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Nonprofiteer
← JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

Form 990 for tax year 2024

Filed by JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL.

Totals

Total revenue
$107,691,133
Total expenses
$100,128,268
Contributions and grants received
$867,808
Grants paid
$82,900
Program service revenue
$104,795,277
Investment income
$994,483
Other revenue
$1,033,565
Total assets, end of year
$87,877,038
Total liabilities, end of year
$31,544,789
Net assets or fund balances, end of year
$56,332,249
Program services expenses (Part IX)
$81,025,894
Management and general expenses
$18,940,437
Fundraising expenses
$161,937
Program service expenses (Part III)
$81,025,894

Program services were 80.9% 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.

  • 1d · Related organizations

    $401,331

  • 1e · Government grants (contributions)

    $466,477

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $104,677,068 · related or exempt $104,677,068

  • 2b · Program service revenue: PASSTHROUGH INCOME

    total $118,209 · related or exempt $118,209

  • 3 · Investment income

    total $981,648 · excluded $981,648

  • 6a · Gross rents

    real property $935,986

  • 6b · Less rental expenses

    real property $507,161

  • 6c · Rental income or loss

    real property $428,825

  • 6d · Net rental income or loss

    total $428,825 · unrelated business -$13,404 · excluded $442,229

  • 7a · Gross sales of assets other than inventory

    other assets $17,571

  • 7b · Less cost or other basis and sales expenses

    other assets $4,736

  • 7c · Gain or loss

    other assets $12,835

  • 7d · Net gain or loss

    total $12,835 · excluded $12,835

  • 11a · Other revenue: CAFETERIA AND VENDING SALES

    total $446,118 · excluded $446,118

  • 11b · Other revenue: HPSA INCENTIVES

    total $56,047 · related or exempt $56,047

  • 11c · Other revenue: OUTREACH

    total $55,435 · related or exempt $55,435

  • 11d · All other revenue

    total $47,140 · related or exempt $15,484 · unrelated business $24,629 · excluded $7,027

  • 11e · Other revenue, total

    $604,740

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $82,900 · program services $82,900

  • 5 · Compensation of officers, directors and key employees

    total $2,008,314 · management and general $2,008,314

  • 7 · Other salaries and wages

    total $23,037,024 · program services $19,516,697 · management and general $3,421,159 · fundraising $99,168

  • 8 · Pension plan contributions

    total $1,060,995 · program services $898,234 · management and general $158,271 · fundraising $4,490

  • 9 · Other employee benefits

    total $10,955,154 · program services $8,706,311 · management and general $2,205,262 · fundraising $43,581

  • 10 · Payroll taxes

    total $2,124,807 · program services $1,660,583 · management and general $455,923 · fundraising $8,301

  • 11b · Fees: legal

    total $114,222 · management and general $114,222

  • 11c · Fees: accounting

    total $144,020 · management and general $144,020

  • 11f · Fees: investment management

    total $68,898 · management and general $68,898

  • 11g · Fees: other

    total $27,267,095 · program services $23,244,491 · management and general $4,018,335 · fundraising $4,269

  • 12 · Advertising and promotion

    total $231,597 · program services $19,756 · management and general $211,841

  • 13 · Office expenses

    total $3,557,226 · program services $2,074,675 · management and general $1,481,294 · fundraising $1,257

  • 16 · Occupancy

    total $8,062,660 · program services $4,160,447 · management and general $3,902,213

  • 17 · Travel

    total $141,741 · program services $130,958 · management and general $9,912 · fundraising $871

  • 19 · Conferences, conventions and meetings

    total $647,531 · program services $579,766 · management and general $67,765

  • 20 · Interest

    total $449,901 · management and general $449,901

  • 22 · Depreciation, depletion and amortization

    total $4,093,783 · program services $3,602,529 · management and general $491,254

  • 23 · Insurance

    total -$390,685 · management and general -$390,685

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $11,193,043 · program services $11,186,548 · management and general $6,495

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $5,135,706 · program services $5,135,706

  • 24c · Other expenses: PHYSICIAN RECRUITMENT

    total $48,108 · management and general $48,108

  • 24d · Other expenses: AWARDS & RECOGNITION

    total $22,770 · management and general $22,770

  • 24e · All other expenses

    total $71,458 · program services $26,293 · management and general $45,165

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $355,882 · end of year $344,569

  • 2 · Savings and temporary cash investments

    beginning of year $16,992,626 · end of year $19,004,050

  • 4 · Accounts receivable

    beginning of year $15,762,956 · end of year $16,491,239

  • 8 · Inventories for sale or use

    beginning of year $1,494,730 · end of year $1,497,138

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,252,750 · end of year $1,745,824

  • 10a · Land, buildings and equipment: cost or other basis

    $105,685,614

  • 10b · Land, buildings and equipment: accumulated depreciation

    $78,029,550

  • 10c · Land, buildings and equipment, net

    beginning of year $28,348,038 · end of year $27,656,064

  • 11 · Investments: publicly traded securities

    beginning of year $15,068,508 · end of year $16,349,760

  • 13 · Investments: program-related

    beginning of year $2,766,361 · end of year $3,190,053

  • 15 · Other assets

    beginning of year $2,224,379 · end of year $1,598,341

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,266,867 · end of year $6,901,868

  • 20 · Tax-exempt bond liabilities

    beginning of year $2,051,282 · end of year $7,953,014

  • 23 · Secured mortgages and notes payable

    beginning of year $6,496,557 · end of year $5,836,302

  • 25 · Other liabilities

    beginning of year $12,211,984 · end of year $10,853,605

  • 27 · Net assets without donor restrictions

    beginning of year $57,239,540 · end of year $56,332,249

Mission and programs · 2024

Mission

THE MISSION OF JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL IS TO OPTIMIZE THE HEALTH STATUS OF THOSE WE SERVE BY PROVIDING THE HIGHEST QUALITY, VALUE AND SERVICE WHILE REMAINING FINANCIALLY STRONG.VISION: TO BE: THE REGION'S LEADER AND PREFERRED CHOICE FOR HEALTHCARE; THE MOST DESIRED PLACE FOR EMPLOYMENT; THE RECOGNIZED SOURCE FOR HEALTH AND WELLNESS; AND THE COORDINATOR OF PATIENT SERVICES THAT EXCEED THE SCOPE OF OUR HEALTH SYSTEM.VALUES: COMPASSION - TO SERVE WITH DIGNITY, CONCERN, TRUST AND KINDNESS RESPECT - FOR OUR PATIENTS, FAMILIES, COMMUNITIES AND EACH OTHER STEWARDSHIP - MAKING THE BEST USE OF OUR HUMAN AND ECONOMIC RESOURCES SERVICE EXCELLENCE - ANTICIPATING CUSTOMER NEEDS, CONTINUOUSLY IMPROVING AND CONSISTENTLY EXCEEDING EXPECTATIONS COLLABORATION - TO WORK IN PARTNERSHIP, INTERNALLY AND EXTERNALLY, TO BETTER SERVE OUR COMMUNITIES WORKFORCE - TO VALUE AND RESPECT THE TALENTED, COMMITTED AND DIVERSE PEOPLE WHO MAKE UP OUR HEALTH SYSTEM

Activities or mission (Part I)

SEE SCHEDULE O FOR THE MISSION STATEMENT

  • GRAND LAKE HEALTH SYSTEM AND AFFILIATED HEALTH CENTERS ARE ORGANIZED AS A CHARITABLE, NON-PROFIT COMMUNITY HOSPITAL OFFERING A WIDE RANGE OF PRIMARY, ACUTE AND REHABILITATIVE SERVICES TO THE RESIDENTS OF THE GRAND LAKE REGION.THE ANCHOR OF GRAND LAKE HEALTH SYSTEM IS JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL (JTDMH) IN ST. MARYS OHIO. JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL OPENED ITS DOORS ON MAY 5, 1953 AND TODAY AS THE GRAND LAKE HEALTH SYSTEM, HAS GROWN TO A STATE-OF-THE-ART COMMUNITY HOSPITAL INCLUDING OVER 800 MEDICAL PROFESSIONALS, 200 + PHYSICIANS AND OVER 20 AFFILIATES.JTDMH IS LOCATED IN ST. MARYS (AUGLAIZE COUNTY), A RURAL SMALL-TOWN ENVIRONMENT DOMINATED BY AGRICULTURE AND MANUFACTURING. JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL'S CORE SERVICE AREA OF ST. MARYS, MINSTER, NEW BREMEN AND NEW KNOXVILLE ZIP CODES INCLUDES A POPULATION OF 24,700 WITH THE ADJACENT COMMUNITIES OF CELINA (ZIP CODE POPULATION OF 19,945) AND WAPAKONETA (POPULATION 17,974) ALSO BEING SERVED BY THE HOSPITAL. THE ABOVE COMMUNITIES ACCOUNT FOR OVER 80% OF JTDMH'S PATIENTS. THOSE ZIP CODES HAVE A TOTAL POPULATION OF 62,619 WITH 20% IN THE MEDICARE AGE GROUP (65+).JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL PROVIDES A FULL RANGE OF ACUTE AND OUTPATIENT SERVICES INCLUDING A 24-HOUR EMERGENCY ROOM AND OBSTETRICAL SERVICE. MAJOR SERVICES INCLUDE SURGICAL; MEDICAL; SKILLED NURSING UNIT; INPATIENT REHABILITATION UNIT; GERIATRIC PSYCHIATRIC UNIT; ICU/CCU; DIAGNOSTIC RADIOLOGY INCLUDING CT, MRI AND 3D MAMMOGRAPHY; PHYSICAL THERAPY; OCCUPATIONAL MEDICINE; CARDIAC SERVICES; URGENT CARE; HOME HEALTH SERVICES; HOSPICE; WOUND CARE; HEARTBURN CENTER AND VEIN CLINIC SERVICES.THE GRAND LAKE SYSTEM COMMUNITY OUTREACH DEPARTMENT OFFERS A VARIETY OF OUTREACH PROGRAMS THAT PROMOTE GOOD HEALTH AMONG ALL AREA CITIZENS NOT JUST PATIENTS. THE GOAL IS TO EDUCATE PEOPLE SO THEY GAIN THE SKILLS AND KNOWLEDGE TO KEEP THEMSELVES AND THOSE AROUND THEM HEALTHY. MANY OF THE CLASSES, SERVICES, AND PROGRAMS HAVE EVOLVED FROM A SUGGESTION BY A HEALTHCARE PROVIDER OR LOCAL RESIDENT. THE OUTREACH DEPARTMENT OFFERS HUNDREDS OF PROGRAMS A YEAR RANGING FROM BLOOD PRESSURE SCREENINGS, SUPPORT GROUPS, SCHOOL PROGRAMS, AND COMMUNITY HEALTH FAIRS TO NAME A FEW. DURING 2024, JTDMH PROVIDED SERVICES TO THE FOLLOWING, BY CATEGORY:ACUTE PATIENTS ADMITTED: 1,631SNF PATIENTS ADMITTED: 103GERIATRIC PSYCH PATIENTS ADMITTED: 216BIRTHS: 291OUTPATIENT VISITS: 77,710 E.R. VISITS: 12,019HOME HEALTH VISITS: 3,899OCCUPATIONAL HEALTH VISITS: 10,605URGENT CARE VISITS: 6,146JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL AND GRAND LAKE HEALTH SYSTEM IS THE HUB OF THE LOCAL HEALTH CARE DELIVERY SYSTEM IN ST. MARYS AND SURROUNDING COMMUNITIES. THE NON-PROFIT COMMUNITY HOSPITAL ALSO HAS A MAJOR ECONOMIC IMPACT ON THE LOCAL COMMUNITY BY PROVIDING EMPLOYMENT TO APPROXIMATELY 700 INDIVIDUALS. THE GRAND LAKE HEALTH SYSTEM INCLUDES PHYSICIAN PRACTICES AND FACILITIES IN CELINA, ST. MARYS, WAPAKONETA, AND MINSTER. IN 2024, THESE PRACTICES HAD 98,836 PATIENT VISITS.GRAND LAKE AFFILIATES INCLUDE: AUGLAIZE + MERCER GENERAL & BARIATRIC SURGERY AUGLAIZE + MERCER GENERAL SURGERY CIAO MED SPA CLEAR PASSAGE GERIATRIC PSYCHIATRIC CENTER GRAND LAKE FAMILY PRACTICE & PEDIATRICS GRAND LAKE FOOT & ANKLE CENTER GRAND LAKE HEARTBURN CENTER GRAND LAKE HOME HEALTH GRAND LAKE HOSPICE GRAND LAKE NEUROLOGICAL CENTER GRAND LAKE OB/GYN GRAND LAKE OCCUPATIONAL MEDICINE GRAND LAKE PEDIATRICS GRAND LAKE PRIMARY CARE AT ST. MARYS GRAND LAKE REHAB & WELLNESS CENTER GRAND LAKE SLEEP CENTER GRAND LAKE UROLOGY JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL JTDMH INPATIENT REHAB UNIT JTDMH TRANSITIONAL CARE UNIT KEMMLER ORTHOPAEDIC MARIA STEIN FAMILY PRACTICE MIAMI & ERIE FAMILY PRACTICE & PEDIATRICS MOR REHAB NEW DAY PAIN MANAGEMENT CENTER URGENT CARE AT JTDMH VANAN ENT & SINUS CENTER WAPAKONETA PRIMARY CAREWE HAVE INVESTED SIGNIFICANTLY IN THE BUILDING DURING THE PAST TEN YEARS INCLUDING COMPLETING A NEW WOMEN'S CENTER, LABORATORY, WOUND CARE CENTER WITH TWO HYPERBARIC CHAMBERS, A NEUROLOGY CENTER, SLEEP CENTER, MIAMI & ERIE MEDICAL CENTER IN MINSTER, AND A NEW OUTPATIENT CENTER RENOVATION. IN CONJUNCTION WITH PREMIER HEALTH, GRAND LAKE HEALTH SYSTEM ENTERED INTO A TEN-YEAR NAMING RIGHTS PARTNERSHIP WITH THE AUGLAIZE MERCER FAMILY YMCA LOCATED IN MINSTER & CELINA. THIS PARTNERSHIP FOCUSES ON MEETING THE NEEDS OF THOSE SERVED BY EXTENDING THE MUTUAL MISSION TO BUILD HEALTHY COMMUNITIES.JTDMH RECEIVED THE FOLLOWING CERTIFICATIONS AND WAS THE RECIPIENT OF THE FOLLOWING AWARDS IN THE PAST THREE YEARS. ACUTE CARE 2023 DNV HEART FAILURE CERTIFICATION 2024 DNV HEART FAILURE CERTIFICATIONBIRTHING CENTER 2022 OHIO FIRST STEPS FOR HEALTHY BABIES, FOUR STAR AWARD 2023 BLUE DISTINCTION CENTER + FOR MATERNITY CARE 2024 OHIO FIRST STEPS FOR HEALTHY BABIES, FOUR STAR AWARD 2024 FIRST STEPS FOR HEALTHY BABIES BRONZE LEVEL FATHER/PARTNER ENGAGEMENT AWARD 2024 GOLD SAFE SLEEP CERTIFICATIONCARDIAC REHAB 2023 AACVPR CARDIAC REACCREDITATIONCHAMBER AWARDS 2023 NON PROFIT ORGANIZATION OF THE YEARCOMMUNITY OUTREACH AWARDS 2023 AWARDED WAPAKONETA AREA COMMUNITY FOUNDATION GRANT FOR 2023 GRAND HEALTH CHALLENGE 2024 AWARDED WAPAKONETA AREA COMMUNITY FOUNDATION GRANT FOR 2024 GRAND HEALTH CHALLENGEDIABETIC EDUCATION & CLINICAL NUTRITION2023-2027 OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, CERTIFICATE OF RECOGNITION FOR MEETING NATIONAL STANDARDS, FROM AMERICAN DIABETES ASSOCIATION (CONTINUED RECOGNITION SINCE 2008) 2019-2024 CDC FULL RECOGNITION FOR DIABETES PREVENTION PROGRAM EMERGENCY DEPARTMENT 2022 DNV ACUTE STROKE READY CERTIFICATION 2023 DNV ACUTE STROKE READY CERTIFICATION 2023 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR EMERGENCY CARE Q12023, Q22023 & Q32023 PREMIER HEALTH DOOR TO NEEDLE CHALLENGE 2024 DNV ACUTE STROKE READY CERTIFICATION 2024 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR EMERGENCY CARE INPATIENT PSYCHIATRIC CENTER 2022 HORIZON HEALTH CLINICAL PROGRAM OF THE YEAR 2023 REBRANDED AND CHANGED NAME TO INPATIENT PSYCHIATRIC SERVICES 2024 HORIZON HEALTH CLINICAL EXCELLENCE AWARDHOME HEALTH & HOSPICE AWARDS 2022 CMS COMPARE QUALITY REFRESH REPORT FOR GRAND LAKE HOSPICE 5 STARS 2023 NATIONAL BEST PRACTICE AGENCY BY WELLSKY 2024 NATIONAL BEST PRACTICE AGENCY BY WELLSKYMEDICAL IMAGING 2022-2025 ACR REACCREDITATION IN MRI 2022-2025 ACR REACCREDITATION IN CT 2024-2028 ACR REACCREDITATION FOR 3D MAMMOGRAPHY MEDICARE 5 STAR RATED HOSPITAL2022 MEDICARE 5 STAR RATED HOSPITAL2023 MEDICARE 5 STAR RATED HOSPITALNEW VISION MEDICAL LABORATORY 2021-2023 RECERTIFICATION BY ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) 2023-2025 RECERTIFICATION BY ACHCOHIO DEPARTMENT OF HEALTH - HEALTHY WORKSITE AWARDS 2022 HEALTHY WORKSITE PLATINUM AWARD 2023 HEALTHY WORKSITE PLATINUM AWARD 2024 HEALTHY WORKSITE GOLD AWARDQUALITY 2023 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR PATIENT SAFETY 2024 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR PATIENT SAFETYSURGERY CENTER 2022 ROBOTIC- SURGERY PROGRAMTRANSITIONAL CARE UNIT 2022 5-STAR MEDICARE COMPARE FACILITY 2023 5-STAR MEDICARE COMPARE FACILITY 2024 4-STAR MEDICARE COMPARE FACILITY WOUND CARE CENTER 2022 ROBERT A WARRINER III, CLINICAL EXCELLENCE AWARD 2022 CENTER OF DISTINCTION AWARD 2023 ROBERT A WARRINER III, MD CENTER OF EXCELLENCE AWARD 2023 CENTER OF DISTINCTION AWARD 2024 ROBERT A WARRINER III, CLINICAL EXCELLENCE AWARD 2024 CENTER OF DISTINCTION AWARDWELCOMED THE FOLLOWING PROVIDERS IN 2024:KEVIN JACKSON, PA-CKATHLEEN HEITKAMP, APRN/CNPKATHRYN BRUNS, APRN/CNPJESSICA WUEBKER, APRN/CNP

    Expenses $81,025,894 · Grants $82,900 · Revenue $104,950,340

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jeffrey Squire

    CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Randall Niekamp

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1.5
  • Claudia Coe

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ken Fox

    DIRECTOR

    Total calculated
    $4,200
    From this org
    $4,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Issac Hoying

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Christopher Stucke

    DIRECTOR

    Total calculated
    $556,085
    From this org
    $0
    From related orgs
    $498,163
    Other
    $57,922
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,563 related
    Bonus
    $0 + $7,600 related
    Other
    $0
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $34,922 related
    Filer's total
    $0 + $556,085 related
  • Chris Schroer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Wally Wagner

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Brian Schlosser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Cynthia Berning

    PRESIDENT

    Total calculated
    $546,005
    From this org
    $350,045
    From related orgs
    $156,384
    Other
    $39,576
    Hours/week
    24 + 21 related

    Schedule J breakdown matched by us

    Base
    $321,251 + $139,384 related
    Bonus
    $28,794 + $17,000 related
    Other
    $0
    Deferred
    $6,000
    Nontaxable benefits
    $33,576
    Filer's total
    $389,621 + $156,384 related
  • Tricia Pohl

    TREASURER

    Total calculated
    $285,488
    From this org
    $227,871
    From related orgs
    $0
    Other
    $57,617
    Hours/week
    38 + 7 related

    Schedule J breakdown matched by us

    Base
    $220,871
    Bonus
    $7,000
    Other
    $0
    Deferred
    $24,191
    Nontaxable benefits
    $33,426
    Filer's total
    $285,488
  • Leslie Wobler

    SECRETARY

    Total calculated
    $106,068
    From this org
    $70,286
    From related orgs
    $0
    Other
    $35,782
    Hours/week
    30 + 10 related
  • Lana Hinders

    CHIEF CLINICAL OFFICER

    Total calculated
    $264,482
    From this org
    $208,711
    From related orgs
    $0
    Other
    $55,771
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $202,711
    Bonus
    $6,000
    Other
    $0
    Deferred
    $22,413
    Nontaxable benefits
    $33,358
    Filer's total
    $264,482
  • Tyler Kroeger

    VP OF OPERATIONS

    Total calculated
    $217,119
    From this org
    $177,810
    From related orgs
    $0
    Other
    $39,309
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $171,810
    Bonus
    $6,000
    Other
    $0
    Deferred
    $6,000
    Nontaxable benefits
    $33,309
    Filer's total
    $217,119
  • Holly Jacomet

    VP OF QUALITY & PHYS. PRACTICES

    Total calculated
    $185,252
    From this org
    $180,457
    From related orgs
    $0
    Other
    $4,795
    Hours/week
    22.5 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $174,457
    Bonus
    $6,000
    Other
    $0
    Deferred
    $3,720
    Nontaxable benefits
    $1,075
    Filer's total
    $185,252
  • Shelly Ruppert

    ED OF HUMAN RESOURCES

    Total calculated
    $228,937
    From this org
    $176,526
    From related orgs
    $0
    Other
    $52,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,526
    Bonus
    $3,000
    Other
    $0
    Deferred
    $19,154
    Nontaxable benefits
    $33,257
    Filer's total
    $228,937
  • Amy Dirksen

    ED OF SPECIALTY CARE SERVICES

    Total calculated
    $204,509
    From this org
    $155,019
    From related orgs
    $0
    Other
    $49,490
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,019
    Bonus
    $0
    Other
    $0
    Deferred
    $16,292
    Nontaxable benefits
    $33,198
    Filer's total
    $204,509
  • Lesia Arnett

    ED DEVELOPMENT, MARKETING

    Total calculated
    $190,137
    From this org
    $152,222
    From related orgs
    $0
    Other
    $37,915
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,222
    Bonus
    $3,000
    Other
    $0
    Deferred
    $4,694
    Nontaxable benefits
    $33,221
    Filer's total
    $190,137
  • Lori Miller

    CHIEF OF INFORMATION SERVICES

    Total calculated
    $189,846
    From this org
    $143,642
    From related orgs
    $0
    Other
    $46,204
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,642
    Bonus
    $0
    Other
    $0
    Deferred
    $13,026
    Nontaxable benefits
    $33,178
    Filer's total
    $189,846
  • Sara Mosler

    PHARMACIST

    Total calculated
    $177,340
    From this org
    $130,368
    From related orgs
    $0
    Other
    $46,972
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,368
    Bonus
    $0
    Other
    $0
    Deferred
    $13,835
    Nontaxable benefits
    $33,137
    Filer's total
    $177,340
  • Kevin Harlan

    FORMER PRESIDENT

    Total calculated
    $234,664
    From this org
    $234,664
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $234,664
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $234,664

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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 1A
JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL PROVIDES A PORTION OF YMCA DUES TO THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES; HOWEVER, THIS IS AN EMPLOYEE BENEFIT AVAILABLE TO ALL ELIGIBLE EMPLOYEES OF JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL TO PROMOTE COMMUNITY WELLNESS (ONE OF THE PEOPLE LISTED IN PART VII, SECTION A, LINE 1A RECEIVED THIS BENEFIT). THE YMCA DUES WERE NOT INCLUDED IN THE RECIPIENT'S COMPENSATION.
PART I, LINE 4B
KEVIN HARLAN, THE FORMER PRESIDENT, HAS RECEIVED A PAYOUT FROM THE NON QUALIFIED RETIREMENT PLAN OF $234,664 IN THE CURRENT YEAR DUE TO HIS DEPARTURE FROM JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL. THE PLAN IS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH INCLUDES AN INCENTIVE BONUS COMPONENT, MAINTAINED BY A RELATED ORGANIZATION FOR KEY EMPLOYEES OF THE RELATED ORGANIZATION. THE VESTING SCHEDULE FOR EACH PARTICIPANT IS DETERMINED BY THE TERMS OF THEIR INDIVIDUAL EMPLOYMENT CONTRACTS. 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 7
EMPLOYEE'S BONUSES ARE DETERMINED AT THE DISCRETION OF THE PRESIDENT.

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.

  • JTD HOSPITAL FOUNDATION

    501(C)(3) · TO RAISE FUNDS FOR JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL. · OH · controlled entity

    Directly controlled by JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

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

    RELATED · PAIN MANAGEMENT SERVICES · OH · 51% owned · share of income $28,711 · share of assets $230,262 · general or managing partner

    Directly controlled by JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

Related corporations and trusts

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

  • JTDM FAMILY PRACTICE LLC

    C · PHYSICIANS PROVIDING MEDICAL SERVICES · OH · 100% owned · share of income -$9,187,862 · share of assets $9,296,795 · controlled entity

    Directly controlled by JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.2
Source object
202503219349313965

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