efile Public Visual Render
ObjectId: 201843179349307359 - Submission: 2018-11-13
TIN: 41-1693838
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.
Information about Schedule J (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
17
Open to Public Inspection
Name of the organization
HEALTHPARTNERS INC
Employer identification number
41-1693838
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 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
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
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
Yes
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) 2017
Page 2
Schedule J (Form 990) 2017
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
JEFF MENDELOFF MD
DIRECTOR
(i)
(ii)
0
-------------
872,372
0
-------------
29,392
0
-------------
152,043
0
-------------
24,976
0
-------------
45,119
0
-------------
1,123,902
0
-------------
0
2
BRIAN H RANK MD
DIRECTOR & MEDICAL DIRECTO
(i)
(ii)
0
-------------
613,703
0
-------------
179,316
0
-------------
167,731
0
-------------
71,415
0
-------------
39,735
0
-------------
1,071,900
0
-------------
131,318
3
CHARLES J ABRAHAMSON
VP-NETWORK MGMT & PROVIDER
(i)
(ii)
0
-------------
264,150
0
-------------
58,681
0
-------------
1,097
0
-------------
20,250
0
-------------
30,501
0
-------------
374,679
0
-------------
0
4
ALAN V ABRAMSON
SRVP & CIO
(i)
(ii)
0
-------------
393,345
0
-------------
117,379
0
-------------
107,802
0
-------------
96,868
0
-------------
34,772
0
-------------
750,166
0
-------------
63,610
5
SCOTT A AEBISCHER
SR VP CUSTOMER SERV/PROD
(i)
(ii)
0
-------------
365,607
0
-------------
103,924
0
-------------
273,365
0
-------------
124,486
0
-------------
36,147
0
-------------
903,529
0
-------------
243,159
6
CALVIN U ALLEN
SR VP STRAT PLANNING/HR
(i)
(ii)
0
-------------
484,091
0
-------------
146,977
0
-------------
52,014
0
-------------
156,711
0
-------------
35,708
0
-------------
875,501
0
-------------
45,414
7
FELIX ANKEL MD
EXEC DIR - HEALTH PROFESSI
(i)
(ii)
0
-------------
398,590
0
-------------
89,128
0
-------------
13,135
0
-------------
59,613
0
-------------
33,066
0
-------------
593,532
0
-------------
0
8
BABETTE A APLAND
SR VP, MELROSE INSTITUTE
(i)
(ii)
0
-------------
290,328
0
-------------
72,422
0
-------------
34,918
0
-------------
67,008
0
-------------
20,053
0
-------------
484,729
0
-------------
12,032
9
COURTNEY BIBEE
VP CARE GROUP COMPLIANCE O
(i)
(ii)
0
-------------
194,872
0
-------------
42,735
0
-------------
10,798
0
-------------
19,663
0
-------------
29,406
0
-------------
297,474
0
-------------
0
10
MARY K BRAINERD
PRESIDENT & CEO
(i)
(ii)
0
-------------
503,641
0
-------------
521,378
0
-------------
600,951
0
-------------
44,080
0
-------------
39,732
0
-------------
1,709,782
0
-------------
578,092
11
RICK J BRUZEK
VP PHARMACY SERVICES
(i)
(ii)
0
-------------
176,900
0
-------------
23,088
0
-------------
27,791
0
-------------
11,744
0
-------------
29,834
0
-------------
269,357
0
-------------
0
12
STEVEN D BUNDE
VP INTERNAL AUDIT, INTEGRI
(i)
(ii)
0
-------------
209,357
0
-------------
47,086
0
-------------
5,398
0
-------------
58,900
0
-------------
29,661
0
-------------
350,402
0
-------------
0
13
DAVID BUSCH
VP PHARMACY SERVICES
(i)
(ii)
0
-------------
226,344
0
-------------
51,060
0
-------------
8,639
0
-------------
47,559
0
-------------
29,951
0
-------------
363,553
0
-------------
0
14
KATHLEEN M COONEY
EXECUTIVE VP & CAO
(i)
(ii)
0
-------------
597,250
0
-------------
228,611
0
-------------
165,411
0
-------------
189,710
0
-------------
40,177
0
-------------
1,221,159
0
-------------
129,768
15
ROBERT B CUMMING
SR VP ACTUARIAL/UNDERWRITI
(i)
(ii)
0
-------------
341,896
0
-------------
165,080
0
-------------
50,430
0
-------------
110,957
0
-------------
33,947
0
-------------
702,310
0
-------------
21,035
16
TRICIA L DEGE
VP FINANCE & PLANNING
(i)
(ii)
0
-------------
289,784
0
-------------
65,401
0
-------------
1,218
0
-------------
43,828
0
-------------
30,972
0
-------------
431,203
0
-------------
0
17
PATRICIA S DENNIS
SR VP HEALTH & CARE ENGAGE
(i)
(ii)
0
-------------
33,464
0
-------------
95,386
0
-------------
199,315
0
-------------
6,953
0
-------------
16,427
0
-------------
351,545
0
-------------
0
18
AMY L DEWANE
VP - CARE SYSTEMS GROWTH
(i)
(ii)
0
-------------
288,698
0
-------------
63,403
0
-------------
854
0
-------------
20,250
0
-------------
30,922
0
-------------
404,127
0
-------------
0
19
LESLIE DOCKAN
VP, PRIMARY CARE & CLINIC
(i)
(ii)
0
-------------
295,322
0
-------------
49,325
0
-------------
3,124
0
-------------
20,250
0
-------------
30,846
0
-------------
398,867
0
-------------
0
20
DAVID A DZIUK
SR VP & CHIEF FINANCIAL OF
(i)
(ii)
0
-------------
454,588
0
-------------
135,428
0
-------------
64,790
0
-------------
187,952
0
-------------
35,298
0
-------------
878,056
0
-------------
55,672
21
JAMES EPPEL
EXECUTIVE VP & CAO
(i)
(ii)
0
-------------
346,154
0
-------------
95,000
0
-------------
1,975
0
-------------
68,263
0
-------------
21,204
0
-------------
532,596
0
-------------
0
22
CHARLES J FAZIO MD
HEALTH PLAN MEDICAL DIRECT
(i)
(ii)
0
-------------
376,181
0
-------------
113,598
0
-------------
55,610
0
-------------
82,200
0
-------------
23,286
0
-------------
650,875
0
-------------
35,233
23
JASON GALLAGHER
VP,HEALTH INFORMATICS
(i)
(ii)
0
-------------
226,895
0
-------------
78,840
0
-------------
2,561
0
-------------
42,194
0
-------------
30,335
0
-------------
380,825
0
-------------
0
24
YOUNG FRIED
VP PHARMACY SERVICES
(i)
(ii)
0
-------------
198,462
0
-------------
10,000
0
-------------
15,614
0
-------------
14,943
0
-------------
25,656
0
-------------
264,675
0
-------------
0
25
DAVID S GESKO
SR VP - DENTAL DIRECTOR
(i)
(ii)
0
-------------
432,750
0
-------------
156,434
0
-------------
40,514
0
-------------
68,368
0
-------------
34,995
0
-------------
733,061
0
-------------
18,187
26
TIM M HALEY
VP BROKER SALES
(i)
(ii)
0
-------------
245,816
0
-------------
0
0
-------------
106,981
0
-------------
60,862
0
-------------
30,980
0
-------------
444,639
0
-------------
0
27
MARK HANSBERRY
VP, BUSINESS DEVELOPMENT I
(i)
(ii)
0
-------------
351,231
0
-------------
41,440
0
-------------
29,632
0
-------------
41,143
0
-------------
31,988
0
-------------
495,434
0
-------------
0
28
SUSAN M KNUDSON
VP HEALTH INFORMATICS
(i)
(ii)
0
-------------
303,415
0
-------------
127,734
0
-------------
27,248
0
-------------
97,696
0
-------------
32,451
0
-------------
588,544
0
-------------
12,762
29
CHAD HEIM
VP - HEALTH INFORMATICS
(i)
(ii)
0
-------------
219,989
0
-------------
78,840
0
-------------
5,737
0
-------------
50,849
0
-------------
29,278
0
-------------
384,693
0
-------------
0
30
STEVEN C HOUSH
VP ORTHOPEDIC SERVICES
(i)
(ii)
0
-------------
318,331
0
-------------
70,656
0
-------------
6,028
0
-------------
20,250
0
-------------
31,531
0
-------------
446,796
0
-------------
0
31
CARA HULL
CHIEF QUALTY OFFICER
(i)
(ii)
0
-------------
292,020
0
-------------
60,270
0
-------------
72
0
-------------
52,876
0
-------------
35,452
0
-------------
440,690
0
-------------
0
32
GEORGE J ISHAM MD MS
SENIOR ADVISOR
(i)
(ii)
0
-------------
123,561
0
-------------
0
0
-------------
90,794
0
-------------
7,906
0
-------------
10,995
0
-------------
233,256
0
-------------
88,671
33
KIM R LAREAU
VP IS&T CARE DELIVERY
(i)
(ii)
0
-------------
304,133
0
-------------
68,083
0
-------------
14,646
0
-------------
56,746
0
-------------
31,413
0
-------------
475,021
0
-------------
0
34
VINI T MANCHANDA
VP - SUPPLY CHAIN SERVICES
(i)
(ii)
0
-------------
219,234
0
-------------
49,284
0
-------------
7,190
0
-------------
39,847
0
-------------
29,802
0
-------------
345,357
0
-------------
0
35
NANCY A MCCLURE
CHIEF OPERATING OFFICER
(i)
(ii)
0
-------------
591,131
0
-------------
170,269
0
-------------
1,227,148
0
-------------
72,444
0
-------------
54,638
0
-------------
2,115,630
0
-------------
1,199,775
36
FRANK P MCQUILLAN
VP - TREASURY & REAL ESTAT
(i)
(ii)
0
-------------
250,638
0
-------------
56,708
0
-------------
11,153
0
-------------
77,067
0
-------------
30,422
0
-------------
425,988
0
-------------
0
37
FRANK MULLER
VP - TECHNOLOGY & INFRASTR
(i)
(ii)
0
-------------
208,328
0
-------------
46,428
0
-------------
5,995
0
-------------
51,333
0
-------------
28,642
0
-------------
340,726
0
-------------
0
38
PEGGY S NEALE
VP - NATIONAL ACCOUNT HEAL
(i)
(ii)
0
-------------
219,666
0
-------------
0
0
-------------
61,693
0
-------------
49,335
0
-------------
28,452
0
-------------
359,146
0
-------------
0
39
ANDREW F NELSON
VP - INST.EXECUTIVE DIREC
(i)
(ii)
0
-------------
216,314
0
-------------
51,787
0
-------------
12,003
0
-------------
77,022
0
-------------
29,865
0
-------------
386,991
0
-------------
0
40
JEFFREY OGDEN
VP - HP DENTAL PLAN
(i)
(ii)
0
-------------
202,218
0
-------------
15,170
0
-------------
11,952
0
-------------
17,906
0
-------------
29,129
0
-------------
276,375
0
-------------
0
41
KEVIN J PALATTAO
VP CLINIC PATIENT CARE SYS
(i)
(ii)
0
-------------
285,782
0
-------------
64,768
0
-------------
11,247
0
-------------
61,763
0
-------------
31,050
0
-------------
454,610
0
-------------
0
42
NICO PRONK PHD
VP & HEALTH SCIENCE OFFICE
(i)
(ii)
0
-------------
327,490
0
-------------
62,937
0
-------------
7,948
0
-------------
65,057
0
-------------
31,641
0
-------------
495,073
0
-------------
0
43
KEVIN R RONNEBERG
VP - ASSOCIATE MEDICAL DIR
(i)
(ii)
0
-------------
288,464
0
-------------
68,598
0
-------------
16,015
0
-------------
20,250
0
-------------
30,271
0
-------------
423,598
0
-------------
0
44
KATIE B SAYRE
SR VP HLTH PLAN OPS & GOV
(i)
(ii)
0
-------------
349,872
0
-------------
104,577
0
-------------
80,634
0
-------------
141,744
0
-------------
33,562
0
-------------
710,389
0
-------------
58,620
45
SCOTT A SCHNUCKLE
SR VP PHARMACY & BUSINESS
(i)
(ii)
0
-------------
310,434
0
-------------
97,432
0
-------------
51,369
0
-------------
89,034
0
-------------
32,463
0
-------------
580,732
0
-------------
12,433
46
DOUG N SMITH
SR VP SALES
(i)
(ii)
0
-------------
305,868
0
-------------
134,645
0
-------------
50,233
0
-------------
118,268
0
-------------
31,977
0
-------------
640,991
0
-------------
16,274
47
ELIZABETH L SWANSON
VP HUMAN RESOURCES
(i)
(ii)
0
-------------
221,442
0
-------------
59,958
0
-------------
16,930
0
-------------
61,005
0
-------------
30,130
0
-------------
389,465
0
-------------
0
48
TOBI TANZER
VP CORPORATE INTEGRITY
(i)
(ii)
0
-------------
276,351
0
-------------
63,590
0
-------------
11,736
0
-------------
56,975
0
-------------
30,903
0
-------------
439,555
0
-------------
0
49
BARBARA E TRETHEWAY
SR VP GENERAL COUNSEL
(i)
(ii)
0
-------------
514,179
0
-------------
146,179
0
-------------
59,753
0
-------------
164,692
0
-------------
24,968
0
-------------
909,771
0
-------------
27,628
50
ANDREA M WALSH
EXEC VP & CHIEF MARKETING
(i)
(ii)
0
-------------
795,442
0
-------------
204,117
0
-------------
86,397
0
-------------
271,560
0
-------------
40,608
0
-------------
1,398,124
0
-------------
68,020
51
BETH A WATERMAN
CHIEF IMPROVEMENT OFFICER
(i)
(ii)
0
-------------
211,745
0
-------------
85,599
0
-------------
16,131
0
-------------
13,500
0
-------------
29,046
0
-------------
356,021
0
-------------
0
52
DONNA J ZIMMERMAN
SR VP GOVT & COMMUNITY REL
(i)
(ii)
0
-------------
268,608
0
-------------
80,969
0
-------------
42,516
0
-------------
106,461
0
-------------
13,596
0
-------------
512,150
0
-------------
27,391
53
PAMELA S ZOELLER
VP - SPECIALTY CARE & CLIN
(i)
(ii)
0
-------------
266,002
0
-------------
55,221
0
-------------
7,378
0
-------------
21,023
0
-------------
30,569
0
-------------
380,193
0
-------------
0
54
DENNIS M ZUZEK
VP - HEALTH PLAN & ENTERPR
(i)
(ii)
0
-------------
242,670
0
-------------
57,165
0
-------------
15,961
0
-------------
20,250
0
-------------
30,383
0
-------------
366,429
0
-------------
0
Schedule J (Form 990) 2017
Page 3
Schedule J (Form 990) 2017
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, LINES 4A-B
TOTAL COMPENSATION IN COLUMN E OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM SEVERANCE FOR THE FOLLOWING DIRECTORS AND OFFICERS: PATRICIA DENNIS $ 161,124 DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: SCOTT A. AEBISCHER $ 15,340 CALVIN U. ALLEN $ 58,382 KATHLEEN M. COONEY $ 59,031 ROBERT B. CUMMING $ 18,641 DAVID A. DZIUK $ 42,301 JAMES EPPEL $ 39,704 CHARLES J. FAZIO $ 35,583 DAVID S. GESKO $ 23,695 MARK HANSBERRY $ 9,304 SUSAN M. KNUDSON $ 12,390 KATHERINE B. SAYRE $ 33,647 SCOTT A. SCHNUCKLE $ 12,396 DOUGLAS N. SMITH $ 14,631 BARBARA E. TRETHEWAY $ 29,051 ANDREA M. WALSH $ 91,631 DONNA J. ZIMMERMAN $ 25,370
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 REWARDS ARE 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, EMPLOYEE AND/OR LEADERSHIP DEVELOPMENT, CARE DELIVERY, PATIENT EDUCATION, TRIPLE AIM, MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (NET MARGIN), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A NET MARGIN 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 $ 63,610 SCOTT AEBISCHER $ 243,159 CALVIN U. ALLEN $ 45,414 BABETTE A. APLAND $ 12,032 MARY K. BRAINERD $ 578,092 KATHLEEN M. COONEY $ 129,768 ROBERT B. CUMMING $ 21,035 DAVID A. DZIUK $ 55,672 CHARLES FAZIO $ 35,233 DAVID GESKO, DDS $ 18,187 GEORGE ISHAM $ 88,671 SUSAN KNUTSON $ 12,762 NANCY A. MCCLURE $ 1,199,775 BRIAN H. RANK, MD $ 131,318 KATIE B. SAYRE $ 58,620 SCOTT A. SCHNUCKLE $ 12,433 DOUG A. SMITH $ 16,274 BARBARA E. TRETHEWAY $ 27,628 ANDREA M. WALSH $ 68,020 DONNA J. ZIMMERMAN $ 27,391 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.
Schedule J (Form 990) 2017
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