Executive Director / CEO
This analysis benchmarks the total compensation of Joseph Nespral, Executive Director / CEO ($20,842) against every comparable organization that fit the selection criteria — 81 in total — drawn systematically from IRS Form 990 filings, not a hand-picked subset.
Compensation sits at approximately the 36th percentile of comparable organizationswithin the typical range
Benchmarked executive: Joseph Nespral — reported title “DIRECTOR/PRESIDENT”, a direct title match to the Executive Director / CEO role.
Each figure is Form 990 Part VII columns D + F (reportable pay plus other compensation and benefits; column F may include amounts from related organizations), normalized to TX cost of living (BEA RPP, 2023) and to its filing year (CPI-U); the reported amount is on each linked 990.
| Organization | State | Revenue | Matched title | Comp (reported) | Comp (adjusted) | FY |
|---|---|---|---|---|---|---|
| Kalispell Regional Medical | MT | $36,004 | System Co-ceo | $43,294 | $46,654 | 2024 |
| The Ecumenical Center Foundation | TX | $36,000 | Executive Director | $23,322 | $23,322 | 2024 |
| Chilton Memorial Hospital Auxiliary | NJ | $35,937 | Evp-chief Business & Strat | $406,954 | $373,960 | 2023 |
| Health Quest Home Care Inc (Licensed) | NY | $35,599 | Executive Director Of Hq Home Care | $31,923 | $28,838 | 2024 |
| Associated Universities Inc Retiree | DC | $36,691 | Trustee/president | $68,897 | $60,440 | 2024 |
| Healthy Futures Armenia Inc | CA | $37,116 | Ceo | $4,500 | $3,885 | 2024 |
| Flury Place Inc | MD | $34,836 | President | $20,272 | $19,506 | 2023 |
| South Pike Hospital Association Inc | MS | $37,500 | President | $18,800 | $20,932 | 2024 |
| Jc Blair Memorial Hospital Foundation | PA | $37,830 | President | $13,159 | $13,506 | 2023 |
| Promedica Physicians At Home Inc | OH | $34,196 | Ceo And President | $5,857 | $6,385 | 2023 |
| Health And Wellness Foundation Inc | IL | $34,127 | Director Of The Board | $30,500 | $29,203 | 2025 |
| Pathcheck Foundation | MA | $38,200 | President | $33,750 | $30,319 | 2024 |
| Piedmont Virginia Dental Health Foundation | VA | $34,007 | Sec/treasurer | $19,155 | $18,489 | 2024 |
| Makenna Foundation Inc | KY | $33,818 | Executive Director | $17,668 | $19,537 | 2023 |
| Fort Hudson Foundation Corp | NY | $38,621 | Ceo | $107,908 | $97,478 | 2024 |
| Mass Hospital Research & Educational | MA | $38,866 | President & Ceo | $161,132 | $144,751 | 2024 |
| Community Health Partners Inc | NC | $32,954 | Executive Dir. | $30,000 | $30,988 | 2024 |
| Hshs Wisconsin Medical Group Inc | IL | $32,821 | Ceo Med Group (Until 8/1/22) | $21,051 | $21,300 | 2023 |
| Strategic Professional Solutions Inc | KS | $39,887 | Executive Director Retired | $17,676 | $19,090 | 2024 |
| Community Medical Center Foundation | NE | $32,304 | Director | $57,178 | $61,479 | 2024 |
| Community Nursing Association Of | MA | $40,131 | Treasurer And Director | $682 | $613 | 2024 |
| Harrisburg Medical Center Foundation | IL | $41,100 | President/ceo | $128,446 | $126,238 | 2024 |
| Comprehensive Medical Mentoring Program | LA | $41,470 | President | $53,373 | $58,753 | 2024 |
| Hospice Of Morrow County Inc | OH | $41,550 | Administrator | $8,400 | $8,894 | 2024 |
| Seattle-king County Dental | WA | $30,591 | Executive Di | $2,405 | $2,153 | 2024 |
Comp (reported) is the figure on each organization's Form 990 (columns D + F); Comp (adjusted) normalizes it to TX cost of living and 2024 dollars. Click any organization to verify the figure on ProPublica.
Comparable organizations were drawn from electronically filed IRS Form 990 returns and matched on sector (NTEE code), budget (a size-adaptive revenue band that tightens as the organization grows), and geography (same-state first, broadening only when too few peers qualify); every organization within the band forms the peer set. To compare fairly across regions and years, peer compensation is normalized to TX cost of living (BEA Regional Price Parities, 2023) and to the subject's filing year (CPI-U). The figure benchmarked is Form 990 Part VII, Section A, columns D + F — reportable pay plus other compensation, benefits, and deferred amounts (column F may include amounts from related organizations) — with the chief executive matched by role. Related-organization amounts (column E) and institutional trustees are excluded. Full methodology: peerbasis.org/methodology.
Sensitivity — the subject's percentile under alternative compensation definitions:
| Basis | Subject percentile |
|---|---|
| Total compensation (D + F), cost-of-living + inflation adjusted — the PeerBasis default | 36th |
| Total compensation (D + F), as reported (no adjustments) | 37th |
| Reportable pay only (column D), adjusted | 0th |
| All sources (D + E + F), adjusted | 73rd |
If the percentile moves materially across these definitions, the result is sensitive to methodology choices, and the board should weigh which basis best fits its facts.
Compensation paid by a tax-exempt organization is presumed reasonable — shifting the burden to the IRS — when three requirements are met. This report supplies the comparability data for the second. The board should record the following in its minutes concurrently with its decision:
Draft board minutes — executive compensation
Sources: IRS Form 990 e-file data (apps.irs.gov); IRS Business Master File (NTEE classification). Every figure traces to an original public filing — click any organization above to verify it on ProPublica. PeerBasis is a service of Prismind Analytics; its methodology is published, was commissioned for independent adversarial review, and discloses its own limitations. This report is comparability data to support a board's good-faith determination under IRC 4958; it is not legal or tax advice. Generated by PeerBasis on June 9, 2026.