JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL (EIN 34-1623770)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202433189349303613
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T09:43:34-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	341623770	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOINT TOWNSHIP DISTRICT	BusinessNameLine1Txt
Business Name Line2	MEMORIAL HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	JOIN	BusinessNameControlTxt
Phone	4193943387	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR STREET	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRICIA A POHL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4193943387	PhoneNum
Signature	2024-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2024-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND LAKE HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TRICIA POHL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR STREET	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$103,430,934	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRANDLAKEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O FOR THE MISSION STATEMENT	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	797	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	-$101	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,213	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$751,504	PYContributionsGrantsAmt
CY Contributions Grants	$1,542,114	CYContributionsGrantsAmt
PY Program Service Revenue	$98,185,957	PYProgramServiceRevenueAmt
CY Program Service Revenue	$99,620,274	CYProgramServiceRevenueAmt
PY Investment Income	$391,544	PYInvestmentIncomeAmt
CY Investment Income	$808,832	CYInvestmentIncomeAmt
PY Other Revenue	$949,625	PYOtherRevenueAmt
CY Other Revenue	$887,961	CYOtherRevenueAmt
PY Total Revenue	$100,278,630	PYTotalRevenueAmt
CY Total Revenue	$102,859,181	CYTotalRevenueAmt
PY Grants And Similar Paid	$95,450	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$75,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$33,243,264	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$36,376,772	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$150,838	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,419,123	PYOtherExpensesAmt
CY Other Expenses	$60,018,456	CYOtherExpensesAmt
PY Total Expenses	$90,757,837	PYTotalExpensesAmt
CY Total Expenses	$96,470,628	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,520,793	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,388,553	CYRevenuesLessExpensesAmt
Total Assets BOY	$86,269,366	TotalAssetsBOYAmt
Total Assets EOY	$85,266,230	TotalAssetsEOYAmt
Total Liabilities BOY	$28,893,218	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,026,690	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$57,376,148	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$57,239,540	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$75,585,957	ExpenseAmt
Grant	$75,400	GrantAmt
Revenue	$99,741,139	RevenueAmt
Desc	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 24,600 WITH THE ADJACENT COMMUNITIES OF CELINA (ZIP CODE POPULATION OF 20,484) AND WAPAKONETA (POPULATION 18,438) 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 63,522 WITH 19% 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, OCCUPATIONAL, AND SPEECH 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 2023, JTDMH PROVIDED SERVICES TO THE FOLLOWING BY CATEGORY:ACUTE PATIENTS ADMITTED: 1,656SNF PATIENTS ADMITTED: 90INPATIENT PSYCH PATIENTS ADMITTED: 177BIRTHS: 323OUTPATIENT VISITS: 79,286 E.R. VISITS: 11,979HOME HEALTH VISITS: 4,972OCCUPATIONAL HEALTH VISITS: 10,349URGENT CARE VISITS: 6,374JOINT 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 800 INDIVIDUALS. THE GRAND LAKE HEALTH SYSTEM INCLUDES PHYSICIAN PRACTICES AND FACILITIES IN CELINA, ST. MARYS, WAPAKONETA, AND MINSTER. IN 2023, THESE PRACTICES HAD 94,629 PATIENT VISITS.GRAND LAKE AFFILIATES INCLUDE: JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL GRAND LAKE FAMILY PRACTICE & PEDIATRICS AT THE CELINA MEDICAL CENTER WAPAKONETA PRIMARY CARE AT THE WAPAKONETA MEDICAL CENTER GRAND LAKE FOOT & ANKLE CENTER GRAND LAKE HOME HEALTH GRAND LAKE HOSPICE GRAND LAKE PRIMARY CARE AT ST. MARYS GRAND LAKE OB/GYN GRAND LAKE OCCUPATIONAL MEDICINE GRAND LAKE REHAB & WELLNESS CENTER GRAND LAKE HEARTBURN CENTER MIAMI & ERIE FAMILY PRACTICE & PEDIATRICS GRAND LAKE SLEEP CENTER NEW DAY PAIN MANAGEMENT CENTER GRAND LAKE NEUROLOGICAL CENTER VANAN ENT & SINUS CENTER JTDMH TRANSITIONAL CARE UNIT JTDMH INPATIENT REHAB UNIT AUGLAIZE + MERCER GENERAL & BARIATRIC SURGERY AUGLAIZE + MERCER GENERAL SURGERY URGENT CARE AT JTDMH INPATIENT PSYCHIATRIC CENTER CANCER CENTER OF NORTHWEST OHIO GRAND LAKE PEDIATRICS KEMMLER ORTHOPAEDIC MOR REHAB CIAO MED SPA MARIA STEIN FAMILY PRACTICE GRAND LAKE UROLOGYWE 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, THE MIAMI & ERIE MEDICAL CENTER IN MINSTER, AND COMPLETE MODERIZATION OF THE HOSPITAL ELEVATORS. 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 CERTIFICATIONBIRTHING CENTER 2021 ANTHEM BLUE DISTINCTION 2021 OHIO FIRST STEPS FOR HEALTHY BABIES, THREE STAR AWARD 2022 OHIO FIRST STEPS FOR HEALTHY BABIES, FOUR STAR AWARD 2023 BLUE DISTINCTION CENTER + FOR MATERNITY CARECARDIAC REHAB 2021 INTENSIVE CARDIAC REHAB NEW SERVICE 2023 AACVPR CARDIAC REACCREDITATIONCHAMBER AWARDS 2023 NON-PROFIT ORGANIZATION OF THE YEAROHIO DEPARTMENT OF HEALTH - HEALTHY WORKSITE AWARDS 2021 HEALTHY WORKSITE GOLD AWARD 2022 HEALTHY WORKSITE PLATINUM AWARD 2023 HEALTHY WORKSITE PLATINUM AWARDCOMMUNITY OUTREACH AWARDS 2023 AWARDED WAPAKONETA AREA COMMUNITY FOUNDATION GRANT FOR 2023 GRAND HEALTH CHALLENGE DIABETIC EDUCATION & CLINICAL NUTRITION 2021-2027 OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION PROGRAM, CERTIFICATE OF RECOGNITION FOR MEETING NATIONAL STANDARDS, FROM AMERICAN DIABETES ASSOCIATION (CONTINUED RECOGNITION SINCE 2008) 2021-2024 CDC FULL RECOGNITION FOR DIABETES PREVENTION PROGRAM EMERGENCY DEPARTMENT 2021 DNV ACUTE STROKE READY CERTIFICATION 2023 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR EMERGENCY CARE Q12023, Q22023 & Q32023 PREMIER HEALTH DOOR TO NEEDLE CHALLENGE WINNERINPATIENT PSYCHIATRIC CENTER 2021 ODMHAS SURVEY DEFICIENCY FREE SURVEY 2022 HORIZON HEALTH CLINICAL PROGRAM OF THE YEAR HOME HEALTH & HOSPICE AWARDS 2022 CMS COMPARE QUALITY REFRESH REPORT FOR GRAND LAKE HOSPICE 5 STARS 2023 NATIONAL BEST PRACTICE AGENCY BY WELLSKYMEDICAL IMAGING 2021 ACR REACCREDITATION IN MRI 2021 ACR REACCREDITATION IN CT 2021-2024 ACR ACCREDITATION IN 3D MAMMOGRAPHY 2022-2025 ACR REACCREDITATION IN MRI 2022-2025 ACR REACCREDITATION IN CTNEW VISION MEDICAL LABORATORY 2021 RECERTIFICATION BY HFAP 2021-2023 RECERTIFICATION BY ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC) 2023-2025 RECERTIFICATION BY ACHCPATIENT SAFETY 2023 WOMEN'S CHOICE AWARD BEST HOSPITAL FOR PATIENT SAFETYSLEEP 2021 AASM SLEEP CENTER REACCREDITATION TRANSITIONAL CARE UNIT 2021 5-STAR MEDICARE COMPARE FACILITY 2022 5-STAR MEDICARE COMPARE FACILITY 2023 5-STAR MEDICARE COMPARE FACILITYWOUND CARE CENTER 2021 ROBERT A WARRINER III, MD CENTER OF EXCELLENCE AWARD 2021 CENTER OF DISTINCTION AWARD 2021 PRESIDENT'S CIRCLE AWARD 2022 CENTER FOR DISTINCTION 2022 ROBERT A WARRINER III, MD CENTER OF EXCELLENCE AWARD 2023 ROBERT A WARRINER III, MD CENTER OF EXCELLENCE AWARD 2023 ROBERT A WARRINER III, MD CLINICAL EXCELLENCE AWARD 2023 ROBERT A WARRINER III, MD CENTER OF DISTINCTION AWARDWELCOMED THE FOLLOWING PROVIDERS IN 2023:WHITNEY CLARK, APRN/CNMAMANDA PERRY, APRN/AGACNP-BCKRISTA HUBER, PA-CALEXANDER MAST, D.O.JENNIFER OLIVER, APRN/FNP-CJAMES SCHWIETERMAN, M.D.	Desc
Total Program Service Expenses	$75,585,957	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	139	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	797	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRICIA A POHL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4193943387	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR ST	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RAJENDRA KAKARLA
DIRECTOR	15.00	0.00	Yes (X)	$41,208	$0	$0
CHRIS SHROER
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JEFFREY SQUIRE
VICE CHAIR	1.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
CLAUDIA COE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KEN FOX
DIRECTOR	1.00	0.00	Yes (X)	$4,200	$0	$0
ISSAC HOYING
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RANDALL NIEKAMP
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BRIAN SCHLOSSER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
WALLY WAGNER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CYNTHIA BERNING
PRESIDENT	24.00	21.00		$326,549	$149,042	$37,672	Yes (X)
TRICIA POHL
TREASURER	38.00	7.00		$228,874	$0	$54,758	Yes (X)
LESLIE WOBLER
SECRETARY	30.00	10.00		$70,308	$0	$32,843	Yes (X)
LANA HINDERS
CHIEF CLINICAL OFFICER	45.00	0.00		$203,738	$0	$52,010		Yes (X)
TYLER KROEGER
VP OF OPERATIONS	45.00	0.00		$171,123	$0	$36,433		Yes (X)
HOLLY JACOMET
VP OF QUALITY AND PHYSICIAN PRACTICES	22.50	22.50		$162,059	$0	$4,134		Yes (X)
SHELLY RUPPERT
ED OF HUMAN RESOURCES	40.00	0.00		$174,115	$0	$49,213			Yes (X)
AMY DIRKSEN
ED OF SPECIALTY CARE SERVICES	40.00	0.00		$155,282	$0	$46,540			Yes (X)
LESIA ARNETT
ED. OF DEVELOPMENT, MARKETING	40.00	0.00		$147,508	$0	$34,939			Yes (X)
LORI MILLER
CHIEF OF INFORMATION SERVICES	40.00	0.00		$139,533	$0	$42,860			Yes (X)
MARCUS BERGMAN
PHARMACIST	40.00	0.00		$138,569	$0	$36,013			Yes (X)
KEVIN HARLAN
FORMER PRESIDENT	0.00	0.00		$0	$199,767	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,963,066	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$348,809	TotReportableCompRltdOrgAmt
Total Other Compensation	$427,415	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	17	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EMERGENCY PHYSICIANS OF NW OHIO
PO BOX 351357	TOLEDO	OH	43635	MEDICAL SERVICES	$3,919,593
THERAPY SOLUTIONS
120 W MAIN ST	VAN WERT	OH	45891	MEDICAL SERVICES	$2,381,919
NEW VISION MEDICAL LABORATORIES INC
680 S FOURTH STREET	LOUISVILLE	KY	63150	MEDICAL SERVICES	$2,363,829
QUALIVIS LLC
PO BOX 123847	DALLAS	TX	75312	MEDICAL SERVICES	$1,465,314
LOCAL LOCUMS LLC
1713 MEADOWVIEW DR	CELINA	OH	45822	MEDICAL SERVICES	$1,206,314

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Related Organizations	$349,097	RelatedOrganizationsAmt
Government Grants	$1,188,587	GovernmentGrantsAmt
All Other Contributions	$4,430	AllOtherContributionsAmt
Total Contributions	$1,542,114	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621400	$99,469,903	$99,469,903
PASSTHROUGH INCOME	621400	$150,371	$150,371

Field	Value	IRS element (for citing)
Total Program Service Revenue	$99,620,274	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$827,047	TotalRevenueColumnAmt
Exclusion	$827,047	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$892,111	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$532,561	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$359,550	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$359,550	TotalRevenueColumnAmt
Unrelated Business Revenue	-$17,659	UnrelatedBusinessRevenueAmt
Exclusion	$377,209	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$20,977	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$39,192	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$18,215	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18,215	TotalRevenueColumnAmt
Exclusion	-$18,215	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA AND VENDING SALES	722514	$379,244	$379,244
HPSA INCENTIVES	621400	$65,754		$65,754
OUTREACH	621400	$41,597		$41,597

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,816	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,514	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,558	UnrelatedBusinessRevenueAmt
Exclusion	$10,744	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$528,411	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,859,181	TotalRevenueColumnAmt
Related Or Exempt Func Income	$99,741,139	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$101	UnrelatedBusinessRevenueAmt
Exclusion	$1,576,029	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$75,400	TotalAmt
Program Services	$75,400	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,424,871	TotalAmt
Management And General	$1,424,871	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$21,862,701	TotalAmt
Program Services	$17,920,555	ProgramServicesAmt
Management And General	$3,849,737	ManagementAndGeneralAmt
Fundraising	$92,409	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,119,408	TotalAmt
Program Services	$924,730	ProgramServicesAmt
Management And General	$190,055	ManagementAndGeneralAmt
Fundraising	$4,623	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,978,199	TotalAmt
Program Services	$7,908,218	ProgramServicesAmt
Management And General	$2,030,440	ManagementAndGeneralAmt
Fundraising	$39,541	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,991,593	TotalAmt
Program Services	$1,556,473	ProgramServicesAmt
Management And General	$427,339	ManagementAndGeneralAmt
Fundraising	$7,781	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$117,528	TotalAmt
Management And General	$117,528	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$98,050	TotalAmt
Management And General	$98,050	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$61,682	TotalAmt
Management And General	$61,682	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,036,691	TotalAmt
Program Services	$22,389,389	ProgramServicesAmt
Management And General	$3,643,647	ManagementAndGeneralAmt
Fundraising	$3,655	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$253,487	TotalAmt
Program Services	$16,242	ProgramServicesAmt
Management And General	$237,245	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,518,096	TotalAmt
Program Services	$1,913,647	ProgramServicesAmt
Management And General	$1,602,547	ManagementAndGeneralAmt
Fundraising	$1,902	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,910,458	TotalAmt
Program Services	$3,868,175	ProgramServicesAmt
Management And General	$4,042,283	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$142,882	TotalAmt
Program Services	$128,554	ProgramServicesAmt
Management And General	$13,401	ManagementAndGeneralAmt
Fundraising	$927	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$667,745	TotalAmt
Program Services	$567,472	ProgramServicesAmt
Management And General	$100,273	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$476,967	TotalAmt
Management And General	$476,967	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,415,101	TotalAmt
Program Services	$3,355,477	ProgramServicesAmt
Management And General	$1,059,624	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,074,827	TotalAmt
Management And General	$1,074,827	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$10,141,622	$10,141,622
BAD DEBT EXPENSE	$4,787,535	$4,787,535
PHYSICIAN RECRUITMENT	$142,374		$142,374
AWARDS AND RECOGNITION	$72,926		$72,926

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$100,485	TotalAmt
Program Services	$32,468	ProgramServicesAmt
Management And General	$68,017	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,470,628	TotalAmt
Program Services	$75,585,957	ProgramServicesAmt
Management And General	$20,733,833	ManagementAndGeneralAmt
Fundraising	$150,838	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$155,614	BOYAmt
EOY	$355,882	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,115,291	BOYAmt
EOY	$16,992,626	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,459,827	BOYAmt
EOY	$15,762,956	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,558,078	BOYAmt
EOY	$1,494,730	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,648,414	BOYAmt
EOY	$2,252,750	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$103,174,913	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$74,826,875	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,717,858	BOYAmt
EOY	$28,348,038	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$13,519,708	BOYAmt
EOY	$15,068,508	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,363,562	BOYAmt
EOY	$2,766,361	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,731,014	BOYAmt
EOY	$2,224,379	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$86,269,366	BOYAmt
EOY	$85,266,230	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,472,597	BOYAmt
EOY	$7,266,867	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,307,693	BOYAmt
EOY	$2,051,282	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,985,039	BOYAmt
EOY	$6,496,557	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,127,889	BOYAmt
EOY	$12,211,984	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,893,218	BOYAmt
EOY	$28,026,690	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,376,148	BOYAmt
EOY	$57,239,540	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$57,376,148	BOYAmt
EOY	$57,239,540	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$86,269,366	BOYAmt
EOY	$85,266,230	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,388,553	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,506,399	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,031,560	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,974	OtherActivitiesAmt
Total Lobbying Expenditures	$1,974	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LINE 1(G): EXECUTIVE OFFICERS OF JTD MEMORIAL HOSPITAL PLACED CALLS WITH THEIR LEGISLATORS TO HELP EDUCATE THE LEGISLATORS ON VARIOUS HEALTH CARE RELATED ISSUES. LINE 1(I): THE HOSPITAL PAID DUES TO OHA, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$184,631	BeginningYearBalanceAmt
Contributions	$10,017	ContributionsAmt
Investment Earnings Or Losses	$24,204	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,500	OtherExpendituresAmt
End Year Balance	$216,352	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$166,975	BeginningYearBalanceAmt
Contributions	$41,309	ContributionsAmt
Investment Earnings Or Losses	-$18,361	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,292	OtherExpendituresAmt
End Year Balance	$184,631	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,756	BeginningYearBalanceAmt
Contributions	$100,100	ContributionsAmt
Investment Earnings Or Losses	$4,119	InvestmentEarningsOrLossesAmt
End Year Balance	$166,975	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$63,135	BeginningYearBalanceAmt
Contributions	$100	ContributionsAmt
Investment Earnings Or Losses	$5,916	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,395	OtherExpendituresAmt
End Year Balance	$62,756	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,607	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,528	InvestmentEarningsOrLossesAmt
End Year Balance	$63,135	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,840,845	OtherCostOrOtherBasisAmt
Book Value	$1,840,845	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,407,015	OtherCostOrOtherBasisAmt
Depreciation	$46,678,367	DepreciationAmt
Book Value	$17,728,648	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,829,889	OtherCostOrOtherBasisAmt
Depreciation	$28,148,508	DepreciationAmt
Book Value	$8,681,381	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,164	OtherCostOrOtherBasisAmt
Book Value	$97,164	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$28,348,038	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY	$7,545,431
COST REPORT SETTLEMENT PAYABLE	$1,563,324
OTHER LONG TERM LIABILITIES	$919,520
LEASE LIABILITY	$2,183,709

Field	Value	IRS element (for citing)
Total Liability	$12,211,984	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	JTD HOSPITAL FOUNDATION, A RELATED ORGANIZATION, HOLDS THE NED & FERN JOHNS INPATIENT PSYCHIATRIC ENDOWMENT FUND AND THE HEINRICH FAMILY ENDOWMENT FUND. THE NED & FERN JOHNS INPATIENT PSYCHIATRIC ENDOWMENT FUND THE INTENTION OF THIS FUND IS TO SUPPORT SPECIALIZED SERVICES TO THE INPATIENT PSYCHIATRIC CENTER. THIS ENDOWMENT FUND MAY BE UTILIZED TO SUPPORT SPECIALIZED SERVICES INCLUDING BUT NOT LIMITED TO MUSIC THERAPY, ART THERAPY, EDUCATION FOR PATIENTS, FAMILIES, AND THE COMMUNITY, ONGOING EDUCATIONAL NEEDS OF THE INPATIENT PSYCHIATRIC STAFF RELATED TO THE TYPE OF CARE, PROVIDED ON THIS UNIT, AND SUPPLIES SPECIFIC FOR INPATIENT PSYCH PATIENTS SUCH AS WEIGHTED BLANKETS, SENSORY BOXES, FIDGET BOARDS, OR OTHER ACTIVITIES THAT PROVIDE A SAFE SUPPORTIVE ENVIRONMENT AIMED AT HELPING PATIENTS ACHIEVE THEIR OPTIMAL LEVEL OF FUNCTIONING. THE HEINRICH FAMILY ENDOWMENT FUND THE HEINRICH FAMILY ENDOWMENT FUND HAS BEEN ESTABLISHED TO PROVIDE FUTURE INCOME TO SUPPORT JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL'S EFFORTS TO MEET THE HEALTH CARE NEEDS OF OUR SURROUNDING COMMUNITIES. THE REQUEST FOR A GRANT MUST BE FOR AN ITEM OR SERVICE THAT WILL BENEFIT THE SAFETY, CARE, AND/OR COMFORT OF PATIENTS BEING CARED FOR BY JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL. REQUESTS FOR FUNDS MAY ALSO BE REQUESTED TO SUPPORT A COMMUNITY PARTNERSHIP INITIATIVE THAT RELATES TO A NEED IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	120.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	337	PersonsServedCnt
Total Community Benefit Expns	$158,182	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$158,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	9705	PersonsServedCnt
Total Community Benefit Expns	$10,361,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,255,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,106,117	NetCommunityBenefitExpnsAmt
Total Expense	0.05570	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	10042	PersonsServedCnt
Total Community Benefit Expns	$10,519,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,255,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,264,299	NetCommunityBenefitExpnsAmt
Total Expense	0.05740	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	68	ActivitiesOrProgramsCnt
Persons Served	26683	PersonsServedCnt
Total Community Benefit Expns	$722,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,829	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$718,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	64	PersonsServedCnt
Total Community Benefit Expns	$122,292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$122,292	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$71,947	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$42	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	639	PersonsServedCnt
Total Community Benefit Expns	$89,928	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,928	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	79	ActivitiesOrProgramsCnt
Persons Served	27386	PersonsServedCnt
Total Community Benefit Expns	$1,007,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,829	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,003,189	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	79	ActivitiesOrProgramsCnt
Persons Served	37428	PersonsServedCnt
Total Community Benefit Expns	$11,526,328	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,258,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,267,488	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$540	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$540	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	540	PersonsServedCnt
Total Community Benefit Expns	$18,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,681	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,681	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$10,374	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	227	PersonsServedCnt
Total Community Benefit Expns	$18,308	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	769	PersonsServedCnt
Total Community Benefit Expns	$50,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,344	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$4,787,535	BadDebtExpenseAmt
Bad Debt Expense Attributable	$14,131	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,948,791	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,107,780	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,158,989	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JTD MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 SAINT CLAIR STREET	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GRANDLAKEHEALTH.ORG	WebsiteAddressTxt
State License	STATE REG. NO. 1111	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	INPATIENT REHAB UNIT, TRANSITIONAL CARE UNIT, GERIATRIC PSYCH UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JTD MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	120.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
JTD MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: JTD MEMORIAL HOSPITAL CREATED A COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE THAT MET ON JUNE 23, 2022. PARTICIPANTS INCLUDED THE AUGLAIZE COUNTY HEALTH DEPARTMENT, THE MERCER COUNTY HEALTH DEPARTMENT, THE AUGLAIZE COUNTY COUNCIL ON AGING, ST. MARY'S CITY SCHOOLS, UNITED WAY, AND THE FOLLOWING GROUPS FROM JTD MEMORIAL HOSPITAL:- PATIENT CARE SERVICES- HOSPITAL FOUNDATION- GRAND LAKE HOME HEALTH/HOSPICE- EMPLOYED PHYSICIAN PRACTICES- COMMUNITY OUTREACH- ADMINISTRATIONPARTICIPANTS WERE PROVIDED A REPORT COMPILED BY AN INDEPENDENT CONSULTANT, WHICH DREW DATA FROM VARIOUS WEB SOURCES WITH BOTH AUGLAIZE AND MERCER COUNTY HEALTH INDICATORS AND HEALTH STATUS PROFILES FROM 2022. THERE WERE FIVE MAIN SOURCES FOR THIS DATA: OHIO DEPARTMENT OF DEVELOPMENT COUNTY PROFILES; OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE; COUNTY HEALTH RANKINGS AND ROADMAPS 2022; AUGLAIZE COUNTY COMMUNITY HEALTH ASSESSMENT 2021; AND GRAND LAKE HEALTH SYSTEM/JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL COMMUNITY HEALTH ASSESSMENT 2019. PARTICIPANTS REVIEWED ALL DATA AND INFORMATION TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPANTS IDENTIFIED THE HEALTH NEEDS OF THE COMMUNITY BY CONSIDERING THOSE REQUISITES FOR THE IMPROVEMENT OR MAINTENANCE OF HEALTH STATUS IN THE COMMUNITY USING ALL FACTS AND CIRCUMSTANCES PRESENTED. PARTICIPANTS CONSIDERED THE SEVERITY OF EACH NEED, EFFECTIVENESS OF INTERVENTION, HEALTH DISPARITIES ASSOCIATED WITH THE NEED, AND IMPORTANCE THE COMMUNITY PLACES ON ADDRESSING THE NEED.
JTD MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: AUGLAIZE COUNTY HEALTH DEPARTMENT, MERCER COUNTY HEALTH DEPARTMENT, AUGLAIZE COUNTY COUNCIL ON AGING, ST. MARY'S CITY SCHOOLS, UNITED WAY
JTD MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL, CONDUCTED AND ADOPTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEAR 2022 AND INTENDS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - SOCIAL DETERMINANTS OF HEALTH- ACCESS TO CARE- HEALTH BEHAVIORS TO ADDRESS OBESITY, HEART DISEASE, AND STROKE- MENTAL HEALTH AND ADDICTIONTHE 2022 CHNA WAS APPROVED BY THE BOARD ON DECEMBER 21ST, 2022. THE CORRESPONDING IMPLEMENTATION STRATEGY WAS ALSO APPROVED BY THE BOARD ON DECEMBER 21ST, 2022 AND IS EFFECTIVE FOR 2023 2025. THE FOLLOWING ACTIONS WERE TAKEN DURING THE 2023 TAXABLE YEAR ASSOCIATED WITH THE 2022 CHNA.SIGNIFICANT HEALTH NEED 1: SOCIAL DETERMINATES OF HEALTH (SDOH)-MAINTAIN GRAND LAKE RESOURCE GUIDE WITH LINKS TO SUPPORT HOUSING, TRANSPORTATION, AND NUTRITIONAL NEEDS: THE GUIDE IS UPDATED YEARLY AND IS AVAILABLE ON THE GLHS WEBSITE AS WELL AS DISTRIBUTED TO VARIOUS AREA AGENCIES. PROVIDE WELCOME PACKETS TO COMMUNITY MEMBERS IMPROVING ACCESS TO SERVICES.-IMPLEMENTED SCREENING OF INPATIENTS AND PHYSICIAN PRACTICE PATIENTS FOR SDOH: BEGAN SCREENING INPATIENTS MAY 3, 2023. GRAND LAKE PHYSICIAN PRACTICES (GLPP) BEGAN SCREENING PATIENTS IN JUNE 2022. SCREENING OF PSYCHIATRIC INPATIENTS BEGAN IN DECEMBER 2023.-RISK STRATIFICATION OF GLPP PATIENTS: A HEALTH EQUITY SUBCOMMITTEE WAS ESTABLISHED IN NOVEMBER 2023. EDUCATION WAS PROVIDED TO STAFF REGARDING PROVIDING CULTURALLY APPROPRIATE CARE.SIGNIFICANT HEALTH NEED 2: ACCESS TO CARE-PROVIDE HEALTH EDUCATION THROUGH HEALTH FAIRS, COUNTY FAIRS, SCHOOLS, AND EMPLOYERS: 212 COMMUNITY EDUCATION EVENTS WERE HELD IN 2023. 102 COMMUNITY OUTREACH SERVICE EVENTS. 40 SPEAKER EVENTS. THE EVENTS WERE ABLE TO IMPACT 1,892 PARTICIPANTS.-EDUCATE THE COMMUNITY ON GRAND LAKE OFFERINGS THROUGH SPEAKING ENGAGEMENTS, EVENTS, WEBSITE, AND SOCIAL MEDIA OUTLETS: CONTINUED WCSM RADIO INTERVIEWS PROVIDING AWARENESS MONTH INFORMATION AND HOSPITAL UPDATES. SOCIAL MEDIA CHANNELS PROVIDED EDUCATION AND INFORMATION VIDEOS AND POSTS OF NATIONAL AWARENESS MONTHS.-COLLABORATIVE EFFORTS TO IMPROVE VOLUME OF WELL CHILD VISITS: CHILD WELLNESS HEALTH FAIR HELD ON AUGUST 17,2024 AT THE AUGLAIZE COUNTY FAIRGROUNDS WHERE OVER 100 CHILDREN WERE SCREENED. BEGAN WORKING WITH THE OHIO DEPARTMENT OF HEALTH FOR IMPLEMENTATION OF VACCINES FOR CHILDREN PROGRAM.SIGNIFICANT HEALTH NEED 3: HEALTH BEHAVIORS-CONTINUE THE GRAND HEALTH CHALLENGE TO PROMOTE POSITIVE CHOICES IN FOOD AND EXERCISE: 292 PARTICIPANTS STARTED THE CHALLENGE IN JANUARY 2023. 107 COMPLETED THE CHALLENGE IN OCTOBER 2023. A TOTAL OF 52,489 POUNDS HAVE BEEN LOST BY PEOPLE WHO PARTICIPATED IN THE CHALLENGE OVER THE LAST 17 YEARS.-OFFER INTENSIVE CARDIAC REHABILITATION PROGRAM TO PROMOTE DIET, EXERCISE, AND MINDFULNESS OF A HEALTHY LIFESTYLE.-OFFER DIABETES AND PRE-DIABETES INTERVENTIONS AND SUPPORT: 15 PARTICIPANTS IN THE PREDIABETES CLASS IN 2023. 250 CLIENTS PARTICIPATED IN THE DSME PROGRAM IN 2023.SIGNIFICANT HEALTH NEED 4: MENTAL HEALTH AND ADDICTION-CONTINUE PARTNERING WITH COLEMAN BEHAVIORAL HEALTH TO PROVIDE PEER COUNSELING IN THE ED AND INCREASE ACCESS TO MENTAL HEALTH SERVICES.-CONTINUE PARTNERING WITH HORIZON HEALTH FOR INPATIENT GERIATRIC PSYCHIATRY PROGRAM REFERRALS. IN 2023, 177 PATIENTS WERE SERVED IN OUR INPATIENT PSYCHIATRIC UNIT.SCREEN FOR ALCOHOL AND SUBSTANCE ABUSE IN ED AND REFER TO PROGRAMS AS APPROPRIATE.
PART V, LINE 7A	HTTPS://WWW.GRANDLAKEHEALTH.ORG/NEWS-AND-EVENTS/COMMUNITY-HEALTH-ASSESSMENT.HTML
PARY V, LINE 16A, FAP	HTTPS://WWW.GRANDLAKEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE.HTML
PART V, LINE 16B, FAP APPLICATION	HTTPS://WWW.GRANDLAKEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE.HTML
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY	HTTPS://WWW.GRANDLAKEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE.HTML
PART V, SECTION B, LINE 20D	JTDMH DOES NOT HAVE PRESUMPTIVE ELIGIBILITY DETERMINATIONS, AT THIS POINT IN TIME. AN INDIVIDUAL'S ELIGIBILITY IS ONLY DETERMINED AFTER AN APPLICATION HAS BEEN COMPLETED AND SUBMITTED. FINANCIAL ASSISTANCE COUNSELORS ARE TRAINED TO EDUCATE CANDIDATES IN HOW TO COMPLETE THE APPLICATION, AND WORK WITH CANDIDATES THROUGHOUT THE APPROVAL PROCESS. EVERY EFFORT IS MADE TO IDENTIFY POTENTIAL CANDIDATES AND ASSIST POTENTIAL CANDIDATES IN COMPLETING THE APPLICATION.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - URGENT CARE AT JTDMH
200 ST CLAIR STREET	ST MARYS	OH	45885	URGENT CARE
2 - GRAND LAKE HOME HEALTH
1122 EAST SPRING STREET	ST MARYS	OH	45885	HOME HEALTH
3 - GRAND LAKE HOSPICE
1122 EAST SPRING STREET	ST MARYS	OH	45885	HOSPICE
4 - GRAND LAKE OCCUPATIONAL MEDICINE
200 ST CLAIR STREET	ST MARYS	OH	45885	OCCUPATIONAL MEDICINE
5 - CELINA PRO HEALTH DIAGNOSTIC CENTER
801 PRO DRIVE	CELINA	OH	45822	DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE HOSPITAL USED THE MEDICARE COST REPORT AS THEIR BASIS FOR CALCULATING THE AMOUNTS REPORTED IN LINE 7A & 7B. ON THE COST REPORT, IT FIRST ALLOCATES OVERHEAD DEPARTMENTS VIA A COST STEP DOWN METHODOLOGY AND THEN CALCULATES A COST TO CHARGE RATIO. FOR LINES 7E, 7F,7G & 7I ACTUAL COSTS WERE USED.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $4,787,535
PART II, COMMUNITY BUILDING ACTIVITIES:	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL PARTICIPATED IN SEVERAL COMMUNITY BUILDING ACTIVITIES IN 2023 RANGING FROM PARTICIPATION IN COMMUNITY BOARDS, COMMITTEES AND CLUBS THAT WERE ENGAGED IN IMPROVING THE OVERALL COMMUNITY INCLUDING THE COMMUNITY'S HEALTH/MEDICAL NEEDS TO OFFERING BABYSITTING TRAINING CLASSES TO ASSURE THE CHILDREN OF THE COMMUNITY ARE WELL CARED FOR IN THEIR PARENT'S ABSENCE. OTHER EXAMPLES OF COMMUNITY BUILDING ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO PARTICIPATING IN WORKFORCE DEVELOPMENT OF HEALTH CARE CAREERS THROUGH JOB SHADOWING AND SEMINARS.
PART III, LINE 2:	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL RECORDS GROSS BAD DEBT EXPENSE WHEN AN ACCOUNT IS DEEMED UNCOLLECTIBLE AT THE VALUE OF CHARGES. IF IT BECOMES NECESSARY TO ESTIMATE BAD DEBT EXPENSE, ESTIMATES ARE DONE BASED UPON HISTORIC RELATIONSHIPS BETWEEN CHARGES AND BAD DEBT.
PART III, LINE 3:	THE HOSPITAL ESTIMATES THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY BASED UPON A HISTORIC REVIEW OF THE APPLICABLE BAD DEBT ACCOUNTS. EVERY EFFORT IS MADE TO IDENTIFY THESE ACCOUNTS PRIOR TO BEING WRITTEN OFF AS UNCOLLECTIBLE, INCLUDING MULTIPLE EFFORTS TO CONTACT THE PATIENT. AS SOON AS THESE ACCOUNTS ARE DEEMED UNCOLLECTIBLE, ALL COLLECTION WORK AND ACTIVITY IS IMMEDIATELY CEASED. THESE ACCOUNTS ARE THEN TREATED THE SAME AS ANY OTHER ACCOUNT QUALIFYING FOR FINANCIAL ASSISTANCE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES REMAINING AFTER THIRD-PARTY COVERAGE FOR A PORTION OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD, THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8:	THE HOSPITAL USED A COST STEP DOWN METHODOLOGY FROM THE MEDICARE COST REPORT TO CALCULATE THE AMOUNTS REPORTED IN LINE 6. THE COST OF PROVIDING CARE TO THE MEDICARE POPULATION IN 2023 WAS $20,107,780 THE PAYMENTS RELATED TO THESE SERVICES WERE $12,948,791. LEAVING A MEDICARE SHORTFALL OF $7,158,989 FOR THE YEAR. THE MEDICARE SHORTFALL IS A COMMUNITY BENEFIT BECAUSE PROVIDING SERVICES TO THE ELDERLY IS A TAX EXEMPT PURPOSE CONSISTENT WITH JTD MEMORIAL HOSPITAL'S OVERALL EXEMPT STATUS, AND THE HOSPITAL ACCEPTS THESE PATIENTS REGARDLESS OF ITS IMPACT ON OVERALL PROFITABILITY.
PART III, LINE 9B:	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL FOLLOWS THE SAME COLLECTION PRACTICES NO MATTER THE TYPE OF PATIENT. ALL PATIENTS ARE TREATED EQUALLY. COLLECTION PRACTICES ARE NOT PURSUED FOR PATIENTS THAT THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE/CHARITY CARE.
PART VI, LINE 2:	N/A - ALL NEEDS WERE ASSESSED WHILE CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT.
PART VI, LINE 3:	PATIENTS ARE INFORMED ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE THROUGH SIGNS POSTED AT REGISTRATION, IN ER/WAITING ROOMS, ON THE WEBSITE, THROUGH INFORMATION INCLUDED IN THE PATIENT HANDBOOK, THROUGH INFORMATION PRINTED ON THE REVERSE SIDE OF THE STATEMENTS THEY RECEIVE FOR SERVICES, AND IS AVAILABLE UPON REQUEST.
PART VI, LINE 4:	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL IS LOCATED IN ST. MARYS (AUGLAIZE COUNTY), A RURAL SMALL-TOWN ENVIRONMENT DOMINATED BY AGRICULTURE AND SMALL 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 24,600. THE ADJACENT COMMUNITY OF CELINA (ZIP CODE POPULATION OF 20,484) IS ALSO SERVED BY THE HOSPITAL. THE HOSPITAL ALSO PROVIDES SERVICES TO THE WAPAKONETA COMMUNITY (POPULATION 18,438) ALTHOUGH THE TRADITIONAL SERVICE PATTERNS SEND THAT COMMUNITY'S PATIENTS TO LIMA. THE ABOVE COMMUNITIES ACCOUNT FOR OVER 80% OF JTDMH'S PATIENTS. THOSE ZIP CODES HAVE A TOTAL POPULATION OF 63,522 WITH 19% IN THE MEDICARE AGE GROUP (65+).
PART VI, LINE 5:	JTD MEMORIAL HOSPITAL/GRAND LAKE HEALTH COMMUNITY OUTREACHPART OF THE HOSPITAL'S PHILOSOPHY HAS BEEN TO PROMOTE THE HEALTH AND WELLNESS OF COMMUNITY MEMBERS. THE HOSPITAL HAS A HISTORY OF REACHING OUT TO THE COMMUNITY TO PROMOTE WELLNESS AND PREVENTIVE MEDICINE AND HAS AN OFFICE THAT IS DEDICATED TO COORDINATING HEALTHCARE, OUTREACH, AND EDUCATION.FOLLOWING IS A LISTING OF THE WIDE VARIETY OF OUTREACH PROGRAMS THAT ARE SPONSORED BY GRAND LAKE HEALTH SYSTEM.- MONTHLY BLOOD PRESSURE CHECKS - AUGLAIZE COUNTY COUNCIL ON AGING MONTHLY WELLNESS EDUCATION AND BLOOD PRESSURE SCREENINGS - BREASTFEEDING CLASSES- CHILDBIRTH CLASSES - CALL A NURSE- CPR CLASSES - DIABETIC SUPPORT GROUP- HEALING MEMORIES AND GRIEF SUPPORT - PARKINSON'S SUPPORT GROUP- COMMUNITY HEALTH FAIRS/ROTARY BLOOD TEST CLINICS- SCHOOL HEALTH FAIRS- MAKE BELIEVE HOSPITAL (KINDERGARTEN PROGRAM TO ALLEVIATE FEARS OF HOSPITAL)- NEW BREMEN SENIOR CITIZEN PROGRAM- FREE PROSTATE SCREENING- ST. MARYS LIBRARY BLOOD PRESSURE SCREENINGS - SPEAKERS BUREAU- BABYSITTING 101 CLASS- WOMEN'S WALK FOR WELLNESS- COORDINATION OF THE UNITED WAY CAMPAIGN FOR THE HOSPITAL- ROAD TO FITNESS PROGRAM (12 MONTHS)- DRUG TAKEBACK PROGRAM- PRE-DIABETES CLASSES (ADVANCED LIFE BALANCED CLASS)- YMCA BLOOD PRESSURE SCREENINGS- YMCA "ASK A THERAPIST" IN ADDITION, WE SUPPORT THE WELLNESS OF THE COMMUNITY BY PARTICIPATING IN EVENTS HOSTED AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. FOLLOWING IS A LIST OF TOPICS THAT ARE COVERED:- NUTRITION- HEART EDUCATION- SKIN CANCER- OSTEOPOROSIS SCREEN- BREAST CANCER AWARENESS- CHOLESTEROL AWARENESS- ASSESSMENT OF DIABETES- ALCOHOL EDUCATION- COLORECTAL CANCER EDUCATION- ASTHMA EDUCATION- PERIPHERAL SCREENING- SLEEP APNEA INFORMATION- STROKE EDUCATIONWE ALSO PARTNER WITH ONE LOCAL RADIO STATION PROVIDING MONTHLY INTERVIEWS ON A WIDE VARIETY OF HEALTHCARE TOPICS.SINCE 2007, WE HAVE SPONSORED A WEIGHT LOSS/WELLNESS PROGRAM, ENTITLED, "THE GRAND HEALTH CHALLENGE." IN THE PAST 16 YEARS, THIS PROGRAM HAS SERVED 6,636 RESIDENTS OF BOTH MERCER AND AUGLAIZE COUNTIES, LOSING MORE THAN 52,000 LBS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AUGLAIZE-MERCER COUNTY YMCA
7590 STATE ROUTE 703	CELINA	OH	45822	341371829	501(C)(3)	$25,000	$0	YMCA ANNUAL FUND DRIVE DONATION
ST MARYS COMMUNITY FOUNDATION
146 E SPRING ST	ST MARYS	OH	45885	237372270	501(C)(3)	$30,000	$0	ST MARYS ATHLETIC COMPLEX
JTD FOUNDATION
200 ST CLAIR STREET	ST MARYS	OH	45885	341623769	501(C)(3)	$20,000	$0	GLHS VOLUNTEERS DONATION TO SUPPORT THE FOUNDATION

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL MAKES GRANTS TO COMMUNITY ORGANIZATIONS. GRANTS ARE MONITORED THROUGH DIRECT INVOLVEMENT AND CONTACT WITH THE ORGANIZATION OR EVENT IN WHICH THE GRANT WAS GIVEN.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CYNTHIA BERNING
PRESIDENT	$305,864	$134,042	$20,685	$15,000	$0	$0	$6,000	$0	$30,635	$1,037	$363,184	$150,079	$0	$0
TRICIA POHL
TREASURER	$222,874	$0	$6,000	$0	$0	$0	$24,248	$0	$30,510	$0	$283,632	$0	$0	$0
LANA HINDERS
CHIEF CLINICAL OFFICER	$197,738	$0	$6,000	$0	$0	$0	$21,545	$0	$30,465	$0	$255,748	$0	$0	$0
SHELLY RUPPERT
ED OF HUMAN RESOURCES	$171,115	$0	$3,000	$0	$0	$0	$18,816	$0	$30,397	$0	$223,328	$0	$0	$0
TYLER KROEGER
VP OF OPERATIONS	$166,123	$0	$5,000	$0	$0	$0	$6,000	$0	$30,433	$0	$207,556	$0	$0	$0
AMY DIRKSEN
ED OF SPECIALTY CARE SERVICES	$155,282	$0	$0	$0	$0	$0	$16,162	$0	$30,378	$0	$201,822	$0	$0	$0
KEVIN HARLAN
FORMER PRESIDENT	$0	$0	$0	$0	$0	$199,767	$0	$0	$0	$0	$0	$199,767	$0	$199,767
LESIA ARNETT
ED. OF DEVELOPMENT, MARKETING	$144,508	$0	$3,000	$0	$0	$0	$4,563	$0	$30,376	$0	$182,447	$0	$0	$0
LORI MILLER
CHIEF OF INFORMATION SERVICES	$139,533	$0	$0	$0	$0	$0	$12,498	$0	$30,362	$0	$182,393	$0	$0	$0
MARCUS BERGMAN
PHARMACIST	$138,569	$0	$0	$0	$0	$0	$5,658	$0	$30,355	$0	$174,582	$0	$0	$0
HOLLY JACOMET
VP OF QUALITY AND PHYSICIAN PRACTICE	$157,059	$0	$5,000	$0	$0	$0	$3,134	$0	$1,000	$0	$166,193	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $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 7	EMPLOYEE'S BONUSES ARE DETERMINED AT THE DISCRETION OF THE PRESIDENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPITAL FACILITIES REVENUE IMPROVEMENT BONDS SERIES 2012	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	341623770	BondIssuerEIN
Bond Issued	2012-12-14	BondIssuedDt
Issue Price	$8,500,000	IssuePriceAmt
Purpose	ASU BUILDING PROJECT AND CAPITAL EQUIPMENT	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$8,500,000	TotalProceedsAmt
Capital Expenditures	$8,500,000	CapitalExpendituresAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 MISSION STATEMENT	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.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF FORM 990 IS PROVIDED TO THE BOARD-DESIGNATED COMMITTEE FOR THEIR REVIEW PRIOR TO FILING. THE BOARD-DESIGNATED COMMITTEE WILL REPORT THEIR REVIEW AND APPROVAL OF FORM 990 TO THE FULL BOARD OF DIRECTORS. A PAPER COPY OF THE FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS FOR THEIR INDEPENDENT REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, OFFICERS, AND MANAGERS OF GRAND LAKE HEALTH SYSTEM. ANNUALLY, THESE INDIVIDUALS, AS WELL AS, NEW BOARD MEMBERS WHEN THEY FIRST JOIN, PROVIDE THE PRESIDENT OF THE CORPORATION AN UPDATED LISTING OF ALL BUSINESSES OR OTHER ORGANIZATIONS OF WHICH HE OR SHE IS A TRUSTEE, OFFICER, DIRECTOR, MEMBER, PARTNER, OWNER, GENERAL MANAGER, SUBSTANTIAL SHAREHOLDER, EMPLOYEE OR FOR WHICH HE OR SHE ACTS AS AN AGENT. WHEN A CONFLICT OF INTEREST IS IDENTIFIED THE DETERMINATION IS MADE AND DISCUSSED OPENLY AT THE BOARD LEVEL. THE INDIVIDUAL IS THEN PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE SALARY AMOUNT FOR THE PRESIDENT IS REVIEWED AND APPROVED BY A RELATED ENTITY'S, JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL, BOARD EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE USES THE OHIO HOSPITAL ASSOCIATION'S ANNUAL CHIEF EXECUTIVE OFFICER COMPENSATION SURVEY, ARTHUR J. GALLAGHER & CO. (AN INDEPENDENT COMPENSATION CONSULTANT), ANNUAL NATIONAL HEALTHCARE LEADERSHIP COMPENSATION SURVEY, OTHER 990'S FILED BY OTHER HOSPITALS, AND INPUT FROM THE BOARD OF TRUSTEES, AND BOARD EXECUTIVE COMMITTEE TO DETERMINE THE PRESIDENT'S SALARY. THE BOARD CHAIR WRITES A MEMO TO THE DIRECTOR OF FINANCIAL SERVICES. DOCUMENTATION REGARDING THE PRESIDENT'S SALARY AND RECORD KEEPING REGARDING DELIBERATIONS IS KEPT BY THE BOARD EXECUTIVE COMMITTEE. SALARY AMOUNTS FOR OFFICERS AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE PRESIDENT. THE PRESIDENT REFERENCES THE OHA COMPENSATION SALARY SURVEY. THE PRESIDENT IS APPROVED BY THE BOARD OF DIRECTORS TO PERFORM THIS PROCESS. FURTHERMORE, THE PRESIDENT IS COMPLETELY INDEPENDENT FROM ALL OFFICERS AND KEY EMPLOYEES. THIS PROCESS WAS LAST COMPLETED IN DECEMBER 2023.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	HOSPITAL CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 12,648,796. MANAGEMENT AND GENERAL EXPENSES 2,246,287. FUNDRAISING EXPENSES 3,655. TOTAL EXPENSES 14,898,738. OTHER CONTRACTED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 8,031,835. MANAGEMENT AND GENERAL EXPENSES 1,366,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,398,115. FAMILY PRACTICE PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,708,758. MANAGEMENT AND GENERAL EXPENSES 31,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,739,838.
FORM 990, PART XI, LINE 9:	CAPITAL CONTRIBUTION IN JTD FAMILY PRACTICE, INC. -8,246,765. DIFFERENCE BETWEEN BOOK AND TAX PASS THROUGH INCOME 215,205.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JTD HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR STREET	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Field	Value	IRS element (for citing)
EIN	341623769	EIN
Primary Activities	TO RAISE FUNDS FOR JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL.	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	JTDMH PAIN MANAGEMENT LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR ST	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Field	Value	IRS element (for citing)
EIN	465353958	EIN
Primary Activities	PAIN MANAGEMENT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$150,371	ShareOfTotalIncomeAmt
Share Of EOY Assets	$264,113	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	JTDM FAMILY PRACTICE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 ST CLAIR STREET	AddressLine1Txt
City	ST MARYS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45885	ZIPCd

Field	Value	IRS element (for citing)
EIN	341689161	EIN
Primary Activities	PHYSICIANS PROVIDING MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	OH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$7,561,834	ShareOfTotalIncomeAmt
Share Of EOY Assets	$8,445,564	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JTD HOSPITAL FOUNDATION
C	$348,899	CASH TRANSACTION
JTD HOSPITAL FOUNDATION
R	$65,262	CASH TRANSACTION
JTDM FAMILY PRACTICE LLC
A	$773,592	CASH TRANSACTION
JTDM FAMILY PRACTICE LLC
B	$4,706,384	CASH TRANSACTION
JTDM FAMILY PRACTICE LLC
O	$1,739,838	CASH TRANSACTION
JTDM FAMILY PRACTICE LLC
P	$1,100,263	CASH TRANSACTION
JTDM FAMILY PRACTICE LLC
Q	$6,792,482	CASH TRANSACTION
JTDMH PAIN MANAGEMENT LLC
J	$90,057	AMOUNT INVOICED
JTDMH PAIN MANAGEMENT LLC
F	$87,777	CASH TRANSACTION