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Nonprofiteer
← COMMUNITY HOSPITAL OF NOBLE COUNTY INC

Form 990 for tax year 2024

Filed by COMMUNITY HOSPITAL OF NOBLE COUNTY INC.

Totals

Total revenue
$78,657,575
Total expenses
$66,433,849
Contributions and grants received
$259,626
Grants paid
$31,273
Program services expenses (Part IX)
$53,582,667
Management and general expenses
$12,851,182
Fundraising expenses
$0
Program service expenses (Part III)
$53,582,667

Program services were 80.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • 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

  • 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

  • MYCAL MANSFIELD

    DIRECTOR/PH PHYSICIAN

    Total calculated
    $637,455
    From this org
    $4,222
    From related orgs
    $558,795
    Other
    $74,438
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $4,222 + $467,984 related
    Bonus
    $0 + $62,321 related
    Other
    $0 + $28,490 related
    Deferred
    $233 + $30,817 related
    Nontaxable benefits
    $325 + $43,063 related
    Filer's total
    $4,780 + $632,675 related

  • JORDI DISLER

    DIRECTOR/MARKET PRESIDENT

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

    Schedule J breakdown matched by us

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

  • PHILLIP CORBIN

    DIRECTOR/PH PHYSICIAN

    Total calculated
    $461,761
    From this org
    $0
    From related orgs
    $391,414
    Other
    $70,347
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $338,745 related
    Bonus
    $0 + $45,331 related
    Other
    $0 + $7,338 related
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $42,747 related
    Filer's total
    $0 + $461,761 related

  • KELLY BALYEAT

    NBHOS PHARMACY MGR

    Total calculated
    $325,451
    From this org
    $175,657
    From related orgs
    $92,401
    Other
    $57,393
    Hours/week
    26 + 14 related

    Schedule J breakdown matched by us

    Base
    $142,037 + $92,401 related
    Bonus
    $31,570
    Other
    $2,050
    Deferred
    $16,309 + $8,579 related
    Nontaxable benefits
    $21,300 + $11,205 related
    Filer's total
    $213,266 + $112,185 related

  • HEATHER STANLEY

    NBHOS VP PATIENT CARE SVCS

    Total calculated
    $308,974
    From this org
    $245,682
    From related orgs
    $0
    Other
    $63,292
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,205
    Bonus
    $53,924
    Other
    $9,553
    Deferred
    $26,203
    Nontaxable benefits
    $37,089
    Filer's total
    $308,974

  • 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

  • HEATHER ANTAL

    NBHOS NURSING SVCS MGR

    Total calculated
    $228,338
    From this org
    $177,905
    From related orgs
    $0
    Other
    $50,433
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,801
    Bonus
    $20,908
    Other
    $1,196
    Deferred
    $21,927
    Nontaxable benefits
    $28,506
    Filer's total
    $228,338

  • JULIE DESPER

    NBHOS REHAB MGR

    Total calculated
    $222,755
    From this org
    $157,358
    From related orgs
    $15,040
    Other
    $50,357
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

    Base
    $135,573 + $15,040 related
    Bonus
    $20,107
    Other
    $1,678
    Deferred
    $19,441 + $1,858 related
    Nontaxable benefits
    $26,523 + $2,535 related
    Filer's total
    $203,322 + $19,433 related

  • BENJAMIN VORNDRAN

    NBHOS PHARMACIST

    Total calculated
    $186,862
    From this org
    $140,966
    From related orgs
    $0
    Other
    $45,896
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,804
    Bonus
    $0
    Other
    $1,162
    Deferred
    $10,196
    Nontaxable benefits
    $35,700
    Filer's total
    $186,862

  • GARY HEIMAN

    NBHOS PARAMEDIC

    Total calculated
    $181,026
    From this org
    $144,567
    From related orgs
    $11,275
    Other
    $25,184
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $142,003 + $11,275 related
    Bonus
    $0
    Other
    $2,564
    Deferred
    $6,511 + $508 related
    Nontaxable benefits
    $16,851 + $1,314 related
    Filer's total
    $167,929 + $13,097 related

  • DOUGLAS SCOTT

    DIRECTOR/PH CONTRACTED LABOR

    Total calculated
    $36,000
    From this org
    $0
    From related orgs
    $36,000
    Other
    $0
    Hours/week
    1 + 1 related

  • GARY GATMAN

    DIRECTOR/CHAIR

    Total calculated
    $8,750
    From this org
    $6,500
    From related orgs
    $2,250
    Other
    $0
    Hours/week
    1 + 1 related

  • CHRISTOPHER FOUGHT

    DIRECTOR/TREASURER

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

  • CASEY MYERS

    DIRECTOR/VICE CHAIR

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

  • SUSAN JANSEN

    DIRECTOR/SECRETARY

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

  • KARA WARRENER

    DIRECTOR

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

  • JARROD RAMER

    DIRECTOR/PARTIAL YR/VICE CHAIR

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

  • RYAN FERGUSON

    DIRECTOR

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

  • ERIN GOLDSBERRY

    FORMER KEY EMPLOYEE/CURRENT PVHOS VP

    Total calculated
    $295,452
    From this org
    $0
    From related orgs
    $252,896
    Other
    $42,556
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,330 related
    Bonus
    $0 + $45,127 related
    Other
    $0 + $3,439 related
    Deferred
    $0 + $14,124 related
    Nontaxable benefits
    $0 + $28,432 related
    Filer's total
    $0 + $295,452 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 — 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 OF NOBLE 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.

Provenance

Return type
form_990
Tax year
2024
Filed
6 November 2025
IRS schema version
2024v5.2
Source object
202513109349304571

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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