efile Public Visual Render
ObjectId: 202321349349300942 - Submission: 2023-05-14
TIN: 20-0936376
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
21
Open to Public Inspection
Name of the organization
WEST GEORGIA HEALTH FOUNDATION
Employer identification number
20-0936376
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
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) 2021
Page 2
Schedule J (Form 990) 2021
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, 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
(i)
Base
compensation
(ii)
Bonus & incentive
compensation
(iii)
Other
reportable compensation
1
ALAN MUSTER
SVP SPECIALTY DIVISION WMG
(i)
(ii)
0
-------------
524,112
0
-------------
301,654
0
-------------
14,435
0
-------------
52,993
0
-------------
87,498
0
-------------
980,692
0
-------------
0
2
ANDREW COX
VP CHIEF OF STAFF & LEADERSHIP
(i)
(ii)
0
-------------
309,982
0
-------------
83,695
0
-------------
10,844
0
-------------
23,938
0
-------------
41,034
0
-------------
469,493
0
-------------
0
3
ANDREW LEE
FORMER VP CHIEF DIVERSITY OFF.
(i)
(ii)
0
-------------
0
0
-------------
0
0
-------------
195,245
0
-------------
0
0
-------------
2,188
0
-------------
197,433
0
-------------
153,124
4
ANDREW VON ESCHENBACH
VP REVENUE CYCLE MANAGEMENT
(i)
(ii)
0
-------------
94,231
0
-------------
50,000
0
-------------
22,714
0
-------------
13,252
0
-------------
5,352
0
-------------
185,549
0
-------------
0
5
ANTHONY J BUDZINSKI
EVP & CFO
(i)
(ii)
0
-------------
770,794
0
-------------
518,859
0
-------------
21,871
0
-------------
52,207
0
-------------
58,692
0
-------------
1,422,423
0
-------------
0
6
ARIF AZIZ MD
TRUSTEE & SLL DIGESTIVE HEALTH
(i)
(ii)
0
-------------
490,385
0
-------------
205,142
0
-------------
6,991
0
-------------
54,105
0
-------------
33,265
0
-------------
789,888
0
-------------
0
7
AVIRAL SINGH
VP BRAND & MARKETING STRATEGY
(i)
(ii)
0
-------------
148,749
0
-------------
500
0
-------------
5,420
0
-------------
1,125
0
-------------
29,171
0
-------------
184,965
0
-------------
0
8
AVRIL BECKFORD MD
TRUSTEE & SLL PEDIATRIC PHYS.
(i)
(ii)
0
-------------
123,922
0
-------------
332,156
0
-------------
9,110
0
-------------
28,965
0
-------------
51,546
0
-------------
545,699
0
-------------
0
9
BARBARA COREY
SVP MANAGED CARE
(i)
(ii)
0
-------------
413,112
0
-------------
222,048
0
-------------
16,868
0
-------------
23,050
0
-------------
68,218
0
-------------
743,296
0
-------------
0
10
BETH KOST
SVP CHIEF COMPLIANCE OFFICER
(i)
(ii)
0
-------------
406,236
0
-------------
218,502
0
-------------
15,651
0
-------------
33,081
0
-------------
50,402
0
-------------
723,872
0
-------------
0
11
CANDICE SAUNDERS
PRESIDENT & CEO
(i)
(ii)
0
-------------
1,565,088
0
-------------
1,621,788
0
-------------
437,904
0
-------------
54,200
0
-------------
56,832
0
-------------
3,735,812
0
-------------
419,245
12
CAROL TODD
VP ASST GENERAL COUNSEL
(i)
(ii)
0
-------------
226,518
0
-------------
61,160
0
-------------
10,246
0
-------------
29,643
0
-------------
49,608
0
-------------
377,175
0
-------------
0
13
DANIEL ABAD
VP TOTAL RWRDS & CHF EGMT OFCR
(i)
(ii)
0
-------------
347,127
0
-------------
97,589
0
-------------
9,708
0
-------------
40,573
0
-------------
21,434
0
-------------
516,431
0
-------------
0
14
DANYALE ZIGLOR
VP HUMAN RESOURCE
(i)
(ii)
0
-------------
248,296
0
-------------
67,040
0
-------------
9,721
0
-------------
43,443
0
-------------
33,654
0
-------------
402,154
0
-------------
0
15
DAVID HAFNER
FORMER DIRECTOR
(i)
(ii)
0
-------------
24,610
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
24,610
0
-------------
0
16
DAVID JONES
EVP CHIEF HUMAN RESOURCES OFCR
(i)
(ii)
0
-------------
517,493
0
-------------
348,014
0
-------------
21,090
0
-------------
43,041
0
-------------
29,810
0
-------------
959,448
0
-------------
0
17
DAVID PRESTON
VP BRAND AND MARKETING
(i)
(ii)
0
-------------
384,018
0
-------------
206,410
0
-------------
14,079
0
-------------
22,895
0
-------------
37,082
0
-------------
664,484
0
-------------
0
18
DONALD ZARKOU
VP OF ONCOLOGY SERVICE LINE
(i)
(ii)
0
-------------
101,543
0
-------------
25,000
0
-------------
52,447
0
-------------
16,720
0
-------------
10,837
0
-------------
206,547
0
-------------
0
19
ELIZABETH LOUDERMILK
VP FINANCIAL PLANNING
(i)
(ii)
0
-------------
297,418
0
-------------
80,303
0
-------------
10,393
0
-------------
37,921
0
-------------
48,289
0
-------------
474,324
0
-------------
0
20
ELIZABETH PAPETTI
VP WMG OPS HOSPITAL DIV
(i)
(ii)
0
-------------
269,843
0
-------------
77,728
0
-------------
44,951
0
-------------
24,742
0
-------------
30,238
0
-------------
447,502
0
-------------
35,648
21
ELLEN WRIGHT
VP HIM CDI & POLICIES
(i)
(ii)
0
-------------
209,773
0
-------------
57,139
0
-------------
43,469
0
-------------
17,317
0
-------------
28,740
0
-------------
356,438
0
-------------
32,238
22
FREDA LYON
VP SYSTEM EMERGENCY SERVICES
(i)
(ii)
0
-------------
246,524
0
-------------
67,062
0
-------------
12,151
0
-------------
32,306
0
-------------
33,577
0
-------------
391,620
0
-------------
0
23
IVY SPENCER
VP CNO WMG
(i)
(ii)
0
-------------
215,472
0
-------------
72,741
0
-------------
10,443
0
-------------
23,767
0
-------------
27,925
0
-------------
350,348
0
-------------
0
24
JAMES L HORNSBY
TRUSTEE & PHYSICIAN
(i)
(ii)
0
-------------
319,596
0
-------------
160,969
0
-------------
5,521
0
-------------
45,528
0
-------------
45,184
0
-------------
576,798
0
-------------
0
25
JAMES SWARTZ
VP ACCOUNTING
(i)
(ii)
0
-------------
269,519
0
-------------
72,770
0
-------------
8,878
0
-------------
24,573
0
-------------
32,929
0
-------------
408,669
0
-------------
0
26
JASON KELSEY
VP REHAB & SPORTS MED SERVICES
(i)
(ii)
0
-------------
104,913
0
-------------
500
0
-------------
5,355
0
-------------
13,273
0
-------------
26,334
0
-------------
150,375
0
-------------
0
27
JASON STEVENS
SVP DEPUTY GENERAL COUNSEL
(i)
(ii)
0
-------------
328,266
0
-------------
168,918
0
-------------
92,123
0
-------------
44,046
0
-------------
36,316
0
-------------
669,669
0
-------------
77,976
28
JENNIFER GIUSTI
VP CLINICAL OUTCOMES
(i)
(ii)
0
-------------
354,286
0
-------------
96,157
0
-------------
66,003
0
-------------
52,035
0
-------------
35,273
0
-------------
603,754
0
-------------
54,554
29
JESSICA KOVALESKY
VP CARE COORD POPULATION HLTH
(i)
(ii)
0
-------------
271,781
0
-------------
75,381
0
-------------
9,741
0
-------------
24,650
0
-------------
9,989
0
-------------
391,542
0
-------------
0
30
JILL CASE-WIRTH
SVP NURSING SERVICES CNE
(i)
(ii)
0
-------------
407,474
0
-------------
219,017
0
-------------
100,949
0
-------------
49,459
0
-------------
31,532
0
-------------
808,431
0
-------------
81,495
31
JOE CASTANON
VP CONTRACT & VALUE ANALYSIS
(i)
(ii)
0
-------------
115,392
0
-------------
30,000
0
-------------
35,096
0
-------------
1,195
0
-------------
9,740
0
-------------
191,423
0
-------------
0
32
JOHN BRENNAN
EVP CHIEF CLIN INTEG OFFICER
(i)
(ii)
0
-------------
909,257
0
-------------
590,801
0
-------------
1,151,246
0
-------------
54,200
0
-------------
56,056
0
-------------
2,761,560
0
-------------
1,133,479
33
JONATHAN MAURER
FORMER VP INFO SECURITY & CISO
(i)
(ii)
0
-------------
0
0
-------------
0
0
-------------
310,880
0
-------------
0
0
-------------
921
0
-------------
311,801
0
-------------
81,940
34
JOSEPH BRAUD
VP INFO SECURITY & CISO
(i)
(ii)
0
-------------
290,472
0
-------------
96,927
0
-------------
11,572
0
-------------
5,943
0
-------------
41,270
0
-------------
446,184
0
-------------
0
35
JOSEPH REPPERT
SVP FINANCE
(i)
(ii)
0
-------------
450,008
0
-------------
138,646
0
-------------
78,377
0
-------------
48,400
0
-------------
33,300
0
-------------
748,731
0
-------------
0
36
JULIE TEER
SVP & WELLSTAR FOUNDATION PRES
(i)
(ii)
0
-------------
525,000
0
-------------
118,449
0
-------------
15,839
0
-------------
9,869
0
-------------
25,143
0
-------------
694,300
0
-------------
0
37
KATHARINE LEONARD
VP REAL ESTATE & FACILITY DEV
(i)
(ii)
0
-------------
323,074
0
-------------
87,730
0
-------------
9,272
0
-------------
46,046
0
-------------
28,680
0
-------------
494,802
0
-------------
0
38
KEM MULLINS
EVP AMBULATORY & BUS DEV
(i)
(ii)
0
-------------
740,400
0
-------------
557,919
0
-------------
459,723
0
-------------
25,650
0
-------------
53,314
0
-------------
1,837,006
0
-------------
445,660
39
KIMBERLY TAACA
VP WMG OPS SPECIALTY DIV
(i)
(ii)
0
-------------
273,078
0
-------------
79,667
0
-------------
46,460
0
-------------
43,345
0
-------------
22,216
0
-------------
464,766
0
-------------
37,026
40
KRISTEN TRICE
VP DIAGNOSTIC OUTREACH
(i)
(ii)
0
-------------
210,366
0
-------------
68,299
0
-------------
9,545
0
-------------
22,164
0
-------------
42,916
0
-------------
353,290
0
-------------
0
41
LAURA DANNELS
VP & CHIEF TALENT OFFICER
(i)
(ii)
0
-------------
311,683
0
-------------
103,846
0
-------------
10,903
0
-------------
27,516
0
-------------
22,712
0
-------------
476,660
0
-------------
0
42
LE JOYCE NAYLOR
SVP & CHIEF DIVRS & INCLU OFCR
(i)
(ii)
0
-------------
141,347
0
-------------
57,500
0
-------------
52,295
0
-------------
1,362
0
-------------
4,378
0
-------------
256,882
0
-------------
0
43
LEANNE COOK
VP CONSUMER ENGAGEMENT
(i)
(ii)
0
-------------
239,005
0
-------------
64,531
0
-------------
11,244
0
-------------
18,791
0
-------------
43,622
0
-------------
377,193
0
-------------
0
44
LEO REICHERT
EVP & GENERAL COUNSEL
(i)
(ii)
0
-------------
676,982
0
-------------
455,370
0
-------------
27,683
0
-------------
51,030
0
-------------
66,458
0
-------------
1,277,523
0
-------------
0
45
LINDA HUFFER
VP POST ACUTE SERVICES
(i)
(ii)
0
-------------
311,314
0
-------------
84,555
0
-------------
49,027
0
-------------
49,877
0
-------------
22,888
0
-------------
517,661
0
-------------
31,131
46
MARCUS CHARLSON
VP SURGERY & ORTHO SVC LINE
(i)
(ii)
0
-------------
238,183
0
-------------
64,809
0
-------------
8,932
0
-------------
12,854
0
-------------
37,971
0
-------------
362,749
0
-------------
0
47
MARY TAVERNARO
VP HUMAN RESOURCES OPERATIONS
(i)
(ii)
0
-------------
296,126
0
-------------
80,454
0
-------------
11,878
0
-------------
31,480
0
-------------
65,754
0
-------------
485,692
0
-------------
0
48
MATTHEW TERRY
SVP CHIEF STRATEGY OFFICER
(i)
(ii)
0
-------------
217,059
0
-------------
50,000
0
-------------
16,058
0
-------------
5,238
0
-------------
12,545
0
-------------
300,900
0
-------------
0
49
MAXWELL KAGAN
VP FINANCE & CFO WMG
(i)
(ii)
0
-------------
276,515
0
-------------
80,824
0
-------------
53,387
0
-------------
23,020
0
-------------
28,909
0
-------------
462,655
0
-------------
43,657
50
MICHAEL MCCULLOUGH
SVP SUPPLY CHAIN
(i)
(ii)
0
-------------
397,097
0
-------------
213,940
0
-------------
13,697
0
-------------
31,096
0
-------------
41,766
0
-------------
697,596
0
-------------
0
51
NICKOLOS YAITSKY
VP HEAD OF DIGITAL PLATFORMS
(i)
(ii)
0
-------------
280,010
0
-------------
76,103
0
-------------
9,525
0
-------------
10,969
0
-------------
44,091
0
-------------
420,698
0
-------------
0
52
PAUL DOUGLASS MD
TRUSTEE & PHYSICIAN
(i)
(ii)
0
-------------
407,740
0
-------------
369,949
0
-------------
7,592
0
-------------
34,096
0
-------------
54,920
0
-------------
874,297
0
-------------
0
53
PAUL MURPHREE
VP MEDICAL OUTCOMES
(i)
(ii)
0
-------------
396,906
0
-------------
107,665
0
-------------
75,276
0
-------------
52,084
0
-------------
38,778
0
-------------
670,709
0
-------------
60,466
54
PRANAV JAIN
VP & CHIEF MED INFO OFFICER
(i)
(ii)
0
-------------
274,231
0
-------------
80,000
0
-------------
5,506
0
-------------
28,614
0
-------------
2,609
0
-------------
390,960
0
-------------
0
55
RANDALL BENTLEY SR
FORMER DIRECTOR
(i)
(ii)
0
-------------
40,163
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
40,163
0
-------------
0
56
REBECCA RUHL
VP COMPLIANCE CPO
(i)
(ii)
0
-------------
184,744
0
-------------
73,381
0
-------------
12,633
0
-------------
6,450
0
-------------
36,391
0
-------------
313,599
0
-------------
0
57
RICHARD CAPPS
EVP CHIEF INFO & DIGITAL OFFCR
(i)
(ii)
0
-------------
566,170
0
-------------
263,206
0
-------------
19,694
0
-------------
36,186
0
-------------
37,680
0
-------------
922,936
0
-------------
0
58
ROB SCHREINER
EVP CHIEF PHYSICIAN EXECUTIVE
(i)
(ii)
0
-------------
600,814
0
-------------
404,548
0
-------------
957,774
0
-------------
28,900
0
-------------
31,505
0
-------------
2,023,541
0
-------------
934,146
59
ROBERT DECOUX
VP CORPORATE MED STAFF SVCS
(i)
(ii)
0
-------------
191,030
0
-------------
52,228
0
-------------
12,116
0
-------------
36,012
0
-------------
34,618
0
-------------
326,004
0
-------------
0
60
SANA BRUNO
VP LABORATORY SERVICES SYSTEM
(i)
(ii)
0
-------------
149,134
0
-------------
50,000
0
-------------
41,572
0
-------------
14,853
0
-------------
15,187
0
-------------
270,746
0
-------------
0
61
SANDRA LUCIUS
VP HEAD OF CARE PLATFORMS
(i)
(ii)
0
-------------
267,311
0
-------------
72,174
0
-------------
41,773
0
-------------
49,489
0
-------------
19,156
0
-------------
449,903
0
-------------
26,731
62
SNEHAL DOSHI
SVP ANCILLARY AND SUPPORT SVC
(i)
(ii)
0
-------------
327,600
0
-------------
96,041
0
-------------
13,289
0
-------------
25,045
0
-------------
42,152
0
-------------
504,127
0
-------------
0
63
SONYA ALDY
VP TALENT ACQUISITION
(i)
(ii)
0
-------------
224,453
0
-------------
69,007
0
-------------
9,324
0
-------------
10,350
0
-------------
38,830
0
-------------
351,964
0
-------------
0
64
SOPHIA MARSHALL
VP ORGANIZATION COMMUNICATION
(i)
(ii)
0
-------------
231,259
0
-------------
69,082
0
-------------
8,031
0
-------------
23,450
0
-------------
18,613
0
-------------
350,435
0
-------------
0
65
SOPHIA MCINTYRE
SVP WMG AMBULATORY CARE DIV
(i)
(ii)
0
-------------
400,005
0
-------------
145,886
0
-------------
12,147
0
-------------
43,164
0
-------------
8,726
0
-------------
609,928
0
-------------
0
66
STEPHEN BADGER
VP WMG STRATEGIC SERVICES
(i)
(ii)
0
-------------
442,983
0
-------------
128,079
0
-------------
62,299
0
-------------
52,595
0
-------------
52,299
0
-------------
738,255
0
-------------
44,298
67
STEPHEN VAULT
VP STRATEGIC COMMUNITY DEV
(i)
(ii)
0
-------------
250,242
0
-------------
68,753
0
-------------
9,142
0
-------------
23,494
0
-------------
21,002
0
-------------
372,633
0
-------------
0
68
STEVEN HUNT
VP HUMAN RESOURCES
(i)
(ii)
0
-------------
229,694
0
-------------
66,152
0
-------------
9,199
0
-------------
24,674
0
-------------
44,905
0
-------------
374,624
0
-------------
0
69
SUSAN JACKSON
VP PHARMACY SVCS
(i)
(ii)
0
-------------
232,928
0
-------------
35,440
0
-------------
6,398
0
-------------
30,133
0
-------------
35,145
0
-------------
340,044
0
-------------
0
70
THOMAS DRAPER
VP CARDIOVASCULAR SERVICE LINE
(i)
(ii)
0
-------------
260,000
0
-------------
64,353
0
-------------
10,614
0
-------------
24,912
0
-------------
37,613
0
-------------
397,492
0
-------------
0
71
TIMOTHY HANEY
FMR SVP REAL EST FAC & DEV SVC
(i)
(ii)
0
-------------
0
0
-------------
0
0
-------------
200,797
0
-------------
0
0
-------------
0
0
-------------
200,797
0
-------------
0
72
VALERY AKOPOV
SVP HOSPITAL DIVISION WMG
(i)
(ii)
0
-------------
516,227
0
-------------
289,587
0
-------------
254,270
0
-------------
32,358
0
-------------
43,656
0
-------------
1,136,098
0
-------------
233,626
73
VARMA RAMESWAR
VP PEDIATRIC OPS AND SVC LINE
(i)
(ii)
0
-------------
240,266
0
-------------
74,372
0
-------------
10,836
0
-------------
50,030
0
-------------
30,000
0
-------------
405,504
0
-------------
0
74
WILLIAM BELLANDO
VP CHIEF TECHNOLOGY OFFICER
(i)
(ii)
0
-------------
132,701
0
-------------
50,000
0
-------------
12,382
0
-------------
6,416
0
-------------
11,022
0
-------------
212,521
0
-------------
0
75
PETER R JUNGBLUT MD
FORMER SVP & MEDICAL DIRECT0R
(i)
(ii)
0
-------------
366,558
0
-------------
191,060
0
-------------
6,915
0
-------------
18,603
0
-------------
22,390
0
-------------
605,526
0
-------------
0
Schedule J (Form 990) 2021
Page 3
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
SCHEDULE J, PART I, LINE 4A
SEVERANCE PAYMENTS: PURSUANT TO THEIR RESPECTIVE EMPLOYMENT AGREEMENTS, THE FOLLOWING GROUPS OF OFFICERS ARE ENTITLED TO SEVERANCE PAYMENTS BASED ON THEIR COMPENSATION AT THAT TIME IN THE EVENT OF CERTAIN IDENTIFIED CIRCUMSTANCES. THE SEVERANCE PAYMENT PERIODS ARE 24 MONTHS FOR EXECUTIVE VICE PRESIDENTS, 18 MONTHS FOR SENIOR VICE PRESIDENTS, AND 12 MONTHS FOR VICE PRESIDENTS. THE FOLLOWING OFFICER RECEIVED SEVERANCE PAY DURING THE 2021 CALENDAR YEAR FROM EITHER THE ORGANIZATION OR A RELATED ORGANIZATION: ANDREW LEE 41,930 JONATHAN MAURER 228,940 TIMOTHY HANEY 200,797 SCHEDULE J, PART I, LINE 4B PARTICIPATION IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DURING THE YEAR, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND CERTAIN PHYSICIANS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SPONSORED BY WELLSTAR HEALTH SYSTEM, INC. THE AMOUNTS RELATED TO THIS PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN INCLUDED IN SCHEDULE J, PART II, COLUMN (B): ANDREW LEE 153,124 CANDICE L. SAUNDERS 419,245 ELIZABETH PAPETTI 35,648 ELLEN WRIGHT 32,238 JASON STEVENS 77,976 JENNIFER GIUSTI 54,554 JILL CASE-WIRTH 81,495 JOHN BRENNAN 1,133,479 JONATHAN MAURER 81,940 KEM MULLINS 445,660 KIMBERLY TAACA 37,026 LINDA HUFFER 31,131 MAXWELL KAGAN 43,657 PAUL MURPHREE 60,466 ROB SCHREINER 934,146 SANDRA LUCIUS 26,731 STEPHEN BADGER 44,298 VALERY AKOPOV 233,626 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS TO OFFICERS: AS PART OF THE WELLSTAR EXECUTIVE COMPENSATION PHILOSOPHY A PERFORMANCE PAY PLAN WAS INSTITUTED SEVERAL YEARS AGO WHEREBY THE WELLSTAR BOARD OF TRUSTEES APPROVES AN ANNUAL INCENTIVE PLAN WHICH CONSISTS OF SEVERAL PERFORMANCE GOALS OR FACTORS THAT UPON ATTAINMENT WILL RESULT IN PAYOUTS TO ELIGIBLE PLAN PARTICIPANTS.THOSE FACTORS ARE: (1) PEOPLE & CUSTOMER SERVICE GOAL FOR EMPLOYEE "TRUST INDEX (2) QUALITY & SAFETY GOAL FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION; AND (3) FINANCIAL GOAL FOR ATTAINING A POSITIVE OPERATING MARGIN. CONFIRMATION OF ACHIEVING THESE GOALS IS TYPICALLY RECEIVED THROUGH THE ANNUAL EXTERNAL AUDIT PROCESS AND APPROVED BY THE BOARD OF TRUSTEES AT THAT TIME.
Schedule J (Form 990) 2021
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