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ObjectId: 202200259349301655 - Submission: 2022-01-25
TIN: 63-0841123
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
20
Open to Public Inspection
Name of the organization
INFIRMARY HEALTH SYSTEM INC
Employer identification number
63-0841123
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
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 on 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
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) 2020
Page 2
Schedule J (Form 990) 2020
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
D MARK NIX
PRESIDENT/CHAIRMAN
(i)
(ii)
815,285
-------------
386,439
-------------
780,729
-------------
338,739
-------------
19,482
-------------
2,340,674
-------------
-------------
2
JOE STOUGH
EVP/COO
(i)
(ii)
512,508
-------------
156,321
-------------
167,748
-------------
87,038
-------------
21,292
-------------
944,907
-------------
-------------
3
JOE DENTON
ASSISTANT TREASURER
(i)
(ii)
483,224
-------------
148,847
-------------
131,284
-------------
93,939
-------------
18,592
-------------
875,886
-------------
-------------
4
RICHARD B SANDERS
EXECUTIVE VP
(i)
(ii)
410,335
-------------
102,180
-------------
132,146
-------------
92,650
-------------
16,460
-------------
753,771
-------------
-------------
5
DARAN SCROGGIE
CMIO
(i)
(ii)
331,759
-------------
149,651
69,140
-------------
57,289
-------------
40,212
-------------
20,592
-------------
518,992
-------------
149,651
-------------
6
BILLY E STEPHENS
EXECUTIVE VP
(i)
(ii)
338,355
-------------
84,937
-------------
72,854
-------------
82,301
-------------
18,640
-------------
597,087
-------------
-------------
7
SCOTT BROWINING
ASSISTANT SECRETARY
(i)
(ii)
335,692
-------------
101,588
-------------
67,701
-------------
44,338
-------------
20,092
-------------
569,411
-------------
-------------
8
SHEILA YOUNG
VP HR
(i)
(ii)
308,254
-------------
95,697
-------------
64,191
-------------
78,298
-------------
18,601
-------------
565,041
-------------
-------------
9
SUSAN BOUDREAU
VICE PRESIDENT
(i)
(ii)
340,816
-------------
94,575
-------------
34,568
-------------
62,425
-------------
18,355
-------------
550,739
-------------
-------------
10
ORMAND THOMPSON
VICE PRESIDENT
(i)
(ii)
314,031
-------------
69,120
-------------
62,128
-------------
64,581
-------------
21,055
-------------
530,915
-------------
-------------
11
SCOTT FENN
VICE PRESIDENT
(i)
(ii)
283,098
-------------
142,266
-------------
2,159
-------------
41,524
-------------
20,092
-------------
489,139
-------------
-------------
12
KERRY TOLLESON
VICE PRESIDENT
(i)
(ii)
287,506
-------------
76,005
-------------
60,051
-------------
36,349
-------------
20,592
-------------
480,503
-------------
-------------
13
KERN A WILSON
VICE PRESIDENT
(i)
(ii)
237,526
-------------
72,343
-------------
57,868
-------------
68,049
-------------
19,792
-------------
455,578
-------------
-------------
14
ALAN HOLLEY
VICE PRESIDENT
(i)
(ii)
235,089
-------------
73,392
-------------
51,992
-------------
69,527
-------------
18,355
-------------
448,355
-------------
-------------
15
DENNIS SUMMERFORD
VICE PRESIDENT
(i)
(ii)
254,744
-------------
58,733
-------------
43,252
-------------
48,426
-------------
19,265
-------------
424,420
-------------
-------------
16
ROMIE ASHER
VICE PRESIDENT
(i)
(ii)
227,728
-------------
59,328
-------------
39,669
-------------
54,873
-------------
15,940
-------------
397,538
-------------
-------------
17
JAMES MITCHELL
ASSISTANT TREASURER
(i)
(ii)
197,925
-------------
64,604
-------------
44,203
-------------
59,423
-------------
16,161
-------------
382,316
-------------
-------------
18
TONY PALAZZO
VICE PRESIDENT
(i)
(ii)
211,230
-------------
51,168
-------------
41,953
-------------
28,362
-------------
21,192
-------------
353,905
-------------
-------------
19
KENNY BREAL
VICE PRESIDENT
(i)
(ii)
201,552
-------------
47,212
-------------
5,887
-------------
25,914
-------------
18,592
-------------
299,157
-------------
-------------
20
BEN HANSERT
VICE PRESIDENT
(i)
(ii)
186,350
-------------
35,856
-------------
33,933
-------------
21,327
-------------
15,901
-------------
293,367
-------------
-------------
Schedule J (Form 990) 2020
Page 3
Schedule J (Form 990) 2020
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, PAGE 1, PART I, LINE 1A
SOCIAL CLUB DUES ARE PAID FOR EXECUTIVES TO CARRY ON INFIRMARY HEALTH SYSTEM, INC. (IHS) BUSINESS. THESE AMOUNTS ARE PART OF THE OVERALL COMPENSATION PACKAGE AND ARE APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4A AND 4B THE INFIRMARY HEALTH 457(F) PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PLAN THAT TAX-EXEMPT ORGANIZATIONS CAN ESTABLISH FOR THEIR EMPLOYEES. THIS PLAN IS FUNDED ENTIRELY BY THE EMPLOYER FOR THE BENEFIT OF ITS PARTICIPANTS. THE ELIGIBILITY FOR THIS PLAN IS LIMITED TO DESIGNATED HIGHLY COMPENSATED EMPLOYEES (VICE-PRESIDENTS AND ABOVE) OF THE ORGANIZATION AND MUST BE DESIGNATED AS ELIGIBLE BEFORE CONTRIBUTIONS CAN BE MADE. THE AMOUNT OF THE ANNUAL EMPLOYER CONTRIBUTIONS IS DETERMINED AS A PERCENTAGE OF BASE SALARY FOR EACH ELIGIBLE PARTICIPANT. THE PARTICIPANT DESIGNATES THE ALLOCATION OF THE CONTRIBUTION IN THE FUND SELECTION IN THE PLAN AS WELL AS FUTURE VESTING DATES. THE EARLIEST THAT A PARTICIPANT MAY VEST IN A PARTICULAR YEARS BENEFIT IS THREE YEARS (AS OF 2017). ONCE VESTED, THE BENEFIT AND ASSOCIATED EARNINGS BECOME TAXABLE TO THE INDIVIDUAL AND IS PAID THROUGH NORMAL PAYROLL PROCESSING.
SCHEDULE J, PAGE 1, PART I, LINE 4
D. MARK NIX 0 304,589 0 JOE STOUGH 0 74,250 0 JOE DENTON 0 69,751 0 RICHARD B. SANDERS 0 58,500 0 DARAN SCROGGIE 0 31,687 0 BILLY E. STEPHENS 0 48,151 0 SCOTT BROWINING 0 32,250 0 SHEILA YOUNG 0 44,098 0 SUSAN BOUDREAU 0 32,500 0 ORMAND THOMPSON 0 30,002 0 SCOTT FENN 0 32,999 0 KERRY TOLLESON 0 27,799 0 KERN A. WILSON 0 33,899 0 ALAN HOLLEY 0 33,000 0 DENNIS SUMMERFORD 0 24,201 0 ROMIE ASHER 0 21,701 0 JAMES MITCHELL 0 28,351 0 TONY PALAZZO 0 20,500 0 KENNY BREAL 0 18,500 0 BEN HANSERT 0 17,998 0
SCHEDULE J, PAGE 1, PART I, LINE 7
EACH FISCAL YEAR, INFIRMARY HEALTH SYSTEM, INC. AND ITS AFFILIATES ESTABLISH CORPORATE AND INDIVIDUAL GOALS BASED ON STRATEGIC INITIATIVES APPROVED BY THE BOARD OF DIRECTORS. THE GOALS ENSURE FOCUS ON AREAS SUCH AS: SAFETY, QUALITY, SERVICE, FINANCE, LEADERSHIP AND COMMUNITY. A BOARD APPROVED COMPENSATION PHILOSOPHY OUTLINES THE PAYMENT OF ANNUAL INCENTIVES IF THE ESTABLISHED GOALS/CRITERIA ARE MET. GOAL SETTING AND ACCOMPLISHMENTS ARE REVIEWED ANNUALLY BY AN INTERNAL EXECUTIVE COMMITTEE, THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE BOARD OR AUTHORIZED COMMITTEE THEREOF HAS THE DISCRETION TO DENY OR REDUCE PAYMENT UNDER THIS COMPENSATION PLAN DEPENDENT UPON THE PARTICULAR FACTS AND CIRCUMSTANCES.
Schedule J (Form 990) 2020
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