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 SquireJEFFREY SQUIRE
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Randall NiekampRANDALL NIEKAMP
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1.5
-
Claudia CoeCLAUDIA COE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ken FoxKEN FOX
DIRECTOR
- Total calculated
- $4,200
- From this org
- $4,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Issac HoyingISSAC HOYING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Christopher StuckeCHRISTOPHER 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 SchroerCHRIS SCHROER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Wally WagnerWALLY WAGNER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Brian SchlosserBRIAN SCHLOSSER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia BerningCYNTHIA 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 PohlTRICIA 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 WoblerLESLIE WOBLER
SECRETARY
- Total calculated
- $106,068
- From this org
- $70,286
- From related orgs
- $0
- Other
- $35,782
- Hours/week
- 30 + 10 related
-
Lana HindersLANA 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 KroegerTYLER 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 JacometHOLLY 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 RuppertSHELLY 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 DirksenAMY 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 ArnettLESIA 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 MillerLORI 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 MoslerSARA 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 HarlanKEVIN 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
-
$30,000
ST MARYS ATHLETIC COMPLEX
-
$25,000
YMCA ANNUAL FUND DRIVE DONATION
-
$25,000
GLHS VOLUNTEERS DONATION TO SUPPORT THE FOUNDATION
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.
-
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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