Grand Lake Health System

Nonprofit profile at a glance

EIN
341623770
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
St. Marys, OH, US
Phone
419-394-3335
Rating
82
Verdict
STRONG
Rating confidence
Standard
Sector
Hospital, General

Official website

Reported finances

Revenue
$107,691,133
Expenses
$100,128,268
Assets
$87,877,038
Liabilities
$31,544,789

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

21 people listed

Executive titles in this filing

  • CYNTHIA BERNING (PRESIDENT)
  • KEVIN HARLAN (FORMER PRESIDENT)

Highest reported compensation

  • CHRISTOPHER STUCKE (DIRECTOR): $556,085 total reported compensation
  • CYNTHIA BERNING (PRESIDENT): $546,005 total reported compensation
  • TRICIA POHL (TREASURER): $285,488 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To deliver high-quality, personalized healthcare experiences to our community.

What it reported doing in 2024

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

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 71
  • Transparency & Controls: 92
  • Accountability: 94
  • Sustainability: 51
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 74.6%; rating input score 75
  • Program expense ratio: 80.9%; rating input score 81
  • Fundraising efficiency: $5.36 raised per $1 spent on fundraising; rating input score 23; 23rd percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 96.5%; rating input score 97; 30th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 88.9%; rating input score 89; 36th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 7%; rating input score 64; 64th percentile among comparable filings
  • Total-asset coverage ratio: 0.88; rating input score 35; 35th percentile among comparable filings
  • Liabilities to assets ratio: 0.36; rating input score 49; 49th percentile among comparable filings
  • Officer compensation ratio: 2.7%; rating input score 42; 42nd percentile among comparable filings

Growth

  • Program expense growth: 3.5% per year; rating input score 100; 26th percentile among comparable filings
  • Revenue growth: 3.4% per year; rating input score 100; 26th percentile among comparable filings
  • Asset growth: 2.1% per year; rating input score 100; 15th percentile among comparable filings

Details

  • What they do: 4 programs and campaigns described on the official site · 2 operating locations identified
  • Where the money goes: 74.6% of revenue deployed · 80.9% of spending went to programs
  • Governance: 8 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $81M in reported program spending
  • Leadership: top reported pay $556K · 21 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $11.3M reported
  • Consistency: 33 of 34 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 filed money-flow records
  • Related organizations: 6 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Fundraising efficiency scored 23/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 42/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 49/100.