allowance of $750 per month to help offset business travel expense. Other discretionary spending accounts may be provided in connection with attendance at conferences but typically do not exceed $300 per participant. Taxable travel and other spending accounts are considered taxable compensation to the executive. Housing allowance or residence for personal use: CHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance is administered per CHC policy by an external relocation company. Any taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements.
Part I, Lines 4a-b Part I, Line 4a: During the year ending December 31, 2018, Pam Nicholson and Margaret Sabin received severance payments in the amounts of $181,632 and $1,578,806 respectively. Pursuant to the CHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with CHC. Part I, Line 4b: Senior executives on the filing organization's management team that hold the position of Senior Vice-President or Hospital CEO are eligible to participate in the CHC EXECU-FLEX Benefit Plan (the Plan). In recognition of the contribution that each executive makes to the success of CHC, CHC provides for participation in the Plan to the eligible executives. The purpose of the Plan is to offer an opportunity to elect from among a variety of supplemental benefits to individually tailor a benefits program appropriate to each executive's needs. The executive is provided with a Flex allowance equivalent to 10% of base salary to purchase selected benefits and to contribute into a deferred non-qualified supplemental executive retirement plan. The Plan provides for a five-year cliff-vesting schedule with respect to amounts accumulated in the executive's deferred compensation account. CHC contributes into these deferred compensation accounts semi-annually and amounts are subject to a substantial risk of forfeiture with active participation required at time of vesting. In addition, CHC provides a Pension Restoration Benefit (PRB) to restore qualified plan contributions lost on income in excess of the current federal maximum allowable compensation to a qualified plan. The PRB provides contributions by restoring the amount that would have been contributed to the executive's retirement savings plan for compensation in excess of the legislative limits. Benefit amounts are added to the participant's flex allowance each year based on their total compensation from the prior year. During the calendar year 2018, the following individuals participated in and received the following amounts from the supplemental non-qualified deferred compensation plans: CY Employer CY Employer CY SERP CY PRB SERP Contr. PRB Contr. Distribution Distrib. Peter Banko 177,585 150,585 Daniel Enderson 95,401 68,401 Margaret Sabin 61,845 34,845 364,271 253,969 Kris Ordelheide 71,583 44,583 280,142 150,614 Thomas Gessel 80,558 53,558 Edward Sim 70,867 43,715 Morre Dean 97,952 70,952 Gary Campbell 126,848 99,848 Pam Nicholson 30,519 12,305 240,819 94,825
Schedule J (Form 990) 2018
Additional Data


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