TY 2021 Form 990 Schedule J

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SCOTT A AEBISCHER SR VP CUSTOMER SERV/PROD	(i) (ii)	0 ------------- 268,260	0 ------------- 83,000	0 ------------- 2,702,747	0 ------------- 5,061	0 ------------- 70,601	0 ------------- 3,129,669	0 ------------- 2,668,878
2ANDREA M WALSH CEO	(i) (ii)	0 ------------- 1,424,680	0 ------------- 0	0 ------------- 179,590	0 ------------- 400,781	0 ------------- 55,989	0 ------------- 2,061,040	0 ------------- 176,525
3JAMES W EPPEL EXECUTIVE VP & CAO	(i) (ii)	0 ------------- 804,061	0 ------------- 197,000	0 ------------- 413,385	0 ------------- 159,778	0 ------------- 53,812	0 ------------- 1,628,036	0 ------------- 405,014
4BRIAN H RANK MD DIRECTOR & MEDICAL DIRECTO	(i) (ii)	0 ------------- 613,808	0 ------------- 135,000	0 ------------- 354,469	0 ------------- 247,121	0 ------------- 48,175	0 ------------- 1,398,573	0 ------------- 252,464
5NANCY A MCCLURE CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 660,424	0 ------------- 163,000	0 ------------- 189,315	0 ------------- 253,455	0 ------------- 47,988	0 ------------- 1,314,182	0 ------------- 143,682
6PENNY D CERMAK EVP & CFO	(i) (ii)	0 ------------- 788,482	0 ------------- 100,000	0 ------------- 156,690	0 ------------- 143,318	0 ------------- 46,126	0 ------------- 1,234,616	0 ------------- 0
7DAVID A DZIUK FORMER SR VP & CHIEF FINAN	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 1,212,714	0 ------------- 5,120	0 ------------- 0	0 ------------- 1,217,834	0 ------------- 1,197,923
8JEFFREY MENDELOFF MD DIRECTOR	(i) (ii)	0 ------------- 880,276	0 ------------- 0	0 ------------- 56,922	0 ------------- 26,504	0 ------------- 50,044	0 ------------- 1,013,746	0 ------------- 0
9SUSAN M KNUDSON SR. VP HEALTH CARE ENGAGEM	(i) (ii)	0 ------------- 540,947	0 ------------- 136,000	0 ------------- 31,012	0 ------------- 185,114	0 ------------- 43,568	0 ------------- 936,641	0 ------------- 0
10DELINDA H WASHINGTON SVP CPO	(i) (ii)	0 ------------- 459,521	0 ------------- 200,000	0 ------------- 123,169	0 ------------- 92,357	0 ------------- 40,755	0 ------------- 915,802	0 ------------- 0
11SHARILYN A CAMPBELL HEALTH PLAN CFO AND CAO	(i) (ii)	0 ------------- 490,768	0 ------------- 128,000	0 ------------- 46,407	0 ------------- 87,987	0 ------------- 42,372	0 ------------- 795,534	0 ------------- 30,893
12DAVID S GESKO SR VP - DENTAL DIRECTOR	(i) (ii)	0 ------------- 504,123	0 ------------- 101,000	0 ------------- 60,940	0 ------------- 78,032	0 ------------- 42,800	0 ------------- 786,895	0 ------------- 31,886
13NANCY L EVERT SR VP GENERAL COUNSEL	(i) (ii)	0 ------------- 485,640	0 ------------- 96,000	0 ------------- 19,339	0 ------------- 144,276	0 ------------- 27,303	0 ------------- 772,558	0 ------------- 15,979
14HEIDI G CONRAD VP & CFO CARE DELIVERY	(i) (ii)	0 ------------- 439,029	0 ------------- 84,000	0 ------------- 50,617	0 ------------- 147,024	0 ------------- 41,460	0 ------------- 762,130	0 ------------- 40,351
15KATIE B SAYRE SR VP HLTH PLAN OPS & GOV	(i) (ii)	0 ------------- 402,189	0 ------------- 83,000	0 ------------- 55,298	0 ------------- 159,533	0 ------------- 41,140	0 ------------- 741,160	0 ------------- 17,927
16KEVIN J PALATTAO VP CLINIC PATIENT CARE SYS	(i) (ii)	0 ------------- 331,433	0 ------------- 150,000	0 ------------- 71,000	0 ------------- 135,874	0 ------------- 41,313	0 ------------- 729,620	0 ------------- 33,107
17BRIAN S O'SHIELDS VP - ACTUARIAL AND UNDERWR	(i) (ii)	0 ------------- 388,275	0 ------------- 123,000	0 ------------- 60,657	0 ------------- 73,448	0 ------------- 41,596	0 ------------- 686,976	0 ------------- 37,563
18DOUG N SMITH SR VP SALES	(i) (ii)	0 ------------- 346,263	0 ------------- 113,000	0 ------------- 45,606	0 ------------- 141,027	0 ------------- 40,047	0 ------------- 685,943	0 ------------- 13,397
19JENNIFER L MYSTER VP - HOME CARE, HOSPICE AN	(i) (ii)	0 ------------- 442,739	0 ------------- 68,000	0 ------------- 51,963	0 ------------- 72,750	0 ------------- 40,886	0 ------------- 676,338	0 ------------- 14,058
20MARK E HANSBERRY VP, BUSINESS DEVELOPMENT I	(i) (ii)	0 ------------- 430,607	0 ------------- 85,000	0 ------------- 48,206	0 ------------- 70,245	0 ------------- 41,363	0 ------------- 675,421	0 ------------- 41,381
21PATRICK T COURNEYA MD SENIOR VP, CHPMO	(i) (ii)	0 ------------- 446,000	0 ------------- 61,000	0 ------------- 17,922	0 ------------- 75,506	0 ------------- 40,596	0 ------------- 641,024	0 ------------- 0
22RANDALL M BILLINGS SVP PROVIDER PARTNERSHIPS	(i) (ii)	0 ------------- 295,616	0 ------------- 100,000	0 ------------- 82,213	0 ------------- 53,426	0 ------------- 34,112	0 ------------- 565,367	0 ------------- 0
23DONNA J ZIMMERMAN SR VP GOVT & COMMUNITY REL	(i) (ii)	0 ------------- 302,484	0 ------------- 61,000	0 ------------- 44,081	0 ------------- 117,737	0 ------------- 39,213	0 ------------- 564,515	0 ------------- 31,147
24TOBI TANZER VP CORPORATE INTEGRITY	(i) (ii)	0 ------------- 335,053	0 ------------- 49,000	0 ------------- 13,616	0 ------------- 112,849	0 ------------- 38,908	0 ------------- 549,426	0 ------------- 0
25NICO P PRONK PHD VP & HEALTH SCIENCE OFFICE	(i) (ii)	0 ------------- 355,777	0 ------------- 55,000	0 ------------- 16,488	0 ------------- 68,704	0 ------------- 39,222	0 ------------- 535,191	0 ------------- 0
26CARA M HULL CHIEF QUALTY OFFICER	(i) (ii)	0 ------------- 352,648	0 ------------- 74,000	0 ------------- 16,755	0 ------------- 16,138	0 ------------- 39,732	0 ------------- 499,273	0 ------------- 0
27DENNIS M ZUZEK VP - HEALTH PLAN & ENTERPR	(i) (ii)	0 ------------- 341,336	0 ------------- 43,000	0 ------------- 16,636	0 ------------- 53,147	0 ------------- 38,380	0 ------------- 492,499	0 ------------- 0
28RAE ANN WILLIAMS MD DIRECTOR	(i) (ii)	0 ------------- 314,132	0 ------------- 13,000	0 ------------- 44,021	0 ------------- 72,166	0 ------------- 38,943	0 ------------- 482,262	0 ------------- 0
29FRANK P MCQUILLAN VP - TREASURY & REAL ESTAT	(i) (ii)	0 ------------- 278,337	0 ------------- 43,000	0 ------------- 23,790	0 ------------- 83,522	0 ------------- 38,147	0 ------------- 466,796	0 ------------- 0
30VIRGINIA L KAKACEK MD VP AND SR MEDICAL DIRECTOR	(i) (ii)	0 ------------- 334,006	0 ------------- 53,000	0 ------------- 27,124	0 ------------- 11,275	0 ------------- 39,450	0 ------------- 464,855	0 ------------- 0
31TIM M HALEY VP BROKER SALES	(i) (ii)	0 ------------- 266,729	0 ------------- 91,384	0 ------------- 12,091	0 ------------- 69,975	0 ------------- 23,680	0 ------------- 463,859	0 ------------- 0
32STEVEN C HOUSH VP ORTHOPEDIC SERVICES	(i) (ii)	0 ------------- 346,707	0 ------------- 53,000	0 ------------- 11,751	0 ------------- 11,260	0 ------------- 39,154	0 ------------- 461,872	0 ------------- 0
33KEVIN R RONNEBERG VP - ASSOCIATE MEDICAL DIR	(i) (ii)	0 ------------- 323,370	0 ------------- 52,000	0 ------------- 21,063	0 ------------- 15,118	0 ------------- 38,733	0 ------------- 450,284	0 ------------- 0
34PAMELA S ZOELLER VP - SPECIALTY CARE & CLIN	(i) (ii)	0 ------------- 335,369	0 ------------- 51,000	0 ------------- 8,415	0 ------------- 9,635	0 ------------- 39,027	0 ------------- 443,446	0 ------------- 0
35CHAD C HEIM VP - HEALTH INFORMATICS	(i) (ii)	0 ------------- 298,784	0 ------------- 46,000	0 ------------- 3,662	0 ------------- 57,275	0 ------------- 37,619	0 ------------- 443,340	0 ------------- 0
36LESLIE G DOCKAN VP, PRIMARY CARE & CLINIC	(i) (ii)	0 ------------- 324,896	0 ------------- 50,000	0 ------------- 10,649	0 ------------- 15,601	0 ------------- 38,733	0 ------------- 439,879	0 ------------- 0
37JASON M GALLAGHER VP,HEALTH INFORMATICS	(i) (ii)	0 ------------- 291,420	0 ------------- 46,000	0 ------------- 13,960	0 ------------- 46,037	0 ------------- 38,283	0 ------------- 435,700	0 ------------- 0
38AMY L DEWANE VP - CARE SYSTEMS GROWTH	(i) (ii)	0 ------------- 315,015	0 ------------- 50,000	0 ------------- 13,931	0 ------------- 15,439	0 ------------- 38,798	0 ------------- 433,183	0 ------------- 0
39TRICIA L DEGE VP FINANCE & PLANNING	(i) (ii)	0 ------------- 254,347	0 ------------- 79,000	0 ------------- 20,229	0 ------------- 42,663	0 ------------- 30,863	0 ------------- 427,102	0 ------------- 8,510
40DAVID L BUSCH VP PHARMACY SERVICES	(i) (ii)	0 ------------- 271,762	0 ------------- 43,000	0 ------------- 15,965	0 ------------- 47,780	0 ------------- 38,077	0 ------------- 416,584	0 ------------- 0
41FRANK J MULLER VP - TECHNOLOGY & INFRASTR	(i) (ii)	0 ------------- 263,062	0 ------------- 36,000	0 ------------- 5,534	0 ------------- 58,489	0 ------------- 37,559	0 ------------- 400,644	0 ------------- 0
42GINA T HALL VP IT OPERATIONS	(i) (ii)	0 ------------- 254,186	0 ------------- 40,000	0 ------------- 14,230	0 ------------- 61,792	0 ------------- 29,128	0 ------------- 399,336	0 ------------- 0
43KIMBERLY T EGAN VP NATIONAL ACCOUNTS	(i) (ii)	0 ------------- 268,036	0 ------------- 65,750	0 ------------- 10,549	0 ------------- 16,646	0 ------------- 38,296	0 ------------- 399,277	0 ------------- 0
44VINI T MANCHANDA VP - SUPPLY CHAIN SERVICES	(i) (ii)	0 ------------- 267,179	0 ------------- 39,000	0 ------------- 8,868	0 ------------- 44,862	0 ------------- 37,710	0 ------------- 397,619	0 ------------- 0
45FELIX K ANKEL MD MEDICAL DOCTOR	(i) (ii)	0 ------------- 253,747	0 ------------- 0	0 ------------- 31,778	0 ------------- 68,123	0 ------------- 37,643	0 ------------- 391,291	0 ------------- 0
46JENNIFER J CLELLAND VP GOVERNMENT PROGRAMS	(i) (ii)	0 ------------- 273,295	0 ------------- 30,000	0 ------------- 3,440	0 ------------- 45,122	0 ------------- 37,537	0 ------------- 389,394	0 ------------- 0
47SCOTT M ROBERTSON VP - WEB AND MOBILE	(i) (ii)	0 ------------- 305,674	0 ------------- 33,000	0 ------------- 6,668	0 ------------- 16,845	0 ------------- 15,807	0 ------------- 377,994	0 ------------- 0
48JOSEPH D LACEYGOTZ VP HEALTH SOLUTIONS	(i) (ii)	0 ------------- 218,312	0 ------------- 36,000	0 ------------- 12,821	0 ------------- 58,704	0 ------------- 36,041	0 ------------- 361,878	0 ------------- 0
49STEVEN D BUNDE VP INTERNAL AUDIT, INTEGRI	(i) (ii)	0 ------------- 234,444	0 ------------- 36,000	0 ------------- 7,612	0 ------------- 60,644	0 ------------- 22,648	0 ------------- 361,348	0 ------------- 0
50VINCE J RIVARD VP - COMMUNICATIONS	(i) (ii)	0 ------------- 240,345	0 ------------- 36,000	0 ------------- 6,031	0 ------------- 41,118	0 ------------- 36,741	0 ------------- 360,235	0 ------------- 0
51REBECCA A WOODY VP - HEALTH SOLUTIONS SALE	(i) (ii)	0 ------------- 233,872	0 ------------- 59,250	0 ------------- 7,210	0 ------------- 16,287	0 ------------- 22,708	0 ------------- 339,327	0 ------------- 0
52CASEY M NOLAN VP HR-SYSTEMS	(i) (ii)	0 ------------- 208,658	0 ------------- 50,000	0 ------------- 19,792	0 ------------- 11,169	0 ------------- 36,476	0 ------------- 326,095	0 ------------- 0
53KARI L TOFT VP , IS&T CARE DELIVERY SY	(i) (ii)	0 ------------- 238,327	0 ------------- 36,000	0 ------------- 10,165	0 ------------- 16,270	0 ------------- 22,786	0 ------------- 323,548	0 ------------- 0
54JULIE M BUNDE VP PRODUCT AND MARKET INNO	(i) (ii)	0 ------------- 212,503	0 ------------- 33,000	0 ------------- 7,428	0 ------------- 47,591	0 ------------- 22,226	0 ------------- 322,748	0 ------------- 0
55ERIC C ZILGE VP CUSTOMER SERVICE	(i) (ii)	0 ------------- 194,803	0 ------------- 17,000	0 ------------- 4,573	0 ------------- 15,877	0 ------------- 21,593	0 ------------- 253,846	0 ------------- 0
56MARK M MATZKE VP HEALTH SOLUTIONS FOR NE WISCONSIN	(i) (ii)	0 ------------- 190,365	0 ------------- 0	0 ------------- 5,975	0 ------------- 17,068	0 ------------- 32,511	0 ------------- 245,919	0 ------------- 0
57SCOTT A SCHNUCKLE SR VP PHARMACY & BUSINESS	(i) (ii)	0 ------------- 0	0 ------------- 37,000	0 ------------- 180,035	0 ------------- 5,408	0 ------------- 23,300	0 ------------- 245,743	0 ------------- 0
58JEANETTE L AUGUSTSON VP HEALTHPARTNERS INSTITUTE	(i) (ii)	0 ------------- 182,168	0 ------------- 23,000	0 ------------- 6,501	0 ------------- 0	0 ------------- 0	0 ------------- 211,669	0 ------------- 0
59ALAN V ABRAMSON SRVP & CIO	(i) (ii)	0 ------------- 9,546	0 ------------- 88,000	0 ------------- 98,806	0 ------------- 5,137	0 ------------- 1,792	0 ------------- 203,281	0 ------------- 70,288
60ANAHITA CAMERON SR. VP HUMAN RESOURCES	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 145,471	0 ------------- 0	0 ------------- 0	0 ------------- 145,471	0 ------------- 0

Schedule J (Form 990) 2021

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 3	HPI HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. ("GHI"). GHI HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS.
PART I, LINES 4A-B	TOTAL COMPENSATION IN COLUMN E OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM SEVERANCE FOR THE FOLLOWING DIRECTORS AND OFFICERS: DAVID A. DZIUK $ 14,791 ANNAHITA CAMERON $ 145,471 SCOTT A. SCHNUCKLE $ 185,436 DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: RANDALL M. BILLINGS $ 28,035 SHARILYN A. CAMPBELL $ 44,996 PENNY D. CERMAK $ 80,759 PATRICK T. COURNEYA $ 36,517 HEIDI G. CONRAD $ 37,420 JAMES W. EPPEL $ 90,329 NANCY L. EVERT $ 41,170 DAVID S. GESKO $ 23,747 MARK E. HANSBERRY $ 36,884 SUSAN M. KNUDSON $ 29,050 NANCY A. MCCLURE $ 39,421 JENNIFER L. MYSTER $ 18,190 BRIAN S. O'SHIELDS $ 38,015 KEVIN J. PALATTAO $ 15,881 BRIAN H. RANK, MD $ 38,107 KATHERINE B. SAYRE $ 15,987 DOUGLAS N. SMITH $ 14,258 TOBI TANZER $ 28,026 ANDREA M. WALSH $ 128,115 DELINDA H. WASHINGTON $ 46,852 DONNA J. ZIMMERMAN $ 26,404 DENNIS M. ZUZEK $ 28,725
PART I, LINE 6	HEALTHPARTNERS, INC.'S OFFICERS AND HIGHEST COMPENSATED EMPLOYEES MAY RECEIVE COMPENSATION BASED ON THE MANAGEMENT INCENTIVE PROGRAM (PROGRAM) OF GROUP HEALTH PLAN INC., A RELATED ORGANIZATION. THE PROGRAM INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE PROGRAM'S INCENTIVE OPPORTUNITY IS BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, SIX AIMS, HEALTH CARE AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT.
FORM 990, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION	COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS, OFFICERS, AND FORMER OFFICERS: ALAN V. ABRAMSON $ 70,288 SCOTT A. AEBISCHER $ 2,668,878 SHARILYN A. CAMPBELL $ 30,893 HEIDI G. CONRAD $ 40,351 TRICIA L. DEGE $ 8,510 DAVID A. DZIUK $ 1,197,923 JAMES W. EPPEL $ 405,014 NANCY L. EVERT $ 15,979 DAVID S. GESKO, DDS $ 31,886 MARK E. HANSBERRY $ 41,381 NANCY A. MCCLURE $ 143,682 JENNIFER L. MYSTER $ 14,058 BRIAN S. O'SHIELDS $ 37,563 KEVIN J. PALATTAO $ 33,107 BRIAN H. RANK, MD $ 252,464 KATIE B. SAYRE $ 17,927 DOUG A. SMITH $ 13,397 ANDREA M. WALSH $ 176,525 DONNA J. ZIMMERMAN $ 31,147 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.

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