Totals
- Total revenue
- $479,270
- Total expenses
- $391,819
- Contributions and grants received
- $465,318
- Grants paid
- $368,399
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $13,952
- Total assets, end of year
- $1,258,652
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $1,258,652
- Program services expenses (Part IX)
- $378,281
- Management and general expenses
- $13,231
- Fundraising expenses
- $307
- Program service expenses (Part III)
- $378,281
Program services were 96.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$80,569
-
1f · All other contributions, gifts and grants
$384,749
-
8a · Fundraising events: gross income
$23,225
-
8a · Fundraising events: contributions included on line 1c
$80,569
-
8b · Fundraising events: direct expenses
$38,182
-
8c · Net income from fundraising events
total -$14,957 · excluded -$14,957
-
9a · Gaming: gross income
$62,789
-
9b · Gaming: direct expenses
$33,880
-
9c · Net income from gaming
total $28,909 · excluded $28,909
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $348,899 · program services $348,899
-
2 · Grants to domestic individuals
total $19,500 · program services $19,500
-
11f · Fees: investment management
total $2,688 · management and general $2,688
-
13 · Office expenses
total $13,089 · program services $9,269 · management and general $3,820
-
14 · Information technology
total $6,416 · management and general $6,416
-
17 · Travel
total $1,227 · program services $613 · management and general $307 · fundraising $307
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $343,589 · end of year $423,536
-
3 · Pledges and grants receivable
beginning of year $100,000 · end of year $109,999
-
11 · Investments: publicly traded securities
beginning of year $640,452 · end of year $725,117
-
17 · Accounts payable and accrued expenses
beginning of year $193
-
27 · Net assets without donor restrictions
beginning of year $77,860 · end of year $86,596
-
28 · Net assets with donor restrictions
beginning of year $1,005,988 · end of year $1,172,056
Mission and programs · 2023
Mission
TO SECURE FUNDS FOR THE BENEFIT OF JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL'S EFFORTS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITIES.
Activities or mission (Part I)
SEE SCHEDULE O FOR THE MISSION STATEMENT
-
JTD HOSPITAL FOUNDATION COORDINATES THE FUNDRAISING ACTIVITIES FOR JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL. DURING 2023, THE FOUNDATION ACCEPTED AND ADMINISTERED DONATIONS FOR 20 DIFFERENT PROJECTS/FUNDS.
Expenses $204,313 · Grants $194,431
-
THE FOUNDATION SEEKS FUNDS FOR SCHOLARSHIPS AND AWARDED $19,500 TO STUDENTS IN THE SURROUNDING COMMUNITIES TO HELP ASSURE AN ADEQUATE SUPPLY OF HEALTH CARE PROFESSIONALS.
Expenses $19,500 · Grants $19,500
-
GRAND LAKE HEALTH SYSTEM RECOGNIZES THE NEED FOR QUALITY END OF LIFE CARE BOTH FOR PATIENTS AND THEIR FAMILIES. THE FOUNDATION RAISED OVER $165,000 TO ASSIST GRAND LAKE HEALTH SYSTEM TO CONTINUE PROVIDING HOSPICE SERVICE TO THE COMMUNITY. OF THIS AMOUNT, $154,000 WAS USED IN 2023 TO HELP SUPPORT THE HOSPICE PROGRAM.
Expenses $154,468 · Grants $154,468
As filed on the 2023 return.
Listed in Part VII
-
Diane PiehlDIANE PIEHL
DIRECTOR
- Total calculated
- $19,540
- From this org
- $0
- From related orgs
- $13,575
- Other
- $5,965
- Hours/week
- 1
-
Dan BurkeDAN BURKE
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Beverly WilkerBEVERLY WILKER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Jon DerryberryJON DERRYBERRY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Major BernholdMAJOR BERNHOLD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Steve HartwigSTEVE HARTWIG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Tim QuellhorstTIM QUELLHORST
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Bruce SwongerBRUCE SWONGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Linda VogelLINDA VOGEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
John Wilding DoJOHN WILDING DO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Tanya TempleTANYA TEMPLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Larry HammondLARRY HAMMOND
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia BerningCYNTHIA BERNING
PRESIDENT
- Total calculated
- $513,263
- From this org
- $0
- From related orgs
- $475,591
- Other
- $37,672
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $439,906 related
- Bonus
- $0 + $35,685 related
- Other
- $0
- Deferred
- $0 + $6,000 related
- Nontaxable benefits
- $0 + $31,672 related
- Filer's total
- $0 + $513,263 related
-
Tricia PohlTRICIA POHL
TREASURER
- Total calculated
- $283,632
- From this org
- $0
- From related orgs
- $228,874
- Other
- $54,758
- Hours/week
- 1 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $222,874 related
- Bonus
- $0 + $6,000 related
- Other
- $0
- Deferred
- $0 + $24,248 related
- Nontaxable benefits
- $0 + $30,510 related
- Filer's total
- $0 + $283,632 related
-
Julie JacobsJULIE JACOBS
SECRETARY
- Total calculated
- $125,836
- From this org
- $0
- From related orgs
- $86,740
- Other
- $39,096
- Hours/week
- 35 + 10 related
-
Kevin HarlanKEVIN HARLAN
FORMER PRESIDENT
- Total calculated
- $199,767
- From this org
- $0
- From related orgs
- $199,767
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $199,767 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $199,767 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
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- KEVIN HARLAN, THE FORMER PRESIDENT, HAS RECEIVED A PAYOUT FROM THE NON QUALIFIED RETIREMENT PLAN OF $199,767 IN THE CURRENT YEAR DUE TO HIS DEPARTURE FROM JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL. THE PLAN IS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MAINTAINED BY A RELATED ORGANIZATION FOR KEY EMPLOYEES OF THE RELATED ORGANIZATION. THERE IS AN INCENTIVE BONUS PLAN AND A PRODUCTION COMPENSATION PLAN. VESTING HAPPENS OVER A 5 YEAR TIME FRAME IF THE CONTRIBUTION WAS MADE TO THE PRODUCTION COMPENSATION PLAN. THERE ARE CERTAIN CIRCUMSTANCES WHERE A PARTICIPANT WILL FORFEIT ANY AND ALL OF THE COMPANY CONTRIBUTIONS MADE INTO THE PLAN INCLUDING ENGAGING IN ACTIVITIES WHICH ARE DEEMED TO BE SIGNIFICANTLY COMPETITIVE WITH THE COMPANY WITHIN A 50 MILE RADIUS OF ANY EXISTING OFFICE, IF IT IS DEEMED THE PARTICIPANT ACTED IN A DISHONEST WAY, BREACHES HIS OR HER FIDUCIARY OBLIGATIONS, CONVICTED OF A FELONY INVOLVING SIGNIFICANT MORAL TURPITUDE, OR OTHER ACTS WHICH WOULD CAUSE THE COMPANY SUBSTANTIAL HARM.
- PART I, LINE 3:
- COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY A RELATED ORGANIZATION AND INCLUDES USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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
-
GENERAL SUPPORT TO FURTHER HEALTHCARE OF THE COMMUNITY
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.
-
JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL
501(C)(3) · HEALTH CARE SERVICES · OH
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.
-
JTDMH PAIN MANAGEMENT LLC
PAIN MANAGEMENT · OH
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
JTDM FAMILY PRACTICE INC
C · PHYSICIANS PROVIDING MEDICAL SERVICES · OH · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 28 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443039349301704
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