2024-05-14T15:08:55-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 251517865 TITUSVILLE HEALTH SERVICES INC % CORY JACKSON TITU 8148271851 406 WEST OAK STREET TITUSVILLE PA 16354 LEE CLINTON CEO 8148241851 2024-05-15 true LEE CLINTON 999009999 Brian D Todd P00422601 4178658701 3 2022 2023-04-26 12:10:37Z LEE CLINTON 406 WEST OAK STREET TITUSVILLE PA 16354 247386 false X WWW.TITUSVILLEHOSPITAL.ORG X 1984 PA OPERATES RURAL HEALTH CLINICS THAT SERVE THE HEALTHCARE NEEDS OF RURAL PATIENTS OF CRAWFORD, WARREN, FOREST AND VENANGO COUNTIES OF PENNSYLVANIA WITH 1,052 VISITS. 14 14 58 14 0 0 0 0 347291 292664 0 0 -41076 -45278 306215 247386 0 0 0 0 215644 147538 0 0 0 531135 447781 746779 595319 -440564 -347933 735052 763628 3031865 1085542 -2296813 -321914 X TITUSVILLE HEALTH SERVICES, INC. IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES WITH AN EMPHASIS ON PERSONAL ATTENTION, COMPASSION AND RESPECT. false false 516187 292664 OPERATES RURAL HEALTH CENTER WITH MULTIPLE SPECIALTIES THAT SERVE THE HEALTHCARE NEEDS OF RURAL PATIENTS OF CRAWFORD, WARREN, FOREST AND VENANGO COUNTIES OF PENNSYLVANIA WITH 1,052 VISITS FOR THE YEAR. 516187 true false false false false false false false false false true true false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 5 0 true 58 true false false false false false false false false false false false false X 14 14 true false false false true true true true true false false true true true true true true false false false X CORY JACKSON 8143335766 704 N MAIN ST MEADVILLE PA 16335 X LEE CLINTON CEO/PRESIDENT 3.0 37.0 X 34019 419566 38015 CORY JACKSON MMC CONTROLLER/TREASURER 3.0 45.0 X 0 184335 55326 JASON REAGLE CHAIRMAN 1.0 1.0 X X 0 0 0 LARRY FLEDDERMAN VICE CHAIRMAN 1.0 2.0 X X 0 0 0 PATRICIA WALKER DIRECTOR 1.0 1.0 X 0 0 0 RICHARD CARR DIRECTOR 1.0 1.0 X 0 0 0 SCOTT MCALLISTER MEDICAL STAFF PRESIDENT 1.0 1.0 X 0 0 0 STEPHEN COLEMAN DIRECTOR/SECRETARY BEG 10/22 1.0 2.0 X X 0 0 0 JOSEPH CARTER DIRECTOR 1.0 1.0 X 0 0 0 KEN WINGER DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL THOMSON DIRECTOR 1.0 1.0 X 0 0 0 KEN BUTLER DIRECTOR BEG 10/22 1.0 1.0 X 0 0 0 BRENDA BURNETT DIRECTOR BEG 10/22 1.0 1.0 X 0 0 0 AMY RUOT DIRECTOR BEG 10/22 1.0 1.0 X 0 0 0 SHAWN SAMPSON DIRECTOR BEG 10/22 1.0 1.0 X 0 0 0 NICOLA FISHER DIRECTOR 1.0 4.0 X 0 0 0 34019 603901 93341 0 false true false 0 0 NET PATIENT SERVICE REVENUE 621400 292664 292664 292664 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INCOME/(LOSS) FROM EQUITY INVESTEE 900099 -45278 -45278 -45278 247386 292664 -45278 X 0 0 0 0 0 0 0 0 83773 28062 55711 2441 2144 297 51335 45092 6243 9989 8774 1215 0 0 0 0 0 0 397514 392380 5134 0 12123 9301 2822 0 0 10243 7859 2384 1384 1062 322 0 0 0 0 296 227 69 0 RECRUITMENT & RETENTION 20718 15895 4823 MEDICAL SUPPLIES & DRUGS 5024 5024 REPAIRS & MAINTENANCE 274 210 64 LICENSES, DUES, SUBSCRIPTIONS 205 157 48 595319 516187 79132 0 468144 544713 0 0 0 0 55344 55828 0 0 0 0 0 0 0 0 0 0 269276 266748 4317 2528 0 0 205846 160559 0 0 0 0 1401 0 735052 763628 219707 116558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2812158 968984 3031865 1085542 X -2296813 -321914 0 0 -2296813 -321914 735052 763628 X -347933 2322832 X false true X true false X 152276 149748 2528 117000 117000 2528 INVESTMENT - VANTAGE 160559 C 160559 0 DUE TO AFFILIATE 961307 OTHER LIABILITIES 7677 968984 247386 247386 247386 595319 595319 595319 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false false false true false false false LEE CLINTON CEO/PRESIDENT 33997 419294 0 0 22 272 1218 15025 1633 20139 36870 454730 0 0 CORY JACKSON MMC CONTROLLER/TREASURER 0 183746 0 0 0 589 0 16166 0 39160 0 239661 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: THE COMPENSATION OF THE CEO IS ESTABLISHED BY TITUSVILLE AREA HOSPITAL, A RELATED ORGANIZATION. THE HOSPITAL USES THE FOLLOWING METHODS IN ESTABLISHING THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 6A CONTINGENT COMPENSATION: TITUSVILLE AREA HOSPITAL, A RELATED ORGANIZATION, PAYS AN INCENTIVE TO ITS OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES THAT ARE CONTINGENT ON A POSITIVE TOTAL MARGIN OF THE ORGANIZATION. FORM 990, PART V, LINES 1A, 2A & 2B AND PART IX, LINES 5-10 REPORTING AGENT: MEADVILLE MEDICAL CENTER (EIN: 25-1512436), A RELATED ORGANIZATION, FILES ALL INFORMATIONAL RETURNS AND EMPLOYMENT TAX RETURNS ON BEHALF OF TITUSVILLE HEALTH SERVICES. THE NUMBER OF 1099'S AND W2'S FILED FOR TITUSVILLE HEALTH SERVICES HAS BEEN REPORTED ON LINES 1A AND 2A, RESPECTIVELY. THE AMOUNT OF SALARIES, PENSIONS, PAYROLL TAXES, AND EMPLOYEE BENEFITS REPORTED ON PART IX, LINES 5-10 HAVE BEEN ALLOCATED TO THE ORGANIZATION BASED ON THE EMPLOYEES THAT WORK DIRECTLY FOR TITUSVILLE HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: STEPHEN COLEMAN HAS A BUSINESS RELATIONSHIP WITH RICHARD CARR AND JASON REAGLE. LEE CLINTON, PRESIDENT/CEO, AND CORY JACKSON, CONTROLLER, ARE COMPENSATED BY MEADVILLE MEDICAL CENTER, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE ORGANIZATION HAS TWO MEMBERS WHICH INCLUDE TITUSVILLE AREA HEALTH CENTER, INC AND MEADVILLE MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: TITUSVILLE AREA HEALTH CENTER, INC. ELECTS THE MAJORITY OF THE BOARD OF DIRECTORS OF TITUSVILLE HEALTH SERVICES, INC. MEADVILLE MEDICAL CENTER (MMC) SHALL APPOINT THE MMC BOARD APPOINTEE TO SERVE ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS: THE FOLLOWING POWERS ARE RESERVED UNTO MEADVILLE MEDICAL CENTER (MMC): A) NOMINATE AND ELECT THE MMC BOARD APPOINTEE, AND REMOVE SAID APPOINTEE AT ANY TIME, WITH OR WITHOUT CAUSE; B) APPROVE OR DISAPPROVE IN WHOLE OR IN PART THE CORPORATION'S BUDGET AND AMENDMENTS THERETO; C) APPROVE OR DISAPPROVE PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING THE AUTHORITY TO ESTABLISH A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MMC; D) APPROVE OR DISAPPROVE ALL LONG RANGE PLANS OF THE CORPORATION; E) APPROVE OR DISAPPROVE ALL AFFILIATIONS, MERGERS AND OTHER TRANSACTIONS BY THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; F) APPROVE OR DISAPPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; G) DIRECT THE CORPORATION TO MAKE CHANGES IN ITS ARTICLES OF INCORPORATION OR BYLAWS AND IN THE ABSENCE OF SUCH ACTION BY THE CORPORATION, OR A RECOMMENDATION BY TITUSVILLE AREA HEALTH CENTER, INC. (TAHC), TO DIRECTLY AMEND ITS ARTICLES OF INCORPORATION AND/OR BYLAWS ON ITS OWN MOTION; H) APPROVE OR DISAPPROVE ALL FINANCINGS OF INDEBTEDNESS BY THE CORPORATION FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY THE BOARD OF DIRECTORS OF MMC FROM TIME TO TIME, AND; I) EXERCISE SUCH OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF MMC. THE FOLLOWING POWERS ARE RESERVED UNTO TITUSVILLE AREA HEALTH CENTER, INC. (TAHC): A) NOMINATE AND ELECT THE REMAINING APPOINTEES TO THE BOARD OF DIRECTORS OF THE CORPORATION AND THE OFFICERS OF THE CORPORATION AND REMOVE SUCH DIRECTORS AND OFFICERS AT ANY TIME, WITH OR WITHOUT CAUSE; B) APPROVE OR DISAPPROVE ANY CHANGE IN THE NUMBER OF DIRECTORS; C) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL IN WHOLE OR IN PART OF THE CORPORATION'S BUDGET AND AMENDMENTS THERETO; D) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING RECOMMENDATION OF A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MMC; E) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL LONG RANGE PLANS OF THE CORPORATION; F) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL AFFILIATIONS, MERGERS, AND OTHER TRANSACTIONS BY THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; G) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; H) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL FINANCINGS OR INDEBTEDNESS BY THE CORPORATION FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY THE BOARD OF DIRECTORS OF MMC FROM TIME TO TIME, AND; I) EXERCISE SUCH OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF TAHC. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INTERNAL FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE COMPLETED 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR REVIEW AND QUESTIONS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE FOR CONFLICT OF INTEREST POLICY: TITUSVILLE AREA HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM DURING BOARD MEETINGS. ANY CONFLICT OF INTEREST IS REVIEWED BY THE BOARD OF DIRECTORS. IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15A & 15B CEO COMPENSATION: THE COMPENSATION OF THE CEO IS DETERMINED AND PAID BY TITUSVILLE AREA HOSPITAL. THE COMPENSATION OF THE CONTROLLER IS DETERMINED AND PAID BY MEADVILLE MEDICAL CENTER. AN INDEPENDENT BOARD DETERMINES THE COMPENSATION PACKAGES BY USING COMPARABILITY SURVEYS. THE DELIBERATIONS AND DECISIONS OF THE BOARD ARE DOCUMENTED IN THE BOARD MINUTES. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN 2023 BY MERCER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: TITUSVILLE HEALTH SERVICES MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. AT THIS TIME, TITUSVILLE HEALTH SERVICES DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: CORY JACKSON IS THE CONTROLLER FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER (MMC). HE IS THE ACTING BOARD TREASURER FOR TITUSVILLE HEALTH SERVICES. HE DOES NOT HAVE VOTING POWER. HIS COMPENSATION LISTED IS BEING SHOWN AS FROM A RELATED ORGANIZATION AS HE IS PAID BY MMC FOR HIS POSITION AS CONTROLLER. HE IS NOT COMPENSATED FOR HIS ROLE AS BOARD TREASURER. CEO COMPENSATION: LEE CLINTON IS THE CEO OF TITUSVILLE AREA HOSPITAL, TITUSVILLE HEALTH SERVICES, AND TITUSVILLE AREA HEALTH CENTER FOUNDATION. HIS COMPENSATION IS SPLIT BETWEEN THESE ENTITIES AND REPORTED ON PART VII, SECTION A, COLUMNS (D) - (F) AS BEING FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. NO COMPENSATION HAS BEEN LISTED ON PART IX, LINE 5 FOR HIM AS HIS COMPENSATION IS RECORDED ON PART IX OF THE FORM 990 FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER. FORM 990, PART XI, LINE 9 OTHER CHANGES: $ 2,322,832 TRANSFERS FROM AFFILIATES FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:375458 FORM 990 PART IX LINE 11G DESCRIPTION:NON-MEDICAL PURCHASED SERVICES TOTAL FEES:22033 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIONS TOTAL FEES:23 TITUSVILLE AREA HEALTH CENTER INC 406 WEST OAK STREET TITUSVILLE PA 16354 251517855 HOLDING CO PA 501(C)(3) 7 MMC false TITUSVILLE AREA HOSPITAL 406 WEST OAK STREET TITUSVILLE PA 16354 250965579 HOSPITAL PA 501(C)(3) 3 TAHC false TITUSVILLE AREA HEALTH CENTER FOUNDATION 406 WEST OAK STREET TITUSVILLE PA 16354 251517854 SUPPORT PA 501(C)(3) 12 A I TAHC false MEADVILLE MEDICAL CENTER 1034 GROVE STREET MEADVILLE PA 16335 251512436 HOSPITAL PA 501(C)(3) 3 NA false MEADVILLE MEDICAL CENTER FOUNDATION 1034 GROVE STREET MEADVILLE PA 16335 251681342 SUPPORT PA 501(C)(3) 7 MMC false HOSPICE OF CRAWFORD COUNTY INC 1034 GROVE STREET MEADVILLE PA 16335 251480565 HOSPICE PA 501(C)(3) 7 MMC false CONNEAUT VALLEY HEALTH CENTER 1034 GROVE STREET MEADVILLE PA 16335 251490887 HEALTH CENTER PA 501(C)(3) 3 MMC false MEADVILLE PHYSICIANS SERVICES 751 LIBERTY STREET MEADVILLE PA 16335 251602133 PHYS. OFFICES PA 501(C)(3) 10 MMC false COMMUNITY HEALTH SERVICES INC 1034 GROVE STREET MEADVILLE PA 16335 251490886 PHYS. OFFICES PA 501(C)(3) 10 MMC false MEADVILLE MEDICAL CENTER AUXILIARY 751 LIBERTY STREET MEADVILLE PA 16335 251512834 SUPPORT PA 501(C)(3) 12A I MMC false FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHYS. OFFICES PA 501(C)(3) 10 MPS false HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY PA MMC C CORP false MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA MMC C CORP false CHARITABLE TRUST 256196092 TRUST PA MMC TRUST false CHARITABLE TRUST 066031521 TRUST PA MMC TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false PERPETUAL TRUST TRUST PA TAH TRUST false false false false true true false false false false false false false false true true true false false true