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John Starcher Jr.

Director at Pediatrix Medical GroupPediatrix Medical Group
Board

About John M. Starcher Jr.

John M. Starcher, Jr. is an independent director of Pediatrix Medical Group (NYSE: MD), serving on the Board since July 2020 and currently age 54 . He is President and Chief Executive Officer of Bon Secours Mercy Health, a large not‑for‑profit health system, a role he has held since September 2018 . He holds a B.S. in Business Administration from Bowling Green State University and a J.D. from the University of Toledo; he is licensed to practice law in Ohio (inactive) . He is an independent, non‑employee director and a member of the Board’s Compensation and Talent Committee and Strategy Committee .

Past Roles

OrganizationRoleTenureCommittees/Impact
Bon Secours Mercy HealthPresident & Chief Executive OfficerSep 2018–present Leads 50 hospitals and 1,000+ sites of care across seven states and two countries
Mercy HealthChief Executive Officer & PresidentApr 2016–Aug 2018 Oversaw 23 hospitals and Ohio/Kentucky CIN
Mercy HealthEVP Operations & CEO, Cincinnati MarketJan 2015–Apr 2016 Operational leadership for Cincinnati market
Health Management Associates (HMA)Interim President & CEOAug 2013–Mar 2014 Guided sale of HMA to Community Health Systems
HMAPresident, Eastern GroupFeb 2012–Aug 2013 Led Eastern Group operations
Catholic Health Partners / Mercy Health divisionsCEO of three divisions; prior HR SVP and Associate GCVarious (pre‑2012) Oversaw >20 hospitals and affiliates; >$3B net revenue
Medical College of OhioDirector of Labor Relations (HR)1993–1999 Labor relations leadership

External Roles

OrganizationRolePublic/PrivateNotes
Bon Secours Mercy HealthDirectorPrivate not‑for‑profit Large integrated health system
Ensemble Health Partners (NASDAQ: ENSB)DirectorPublic Revenue cycle management company
American Pain Consortium, LLCDirectorPrivate Specialty care organization
HealthQuest CapitalAdvisory Board MemberPrivate (VC) Healthcare-focused investment firm

Board Governance

  • Committee assignments: Compensation & Talent Committee member; Strategy Committee member .
  • Chair roles: Not a committee chair; Compensation & Talent is chaired by Shirley A. Weis; Strategy Committee is chaired by Guy P. Sansone .
  • Board and committee activity: Board met 8 times in 2024; committees held a combined 12 meetings .
  • Attendance: Each director attended at least 75% of Board and committee meetings in 2024 .
  • Independence: Board determined all non‑employee directors are independent under NYSE rules and the company’s categorical standards .
  • Lead Independent Director: Guy P. Sansone serves as Lead Independent Director .
  • Executive sessions: Independent directors meet in executive session generally at each Board meeting .

Fixed Compensation (Director)

ComponentAmount/StructureNotes
Annual cash retainer (non‑employee directors)$80,000 Paid quarterly
Chair of Board additional retainer$50,000 Paid quarterly
Lead Independent Director additional retainer$50,000 Paid quarterly
Audit Committee Chair retainer$22,500 Paid quarterly
Compensation & Talent Chair retainer$15,000 Paid quarterly
Nominating & Corporate Governance Chair retainer$12,500 Paid quarterly
2024 cash fees earned by J. Starcher$80,000 For Board/committee service in 2024

Performance Compensation (Director)

ComponentDetailNotes
Annual equity grant (non‑employee directors)Restricted stock with grant date fair value ~$150,000 per year Granted on election date at annual meeting; vests on first anniversary
2024 equity reported for J. StarcherStock awards (grant date fair value): $150,001 2024 director compensation table
Outstanding restricted shares at FY2024 end (J. Starcher)18,360 shares Reported as outstanding at end of fiscal 2024

Performance metrics: Director equity is time‑based restricted stock; no director performance metrics disclosed for vesting. Vesting is service‑based on the first anniversary of the award granted at election date (2024 annual meeting held May 9, 2024) .

Other Directorships & Interlocks

EntityRelationship to MDPotential Interlock/Conflict Consideration
Bon Secours Mercy Health (CEO; Director)Large health system; no MD related‑party transactions disclosed since start of 2024 Board reviewed related‑party transactions; none reported affecting independence
Ensemble Health Partners (Director)RCM company; MD transitioned RCM vendors in 2024 and 2025 (e.g., new MSA with Guidehouse) No disclosed MD transactions with Ensemble; monitor for future engagements given overlap in RCM domain
American Pain Consortium; HealthQuest CapitalNo MD relationships disclosed No related‑party transactions reported

Expertise & Qualifications

  • Healthcare system leadership: CEO roles across large integrated systems and multi‑hospital portfolios, including BSMH and Mercy Health .
  • Transaction/M&A execution: Led HMA through its sale to Community Health Systems as Interim CEO .
  • Legal and HR background: Former Associate General Counsel and HR SVP; J.D. and Ohio bar (inactive) .
  • Board breadth: Service on 20+ boards in varied industries, bringing diverse governance perspective .

Equity Ownership

MeasureAmount/StatusAs‑of
Beneficial ownership (shares)54,637 shares; less than 1% of outstanding March 10, 2025 (proxy record date)
Outstanding restricted stock awards18,360 shares FY2024 year‑end
Director stock ownership guideline3× annual base cash retainer for non‑management directors Policy
Anti‑hedging/pledgingProhibited from hedging; no margin/pledging unless demonstrably able to repay without pledged securities Policy

Insider Trades (Form 4) – Transactions and Current Holdings

Transaction DateTypeShares TransactedPost‑Transaction OwnershipSecuritySource
2023‑05‑11Award (A)10,96536,277Common Stock
2024‑05‑09Award (A)18,36054,637Common Stock
2025‑05‑08Award (A)11,42766,064Common Stock

Note: Query period 2023‑01‑01 to 2025‑11‑20 returned only equity award transactions (no open‑market purchases or sales) for Mr. Starcher at MD during this timeframe. Source: insider‑trades skill (Form 4 data) .

Say‑on‑Pay & Shareholder Feedback (Context for Comp Committee Member)

  • 2024 Annual Meeting results: Say‑on‑pay (for FY2023) received 71,662,763 votes For; 3,286,998 Against; 35,889 Abstentions; 2,551,961 broker non‑votes .
  • Board election: Mr. Starcher received 73,449,095 votes For; 1,492,773 Against; 43,782 Abstentions at the 2024 meeting .

Related‑Party Transactions and Conflicts

  • Policy: Transactions >$120,000 are deemed material and must be reviewed by disinterested directors on the Audit Committee or Board; approval requires arm’s‑length fairness .
  • Disclosure: No related‑party transactions since the beginning of 2024; none currently proposed .
  • Independence review: Board considered director relationships and concluded non‑employee directors, including Mr. Starcher, are independent under NYSE and company standards; transactions noted did not affect independence .
  • Compensation committee interlocks: None in 2024 .

Governance Policies Affecting Alignment and Risk

  • Stock ownership and retention: Non‑management directors must maintain stock worth 3× annual base cash retainer; director equity grants intended to align with shareholder interests .
  • Anti‑hedging/pledging: Prohibited hedging; no margin/pledging absent demonstrated capacity to repay without pledged securities .
  • Clawback: NYSE‑compliant clawback policy applies to executive officers for incentive‑based compensation on/after Oct 2, 2023; prior clawback covers earlier periods; contextual to comp oversight (not director pay) .

Governance Assessment

  • Strengths

    • Independent director with deep operating experience leading large healthcare systems; relevant to MD’s payer/RCM dynamics and provider operations .
    • Active on Compensation & Talent Committee overseeing executive pay design and risk in incentives; committee fully independent and uses independent advisors as needed .
    • Solid engagement: Board met 8 times in 2024; all directors met 75%+ attendance; independent director executive sessions held generally every meeting .
    • Alignment mechanisms: 3× retainer stock ownership guideline; annual time‑based equity grants to directors; anti‑hedging/pledging policy .
  • Watchpoints

    • External roles: Director at Ensemble Health Partners (RCM); MD transitioned RCM vendors in 2024–2025 (e.g., new agreements with Guidehouse). No MD–Ensemble transactions disclosed, but monitor for potential future engagements and ensure Audit Committee review if any arise .
    • Strategy Committee did not meet separately in 2024; strategy oversight occurred at the full Board level, but committee‑level cadence bears monitoring given MD’s ongoing transformation .
  • Red Flags (none disclosed)

    • No related‑party transactions since beginning of 2024; Compensation Committee interlocks absent; no hedging/pledging permitted under policy absent stringent conditions .

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