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
Spectrum Health System Group Return
 
Employer identification number

61-1740292
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
 
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
1Gwen Sandefur
 
See Schedule O
(i)

(ii)
677,766
-------------
0
550,226
-------------
0
21,103
-------------
0
277,120
-------------
0
104,430
-------------
0
1,630,645
-------------
0
372,457
-------------
0
2Randall Kelley
 
See Schedule O
(i)

(ii)
297,634
-------------
0
78,795
-------------
0
8,610
-------------
0
58,079
-------------
0
55,758
-------------
0
498,876
-------------
0
0
-------------
0
3Randall Stasik
 
President, SHGM - Part Year
(i)

(ii)
167,876
-------------
0
284,588
-------------
0
146,815
-------------
0
12,316
-------------
0
12,384
-------------
0
623,979
-------------
0
204,357
-------------
0
4Andrea Leslie
 
See Schedule O
(i)

(ii)
254,371
-------------
0
66,620
-------------
0
1,861
-------------
0
70,319
-------------
0
49,871
-------------
0
443,042
-------------
0
4,408
-------------
0
5Mary Kay Vandriel
 
President, SHBR & SHRC - Part Year
(i)

(ii)
285,975
-------------
0
108,170
-------------
0
4,173
-------------
0
55,766
-------------
0
51,959
-------------
0
506,043
-------------
0
29,341
-------------
0
6Angela Ditmar
 
President, SHP
(i)

(ii)
231,925
-------------
0
77,040
-------------
0
2,465
-------------
0
13,231
-------------
0
54,573
-------------
0
379,234
-------------
0
0
-------------
0
7Sheryl Lewis-Blake
 
President, SHP - Part Year
(i)

(ii)
217,058
-------------
0
117,495
-------------
0
68,335
-------------
0
59,777
-------------
0
50,858
-------------
0
513,523
-------------
0
47,092
-------------
0
8Ron Lewis
 
President, SHZ
(i)

(ii)
281,415
-------------
0
110,597
-------------
0
3,489
-------------
0
66,747
-------------
0
59,513
-------------
0
521,761
-------------
0
33,274
-------------
0
9Scott Davis
 
See Schedule O
(i)

(ii)
195,707
-------------
0
35,000
-------------
0
10,252
-------------
0
0
-------------
0
51,753
-------------
0
292,712
-------------
0
0
-------------
0
10Douglas Welday
 
See Schedule O
(i)

(ii)
355,693
-------------
0
176,637
-------------
0
4,826
-------------
0
107,716
-------------
0
72,490
-------------
0
717,362
-------------
0
48,669
-------------
0
11Chad Tuttle
 
See Schedule O
(i)

(ii)
254,067
-------------
0
81,793
-------------
0
2,293
-------------
0
69,986
-------------
0
56,513
-------------
0
464,652
-------------
0
26,411
-------------
0
12Kevin Smith
 
See Schedule O
(i)

(ii)
187,978
-------------
0
35,552
-------------
0
743
-------------
0
13,691
-------------
0
20,341
-------------
0
258,305
-------------
0
0
-------------
0
13Karen Pakkala
 
See Schedule O
(i)

(ii)
191,191
-------------
0
33,520
-------------
0
2,884
-------------
0
13,705
-------------
0
4,885
-------------
0
246,185
-------------
0
0
-------------
0
14Jason Slaikeu MD
 
See Schedule O
(i)

(ii)
512,401
-------------
0
56,392
-------------
0
14,305
-------------
0
16,500
-------------
0
31,227
-------------
0
630,825
-------------
0
0
-------------
0
15John Schuen MD
 
Vice Chair, SHMG
(i)

(ii)
299,002
-------------
0
34,521
-------------
0
18,163
-------------
0
31,704
-------------
0
37,305
-------------
0
420,695
-------------
0
0
-------------
0
16Brian Phillips
 
Treasurer, SHMG
(i)

(ii)
383,973
-------------
0
10,755
-------------
0
11,268
-------------
0
30,250
-------------
0
20,183
-------------
0
456,429
-------------
0
0
-------------
0
17Darryl Elmouchi MD
 
See Schedule O
(i)

(ii)
709,822
-------------
0
488,342
-------------
0
48,665
-------------
0
364,477
-------------
0
107,451
-------------
0
1,718,757
-------------
0
310,573
-------------
0
18Vicki Weaver
 
President, SHF
(i)

(ii)
299,280
-------------
0
89,171
-------------
0
9,624
-------------
0
24,750
-------------
0
12,392
-------------
0
435,217
-------------
0
0
-------------
0
19Joan A BUDDEN
 
See Schedule O
(i)

(ii)
0
-------------
796,890
0
-------------
948,583
0
-------------
20,817
0
-------------
393,615
0
-------------
113,300
0
-------------
2,273,205
0
-------------
576,734
20Christina Freese Decker
 
See Schedule O
(i)

(ii)
0
-------------
1,003,664
0
-------------
1,274,243
0
-------------
13,908
0
-------------
557,571
0
-------------
143,850
0
-------------
2,993,236
0
-------------
807,444
21David KRHOVSKY MD
 
See Schedule O
(i)

(ii)
376,281
-------------
0
154,418
-------------
0
8,713
-------------
0
19,250
-------------
0
67,753
-------------
0
626,415
-------------
0
46,237
-------------
0
22Patrick O'Hare
 
See Schedule O
(i)

(ii)
0
-------------
422,323
0
-------------
719,141
0
-------------
21,578
0
-------------
166,081
0
-------------
80,928
0
-------------
1,410,051
0
-------------
463,482
23Jordan Sall
 
See Schedule O
(i)

(ii)
510,620
-------------
0
12,066
-------------
0
7,096
-------------
0
16,500
-------------
0
26,091
-------------
0
572,373
-------------
0
0
-------------
0
24Shawn Ulreich
 
See Schedule O
(i)

(ii)
425,399
-------------
0
175,057
-------------
0
13,250
-------------
0
130,757
-------------
0
77,721
-------------
0
822,184
-------------
0
53,095
-------------
0
25Zane Knoer
 
See Schedule O
(i)

(ii)
240,506
-------------
0
57,875
-------------
0
5,467
-------------
0
22,098
-------------
0
24,083
-------------
0
350,029
-------------
0
0
-------------
0
26Allan Nelson MD
 
Director, SHL - Part Year
(i)

(ii)
219,510
-------------
0
10,755
-------------
0
19,949
-------------
0
28,769
-------------
0
30,651
-------------
0
309,634
-------------
0
0
-------------
0
27Steven Heacock
 
See Schedule O
(i)

(ii)
0
-------------
321,375
0
-------------
1,412,702
0
-------------
834,841
0
-------------
101,421
0
-------------
76,136
0
-------------
2,746,475
0
-------------
1,211,883
28Patricia Hoepner
 
Director, SHRC
(i)

(ii)
222,456
-------------
0
21,404
-------------
0
7,134
-------------
0
21,105
-------------
0
18,381
-------------
0
290,480
-------------
0
0
-------------
0
29Jason Joseph
 
Director, SHBR & SHRC
(i)

(ii)
0
-------------
383,723
0
-------------
156,939
0
-------------
2,182
0
-------------
93,886
0
-------------
66,443
0
-------------
703,173
0
-------------
49,120
30Lisa Price
 
Director, SHBR
(i)

(ii)
305,702
-------------
0
8,981
-------------
0
6,322
-------------
0
20,625
-------------
0
19,318
-------------
0
360,948
-------------
0
0
-------------
0
31Andrew Parsons
 
See Schedule O
(i)

(ii)
369,829
-------------
0
250
-------------
0
6,795
-------------
0
16,500
-------------
0
26,744
-------------
0
420,118
-------------
0
0
-------------
0
32Pamela Ries
 
Director, SHP
(i)

(ii)
0
-------------
443,890
0
-------------
534,210
0
-------------
18,514
0
-------------
226,783
0
-------------
72,846
0
-------------
1,296,243
0
-------------
323,331
33Ovell Barbee
 
See Schedule O
(i)

(ii)
245,568
-------------
0
84,189
-------------
0
3,095
-------------
0
57,137
-------------
0
39,414
-------------
0
429,403
-------------
0
15,346
-------------
0
34Mary Anne Jones
 
Director, SHU & SHK
(i)

(ii)
0
-------------
437,693
0
-------------
182,029
0
-------------
5,850
0
-------------
122,357
0
-------------
79,386
0
-------------
827,315
0
-------------
46,866
35Nicole McConnell
 
See Schedule O
(i)

(ii)
243,559
-------------
0
96,635
-------------
0
2,756
-------------
0
72,861
-------------
0
58,112
-------------
0
473,923
-------------
0
25,201
-------------
0
36Matthew Cox
 
Director, SHZ
(i)

(ii)
0
-------------
715,185
0
-------------
419,217
0
-------------
34,611
0
-------------
394,879
0
-------------
123,521
0
-------------
1,687,413
0
-------------
173,088
37Thomas Visser MD
 
Director, SHZ
(i)

(ii)
467,362
-------------
0
8,981
-------------
0
7,785
-------------
0
27,500
-------------
0
25,373
-------------
0
537,001
-------------
0
0
-------------
0
38Annica Waalkes
 
Director, SHZ
(i)

(ii)
278,426
-------------
0
7,346
-------------
0
990
-------------
0
14,738
-------------
0
1,407
-------------
0
302,907
-------------
0
0
-------------
0
39Tricia Baird
 
See Schedule O
(i)

(ii)
267,878
-------------
0
66,903
-------------
0
1,043
-------------
0
11,000
-------------
0
25,240
-------------
0
372,064
-------------
0
0
-------------
0
40Matthew Denenberg MD
 
See Schedule O
(i)

(ii)
368,300
-------------
0
99,695
-------------
0
4,197
-------------
0
15,125
-------------
0
62,214
-------------
0
549,531
-------------
0
0
-------------
0
41Gregory Gadbois MD
 
See Schedule O
(i)

(ii)
0
-------------
286,905
0
-------------
70,787
0
-------------
3,859
0
-------------
19,250
0
-------------
28,800
0
-------------
409,601
0
-------------
0
42JAY LABINE
 
Director, SHCC - Part Year
(i)

(ii)
0
-------------
336,586
0
-------------
170,827
0
-------------
4,658
0
-------------
108,881
0
-------------
65,193
0
-------------
686,145
0
-------------
52,068
43Stephanie Murray
 
See Schedule O
(i)

(ii)
110,333
-------------
0
27,726
-------------
0
756
-------------
0
6,556
-------------
0
27,259
-------------
0
172,630
-------------
0
0
-------------
0
44Simin Beg
 
Director, SHMG
(i)

(ii)
247,088
-------------
0
29,844
-------------
0
15,204
-------------
0
23,218
-------------
0
28,306
-------------
0
343,660
-------------
0
0
-------------
0
45Lee Begrow DO
 
Director, SHMG
(i)

(ii)
320,495
-------------
0
10,755
-------------
0
9,076
-------------
0
30,250
-------------
0
23,115
-------------
0
393,691
-------------
0
0
-------------
0
46Robert Fitzgerald MD
 
Director, SHMG
(i)

(ii)
395,187
-------------
0
43,870
-------------
0
9,427
-------------
0
24,750
-------------
0
32,773
-------------
0
506,007
-------------
0
0
-------------
0
47JAMES FORSHEE MD
 
DIRECTOR, SHMG
(i)

(ii)
0
-------------
404,616
0
-------------
125,031
0
-------------
7,855
0
-------------
78,019
0
-------------
74,827
0
-------------
690,348
0
-------------
0
48Michael Harrison MD
 
Director, SHMG
(i)

(ii)
482,462
-------------
0
136,584
-------------
0
10,982
-------------
0
27,500
-------------
0
37,705
-------------
0
695,233
-------------
0
0
-------------
0
49Melinda Johnson
 
Director, SHMG
(i)

(ii)
455,304
-------------
0
125,415
-------------
0
7,253
-------------
0
20,625
-------------
0
23,733
-------------
0
632,330
-------------
0
0
-------------
0
50Mary O'Callaghan
 
Director, SHMG
(i)

(ii)
251,830
-------------
0
27,388
-------------
0
9,279
-------------
0
28,062
-------------
0
1,245
-------------
0
317,804
-------------
0
0
-------------
0
51Matthew Steensma MD
 
Director, SHMG
(i)

(ii)
555,781
-------------
0
12,841
-------------
0
7,303
-------------
0
16,500
-------------
0
25,844
-------------
0
618,269
-------------
0
0
-------------
0
52Brett Zimmerman DO
 
Director, SHMG
(i)

(ii)
368,323
-------------
0
40,566
-------------
0
15,217
-------------
0
20,625
-------------
0
24,427
-------------
0
469,158
-------------
0
0
-------------
0
53Richard Breon
 
Director, SHF - PART YEAR
(i)

(ii)
0
-------------
1,354,065
0
-------------
3,261,657
0
-------------
149,100
0
-------------
24,750
0
-------------
21,341
0
-------------
4,810,913
0
-------------
2,294,061
54Brian Brasser
 
See Schedule O
(i)

(ii)
436,995
-------------
0
157,134
-------------
0
4,337
-------------
0
88,421
-------------
0
75,004
-------------
0
761,891
-------------
0
33,576
-------------
0
55Marc Chircop
 
See Schedule O
(i)

(ii)
449,042
-------------
0
1,870,753
-------------
0
37,653
-------------
0
155,781
-------------
0
80,335
-------------
0
2,593,564
-------------
0
1,741,253
-------------
0
56William Jewell
 
Secretary, SHH
(i)

(ii)
361,347
-------------
0
140,413
-------------
0
4,014
-------------
0
103,855
-------------
0
61,426
-------------
0
671,055
-------------
0
37,767
-------------
0
57Martha Boonstra
 
Secretary, SHMG
(i)

(ii)
303,112
-------------
0
84,961
-------------
0
5,613
-------------
0
19,250
-------------
0
42,559
-------------
0
455,495
-------------
0
0
-------------
0
58Robert Connors
 
President, HDVCH, SHH
(i)

(ii)
536,199
-------------
0
317,903
-------------
0
15,190
-------------
0
24,750
-------------
0
18,043
-------------
0
912,085
-------------
0
173,042
-------------
0
59Douglas Apple MD
 
Chief Medical Officer, Delivery System - Part Year
(i)

(ii)
402,589
-------------
0
935,943
-------------
0
742,614
-------------
0
147,723
-------------
0
79,627
-------------
0
2,308,496
-------------
0
789,421
-------------
0
60Konstantin Elisevich
 
VP, Dept. Chief, Neurosciences
(i)

(ii)
1,013,811
-------------
0
276,485
-------------
0
20,078
-------------
0
27,500
-------------
0
20,905
-------------
0
1,358,779
-------------
0
0
-------------
0
61Marcus Haw
 
Dept Chief, HDVCH Cardiothorac, SHH
(i)

(ii)
1,007,700
-------------
0
111,042
-------------
0
20,944
-------------
0
24,750
-------------
0
33,176
-------------
0
1,197,612
-------------
0
0
-------------
0
62Peter Jebson
 
VP, Dept. Chief, Orthopaedics, SHMG
(i)

(ii)
837,763
-------------
0
228,750
-------------
0
10,402
-------------
0
24,750
-------------
0
19,654
-------------
0
1,121,319
-------------
0
0
-------------
0
63Charles Sherry
 
Section Chief - Physician, SHMG
(i)

(ii)
1,036,182
-------------
0
12,841
-------------
0
7,840
-------------
0
16,500
-------------
0
35,447
-------------
0
1,108,810
-------------
0
0
-------------
0
64Ronald Knaus
 
See Schedule O
(i)

(ii)
0
-------------
14,118
0
-------------
3,343,407
0
-------------
3,125,040
0
-------------
0
0
-------------
75,013
0
-------------
6,557,578
0
-------------
2,928,406
65Kenneth Fawcett Jr MD
 
See Schedule O
(i)

(ii)
276,805
-------------
0
111,341
-------------
0
16,956
-------------
0
46,331
-------------
0
65,437
-------------
0
516,870
-------------
0
27,933
-------------
0
66Julie Lepzinski
 
Former SVP, Chief Operating Officer, SHMG
(i)

(ii)
0
-------------
0
0
-------------
0
372,976
-------------
0
0
-------------
0
0
-------------
0
372,976
-------------
0
0
-------------
0
67Seth Wolk MD
 
Former President, SHMG
(i)

(ii)
0
-------------
471,934
0
-------------
993,976
0
-------------
132,944
0
-------------
185,048
0
-------------
123,560
0
-------------
1,907,462
0
-------------
602,765
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 First-class or charter travel The organization has provided first class travel and/or charter travel for certain executive employees and/or board members in limited situations. First class and/or charter travel is utilized when commercial air travel was not available for a destination, or not efficient due to schedules and/or connections, and also for bi-annual board retreat travel. In limited situations where first class travel was utilized, it was paid for as part of a corporate award airline mileage program at no additional cost to the organization. To the extent the benefit is deemed reportable, it is treated as taxable compensation in a 1099 or W-2 to the recipient.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees The organization provided health club dues for eleven executive employees. These amounts were treated as taxable compensation and included in Form W-2.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation See disclosure on Schedule O for Form 990, Part VI, Sec B, Line 15A
Schedule J, Part I, Line 4a Severance or change-of-control payment $137,556 Douglas Apple $98,025 Steven Heacock $621,812 Ronald Knaus $372,912 Julie Lepzinski $63,939 Sheryl Lewis-Blake $136,160 Randall Stasik
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan $789,421 Douglas Apple $15,346 Ovell Barbee $33,576 Brian Brasser $2,294,061 Richard Breon $576,734 Joan Budden $1,741,253 Marc Chircop $173,042 Robert Connors $173,088 Matthew Cox $27,933 Kenneth Fawcett $807,444 Christina Freese Decker $1,211,883 Steven Heacock $37,767 William Jewell $46,866 Mary Anne Jones $49,120 Jason Joseph $2,928,406 Ronald Knaus $46,237 David Krhovsky $52,068 Jay LaBine $4,408 Andrea Leslie $33,274 Ron Lewis $47,092 Sheryl Lewis-Blake $25,201 Nicole McConnell $463,482 Patrick O'Hare $323,331 Pamela Ries $372,457 Gwen Sandefur $204,357 Randall Stasik $26,411 Chad Tuttle $53,095 Shawn Ulreich $29,341 Mary Kay VanDriel $48,669 Douglas Welday $602,765 Seth Wolk SCHEDULE J, PART I, LINE 4B IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, DO "PARTICIPATE IN" SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN(S). SOME INDIVIDUALS RECEIVED DISTRIBUTIONS DURING THE YEAR (AS REPORTED ON THIS LINE) WHEREAS OTHERS PARTICIPATED IN THE PLAN(S) BUT DID NOT RECEIVE DISTRIBUTIONS. DISTRIBUTIONS REPORTED ON THIS LINE ARE ALSO INCLUDED IN SCHEDULE J, PART II, COLUMN F AS COMPENSATION REPORTED IN A PRIOR YEAR WHILE ALSO BEING REPORTED IN THE CURRENT 990 AS TOTAL COMPENSATION. THIS INCLUDES CERTAIN PAYMENTS IN 2018 OF A LONG-TERM INCENTIVE BONUS PLAN FOR CERTAIN KEY EXECUTIVES THAT HAS A THREE YEAR MEASUREMENT PERIOD ENDING JUNE 30, 2018. The nonqualified retirement plans are an industry standard and are subject to the funding requirements of nonqualified deferred compensation plans under ERISA and federal tax regulations.
Schedule J, Part I, Line 7 Non-fixed payments SCHEDULE J, PART I, LINE 7, IS ANSWERED "YES" BECAUSE CERTAIN INDIVIDUALS, WHOSE SALARY AND BENEFITS ARE PAID BY THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION, RECEIVED A NON-FIXED PAYMENT DURING THE YEAR. THE NON-FIXED PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
Schedule J (Form 990) 2018
Additional Data


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