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Nonprofiteer
← COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

Form 990 for tax year 2024

Filed by COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC.

Totals

Total revenue
$40,956,659
Total expenses
$36,957,407
Contributions and grants received
$45,154
Grants paid
$39,022
Program service revenue
$40,699,724
Investment income
$0
Other revenue
$211,781
Total assets, end of year
$35,601,315
Total liabilities, end of year
$14,069,743
Net assets or fund balances, end of year
$21,531,572
Program services expenses (Part IX)
$30,456,448
Management and general expenses
$6,500,959
Fundraising expenses
$0
Program service expenses (Part III)
$30,456,448

Program services were 82.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • GREG JOHNSON

    DIRECTOR/REGIONAL MARKET PRESIDENT

    Total calculated
    $1,595,130
    From this org
    $0
    From related orgs
    $1,520,046
    Other
    $75,084
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $760,582 related
    Bonus
    $0 + $263,340 related
    Other
    $0 + $496,124 related
    Deferred
    $0 + $37,950 related
    Nontaxable benefits
    $0 + $37,134 related
    Filer's total
    $0 + $1,595,130 related

  • JORDI DISLER

    DIRECTOR/MARKET PRESIDENT

    Total calculated
    $532,687
    From this org
    $0
    From related orgs
    $409,538
    Other
    $123,149
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $288,138 related
    Bonus
    $0 + $83,790 related
    Other
    $0 + $37,610 related
    Deferred
    $0 + $91,380 related
    Nontaxable benefits
    $0 + $31,769 related
    Filer's total
    $0 + $532,687 related

  • DANIEL BEECHY

    DIRECTOR

    Total calculated
    $3,000
    From this org
    $3,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • STEVEN CHRISTNER

    DIRECTOR/VICE CHAIR

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • DARYL HERSHBERGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARK LEU

    DIRECTOR

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • SARA PATRICK

    DIRECTOR

    Total calculated
    $2,000
    From this org
    $2,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • TREVOR THAIN

    DIRECTOR

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • BETH THORNBURG

    DIRECTOR/SECRETARY/TREASURER

    Total calculated
    $4,500
    From this org
    $4,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • KRISTINE TROYER

    DIRECTOR

    Total calculated
    $3,000
    From this org
    $3,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • JOE URBANSKI

    DIRECTOR/CHAIR

    Total calculated
    $9,000
    From this org
    $6,500
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 1 related

  • JEANNE' WICKENS

    PH CHIEF FINANCIAL OFFICER/PRTL YR

    Total calculated
    $1,865,163
    From this org
    $0
    From related orgs
    $1,647,203
    Other
    $217,960
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $991,526 related
    Bonus
    $0 + $492,356 related
    Other
    $0 + $163,321 related
    Deferred
    $0 + $186,966 related
    Nontaxable benefits
    $0 + $30,994 related
    Filer's total
    $0 + $1,865,163 related

  • STANTON RISSER

    PH ASSOCIATE CHIEF FINANCIAL OFFICER

    Total calculated
    $267,588
    From this org
    $0
    From related orgs
    $218,745
    Other
    $48,843
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,916 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $2,829 related
    Deferred
    $0 + $35,417 related
    Nontaxable benefits
    $0 + $13,426 related
    Filer's total
    $0 + $267,588 related

  • BRENDA ARMENTROUT

    LGHOS PHARMACIST

    Total calculated
    $237,199
    From this org
    $158,063
    From related orgs
    $44,333
    Other
    $34,803
    Hours/week
    31 + 9 related

    Schedule J breakdown matched by us

    Base
    $124,296 + $44,333 related
    Bonus
    $29,061
    Other
    $4,706
    Deferred
    $17,142 + $4,808 related
    Nontaxable benefits
    $10,038 + $2,815 related
    Filer's total
    $185,243 + $51,956 related

  • TREVOR FRY

    LGHOS ER MGR

    Total calculated
    $227,026
    From this org
    $177,956
    From related orgs
    $0
    Other
    $49,070
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,365
    Bonus
    $20,908
    Other
    $1,683
    Deferred
    $20,128
    Nontaxable benefits
    $28,942
    Filer's total
    $227,026

  • EMILY PLANT

    LGHOS INPATIENT MGR

    Total calculated
    $217,101
    From this org
    $177,855
    From related orgs
    $0
    Other
    $39,246
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,251
    Bonus
    $20,908
    Other
    $1,696
    Deferred
    $10,190
    Nontaxable benefits
    $29,056
    Filer's total
    $217,101

  • ROBERT BLOOMFIELD

    LGHOS SUPPORT SVCS MGR

    Total calculated
    $221,535
    From this org
    $175,510
    From related orgs
    $0
    Other
    $46,025
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,707
    Bonus
    $20,107
    Other
    $2,696
    Deferred
    $19,496
    Nontaxable benefits
    $26,529
    Filer's total
    $221,535

  • MICHELLE HEIN

    LGHOS REGISTERED NURSE - BSN

    Total calculated
    $171,192
    From this org
    $128,341
    From related orgs
    $35,552
    Other
    $7,299
    Hours/week
    31 + 9 related

    Schedule J breakdown matched by us

    Base
    $127,992 + $35,552 related
    Bonus
    $0
    Other
    $349
    Deferred
    $5,135 + $1,423 related
    Nontaxable benefits
    $580 + $161 related
    Filer's total
    $134,056 + $37,136 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF COMMUNITY HOSPITAL LAGRANGE COUNTY, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC.
PART I, LINE 4B
SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): JORDI DISLER $34,571; GREG JOHNSON $488,600; JEANNE' WICKENS $125,575 THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME OUTLINED IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: JORDI DISLER $49,980; STANTON RISSER $35,417; JEANNE' WICKENS $162,816
PART I, LINE 7
THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENT FOR MICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
6 November 2025
IRS schema version
2024v5.2
Source object
202503109349304570

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