2025-05-15T15:00:33+00:00 2024-06-30 440160260 FORVIS MAZARS LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 250965579 TITUSVILLE AREA HOSPITAL TITU 8148271851 406 WEST OAK STREET TITUSVILLE PA 16354 LEE M CLINTON CEO 2025-05-15 true Brian Todd P00422601 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z LEE M CLINTON 406 WEST OAK STREET TITUSVILLE PA 16354 59834662 false X WWW.TITUSVILLEHOSPITAL.ORG X 1900 PA TAH IS A COMMUNITY BASED, ACUTE CARE, CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY SERVICES TO MORE THAN 30,000 PEOPLE IN 4 COUNTIES IN PA. 14 14 283 15 0 0 564313 327872 57819217 58669328 6246 -63200 561588 800018 58951364 59734018 0 0 27138615 31544255 0 0 25854188 24326541 52992803 55870796 5958561 3863222 31182210 31333107 9747870 5234337 21434340 26098770 TITUSVILLE AREA HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES WITH AN EMPHASIS ON PERSONAL ATTENTION, COMPASSION AND RESPECT. false false 51419049 58669328 TITUSVILLE AREA HOSPITAL IS AN ACUTE CARE, CRITICAL ACCESS RURAL HOSPITAL WITH 680 ADMISSIONS, 3,770 PATIENT DAYS AND 70,576 OUTPATIENT VISITS DURING THE CURRENT FISCAL YEAR. 51419049 true true false false false false false false false true true false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 35 0 true 283 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 true true false PA X CORY JACKSON 8143335766 704 N MAIN ST MEADVILLE PA 16335 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 STEPHEN COLEMAN SECRETARY 1.0 1.0 X X 0 0 0 AMY RUOT DIRECTOR 1.0 1.0 X 0 0 0 BRENDA BURNETT DIRECTOR 1.0 1.0 X 0 0 0 JOSEPH CARTER DIRECTOR 1.0 1.0 X 0 0 0 KEN BULTER DIRECTOR 1.0 1.0 X 0 0 0 KEN WINGER DIRECTOR 1.0 2.0 X 0 0 0 MICHAEL THOMSON DIRECTOR END 06/24 1.0 1.0 X 0 0 0 NICOLA FISHER DIRECTOR 1.0 1.0 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 SHAWN SAMPSON DIRECTOR 1.0 1.0 X 0 0 0 TIM GEIBEL DIRECTOR BEG 09/23 1.0 3.0 X 0 0 0 CORY F JACKSON MMC CONTROLLER/TREASURER 2.0 43.0 X 0 193450 54120 LEE M CLINTON CEO/PRESIDENT 35.0 5.0 X 336941 48133 40058 CHARLEY GATES PHYSICIAN 40.0 0.0 X 667405 0 17350 DWAIN M ROGERS MD PHYSICIAN 40.0 0.0 X 393949 0 24982 JILL A NEELY VICE PRESIDENT OF REVENUE CYCLE 40.0 0.0 X 181974 0 30071 MARIA L MUNOZ PHYSICIAN 40.0 0.0 X 279883 0 18824 ROSE T COLT PHYSICIAN 40.0 0.0 X 278836 0 16139 2138988 241583 201544 15 false true false OIL VALLEY INTERNAL MEDICINE ASSOCIATES 339 W SPRING ST TITUSVILLE PA 16354 CONTRACT PHYSICIANS 2431640 CONSIDINE BIEBEL & COMPANY 2949 W 15TH ST ERIE PA 16505 CONTRACT LABOR 589746 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE 300 SAN DIEGO CA 92121 CONTRACT PHYSICIANS 537538 RURAL PHYSICIANS GROUP 5575 DTC PKWY STE 225 GREENWOOD VILLAGE CO 80111 CONTRACT PHYSICIANS 437573 CPS SOLUTIONS LLC PO BOX 7410634 CHICAGO IL 606740634 CONTRACT LABOR 387422 11 16465 113000 198407 327872 NET PATIENT SERVICE REVENUE 621990 56643217 56643217 PHARMACY REVENUE 446110 984059 984059 RHC REVENUE 621498 769903 769903 OTHER REVENUE 900099 161333 161333 CAFETERIA REVENUE 811000 110816 110816 0 0 0 0 58669328 195864 37444 158420 0 158420 158420 63200 0 -63200 -63200 -63200 INCOME FROM EQUITY INVESTEE 900099 641598 641598 0 0 0 0 641598 59734018 58669328 0 736818 X 24532523 22079271 2453252 535712 482141 53571 4778687 4300818 477869 1697333 1527600 169733 10822 10822 192245 192245 10165525 9872129 293396 0 151189 136070 15119 132703 119435 13268 3704155 3333739 370416 58429 52586 5843 44321 39889 4432 2039682 1835713 203969 1684343 1515909 168434 MEDICAL SUPPLIES & DRUGS 5949350 5949350 LICENSES, DUES, SUBSCRIPTION 134665 121198 13467 RECRUITMENT 59112 53201 5911 0 0 0 0 55870796 51419049 4451747 0 4376922 1314665 3969 32594 2775846 2968855 0 0 0 0 749972 872370 474381 619727 49948703 36540654 13117134 13408049 5121730 5511395 3279944 3348677 0 1282312 3256775 31182210 31333107 2315649 3300257 15518 16107 0 0 7416703 1917973 9747870 5234337 X 17709195 22093496 3725145 4005274 21434340 26098770 31182210 31333107 X 3863222 -78921 880129 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 793402 793402 15799821 12039560 3760261 4541556 577481 3964075 27973598 23293995 4679603 840326 629618 210708 13408049 INVESTMENT-CHART 3275500 C INVESTMENT-VANTAGE 73177 F 3348677 DUE FROM AFFILIATES 2202605 OTHER RECEIVABLES 763806 DUE FROM 3RD PARTY 202507 ROU OPERATING LEASE 87857 3256775 EST INSURANCE LIABILITY 1322765 EST AMOUNTS TO 3RD PARTY 561439 OPERATING LEASE LIABILITY 33769 DUE TO AFFILIATES 1917973 59755741 -78921 0 -78921 59834662 -100644 -100644 59734018 55971440 100644 100644 55870796 0 0 55870796 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. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSE RECLASS - -37444 LOSS ON DISPOSAL OF ASSETS - -63200 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 LOSS ON DISPOSAL OF ASSETS - 63200 RENTAL EXPENSE RECLASS - 37444 true true X true X true X true true true false true true 413614 0 413614 0.0074 8935341 11443580 0 0.0 0 0 0 0.0 0 0 9348955 11443580 413614 0.0074 0 0 0 0.0 22260 0 22260 0.0004 22400059 10135345 12264714 0.2195 0 0 0 0.0 0 0 0 0.0 0 0 22422319 10135345 12286974 0.2199 0 0 31771274 21578925 12700588 0.2273 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 2212008 530882 29350028 24815262 4534766 X true false 1 1 TITUSVILLE AREA HOSPITAL 406 WEST OAK STREET TITUSVILLE PA 16354 WWW.TITUSVILLEHOSPITAL.ORG 200901 X X X X TITUSVILLE AREA HOSPITAL 1 false false true X X X X X X X X X 21 true true true true X HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/PATIENT-VISITOR-RESOURCES/COMMUNITY-HEA LTH-NEEDS-ASSESSMENT/ X HTTPS://WWW.MMCHS.ORG/RESOURCES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 21 true HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/PATIENT-VISITOR-RESOURCES/COMMUNITY-HEA LTH-NEEDS-ASSESSMENT/ false true X 200.0 250.0 X X X X true true X X X true X HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - TITUSVILLE AREA HOSPITAL. THE RESEARCH PROCESS INCLUDED A WIDE BASED SURVEY OF THE POPULATION. THE SURVEY INCLUDED INPUT FROM UNDERREPRESENTED GROUPS IN PUBLIC HOUSING. ELECTRONIC SURVEYS WERE COMPLETED. A GOOD DIVERSITY OF RESPONSE WAS REALIZED. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - TITUSVILLE AREA HOSPITAL. THE CHNA REPORT WAS CONDUCTED WITH MEADVILLE MEDICAL CENTER, AN AFFILIATED ENTITY. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - TITUSVILLE AREA HOSPITAL. THE CHNA REPORT WAS CONDUCTED WITH ALLEGHENY COLLEGE AND VARIOUS LOCAL COMMUNITY PARTNERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - TITUSVILLE AREA HOSPITAL. IN RESPONSE TO THE RESULTS OF TITUSVILLE AREA HOSPITAL'S (TAH) MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED IN COLLABORATION BETWEEN MEADVILLE MEDICAL CENTER, TITUSVILLE AREA HOSPITAL AND ALLEGHENY COLLEGE LOOKED AT DATA COLLECTED FROM MORE THAN 1,100 ADULT PARTICIPANTS FROM ACROSS CRAWFORD COUNTY. ONLINE SURVEYS SHOWED A NEED TO SUPPORT COMMUNITY MEMBERS IN LEADING A HEALTHIER LIFESTYLE. INTERNAL DATA AND SURVEY DATA ALIGNED TO IDENTIFY LONGER THAN ACCEPTABLE WAIT TIMES FOR CERTAIN HEALTHCARE SERVICES. 7.1% OF RESPONDENTS STATED THEY DID NOT ACCESS MEDICAL CARE WHEN THEY NEEDED IT BECAUSE WAIT TIMES WERE TOO LONG AND WAIT TIMES OF UP TO MANY MONTHS FOR A NEXT AVAILABLE APPOINTMENT IN CERTAIN OFFICES MAKES THIS A PRIORITY FOCUS. COST OF HEALTHCARE, ALONG WITH NATIONWIDE ECONOMIC CONDITIONS, IS A CONCERN. TAH REMAINS A LOW-COST HEALTHCARE PROVIDER IN THE REGION, ACCORDING TO THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL, HOWEVER WITH RISING INSURANCE DEDUCTIBLES, CO-PAYS AND INCREASING LABOR AND SUPPLY COST MANAGING OPERATIONAL EXPENSES IS A PRIORITY. IN THE 2016 CHNA, 73% OF ALL RESPONDENTS SAID THEY HAD AN ANNUAL CHECKUP IN THE PRIOR YEAR WHILE IN 2022 80% HAVE RECEIVED A CHECK-UP IN THE PRIOR YEAR. DURING THE 2019 CHNA THERE WAS A DECREASE OF 14% AMONG RESPONDENTS WHO STATED THEY HAD A PRIMARY CARE PHYSICIAN. THE GOAL IS TO CONNECT INDIVIDUALS WITH A CONSISTENT CARE PROVIDER, BUT OUR HOPE IS THE MOST RECENT DATA SHOWS THERE HAS BEEN A POSITIVE IMPROVEMENT IN INDIVIDUALS GETTING ROUTINE SCREENINGS. IN THE 2016 CHNA 14% OF RESPONDENTS SAID THEY USED TOBACCO, IN 2019 35% REPORTED SMOKING (CURRENT AND FORMER) AND IN 2022 9.2% REPORTED USING TOBACCO. THIS DECREASE REFLECTS POSITIVE OUTCOMES FROM PRIOR STRATEGIES WHICH WILL CONTINUE INTO THE FUTURE. THE MOST IMPORTANT HEALTH ISSUE IN OUR COMMUNITY, SELECTED BY 63% OF RESPONDENTS, IS MENTAL HEALTH. INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES BY ADDING ADDITIONAL PROVIDERS AND CONNECTING WITH INDIVIDUALS IN REMOTE AREAS OF THE COUNTY IS CRITICAL. PEDIATRIC COUNSELORS AND SUPPORT SERVICES ACROSS THE COUNTY AND IN THE SCHOOLS NEEDS TO BECOME A COMMUNITY-WIDE PRIORITY. Schedule H, Part V, Section B, Line 23 Facility , 1 Facility , 1 - TITUSVILLE AREA HOSPITAL. TITUSVILLE AREA HOSPITAL INADVERTENTLY DID NOT CALCULATE THEIR AGB. AGB IS REQUIRED TO BE CALCULATED ONCE A YEAR, AND THIS INADVERTENT AND MINOR ERROR OCCURRED IN FISCAL YEARS 2023-2024. THE INADVERTENT AND MINOR ERROR WAS DISCOVERED IN MAY OF 2025 DURING THE PAID PREPARERS REVIEW OF FORM 990. THE HOSPITAL WILL CORRECT THIS MINOR AND INADVERTENT ERROR BY RECALCULATING AGB FOR FISCAL YEARS 2023-2024 IN ACCORDANCE WITH THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY. THE CALCULATIONS WILL BE CORRECTED IN MAY OF 2025. 7 CONNEAUT VALLEY HEALTH CENTER 906 WASHINGTON ST CONNEAUTVILLE PA 16406 FAMILY MEDICINE CAMBRIDGE SPRINGS HEALTH CENTER 118 RAILROAD ST CAMBRIDGE PA 16403 FAMILY MEDICINE MEADVILLE COMMUNITY HEALTH 747 TERRACE ST MEADVILLE PA 16335 FAMILY MEDICINE CONNEAUT LAKE HEALTH CENTER 10926 PA-18 CONNEAUT LAKE PA 16316 FAMILY MEDICINE SAEGERTOWN MEDICAL ASSOCIATES 707 ERIE ST SAEGERTOWN PA 16443 FAMILY MEDICINE VALLEY DENTAL CENTER 906 WASHINGTON STREET CONNEAUTVILLE PA 16406 DENTAL SERVICES ALDEN PRIMARY CARE 640 ALDEN ST MEADVILLE PA 16335 FAMILY MEDICINE Schedule H, Part I, Line 7 COLUMN F - PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR USED EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. Schedule H, Part I, Line 3 ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FAP IN ADDITION TO THE FEDERAL POVERTY GUIDELINES TITUSVILLE AREA HOSPITAL ALSO CONSIDERS THE PATIENT ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. Schedule H, Part V ADDITIONAL DISCLOSURE REGARDING 501(R) PROVIDER LIST: INADVERTENT AND MINOR ERRORS RELATED TO 501(R) COMPLIANCE DURING THE PREPARATION OF THE 2023 FORM 990, THE ORGANIZATION WAS ALERTED TO AN INADVERTENT AND MINOR ERROR OF NOT HAVING UPDATED THE PROVIDER LISTING ON A QUARTERLY BASIS. PRIOR TO FILING THE 2023 FORM 990, THE ORGANIZATION HAS RESOLVED THE DEFICIENCIES THROUGH THE FOLLOWING ACTION ITEMS: - PROVIDER LIST, INCLUDING THOSE COVERED AND NOT COVERED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY HAS BEEN COMPLETED AND IS AVAILABLE ON THEIR WEBSITE AT THE FOLLOWING LOCATION: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/. A PAPER COPY OF THE LISTING IS ALSO AVAILABLE AT THE HOSPITAL'S REGISTRATION DESK. THE PROVIDER LIST IS REVIEWED AND UPDATED ON A QUARTERLY BASIS. IN ORDER TO ENSURE COMPLIANCE IN THE FUTURE, THE ORGANIZATION HAS IMPLEMENTED THE FOLLOWING PROCEDURES: - DURING QUARTER FINANCIAL CLOSE, STAFF WILL REVIEW WEBSITE LOCATIONS AND MATERIALS AT THE REGISTRATION DESK TO ENSURE ALL REQUIRED DOCUMENTS, APPLICATIONS, AND POLICIES ARE AVAILABLE ELECTRONICALLY AND IN PAPER FORMAT. - DURING QUARTER FINANCIAL CLOSE, THE PROVIDER LISTING WILL BE REVIEWED AND UPDATED, INCLUDING AN UPDATED TIME AND DATE STAMP. - THE ORGANIZATION WILL CONTINUE TO IMPROVE LINES OF COMMUNICATIONS WITH THOSE RESPONSIBLE FOR WEBSITE MAINTENANCE AND PATIENT ACCOUNTS TO ENSURE THAT STAFF UNDERSTAND THE REQUIREMENTS OUTLINED IN THE 501(R) REGULATIONS. AGB: TITUSVILLE AREA HOSPITAL INADVERTENTLY DID NOT CALCULATE THEIR AGB. AGB IS REQUIRED TO BE CALCULATED ONCE A YEAR, AND THIS INADVERTENT AND MINOR ERROR OCCURRED IN FISCAL YEARS 2023-2024. THE INADVERTENT AND MINOR ERROR WAS DISCOVERED IN MAY OF 2025 DURING THE PAID PREPARERS REVIEW OF FORM 990. THE HOSPITAL WILL CORRECT THIS MINOR AND INADVERTENT ERROR BY RECALCULATING AGB FOR FISCAL YEARS 2023-2024 IN ACCORDANCE WITH THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY. THE CALCULATIONS WILL BE CORRECTED IN MAY OF 2025. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. THIS AMOUNT EXPENSED BY THE ORGANIZATION IS ATTRIBUTABLE TO LOW INCOME INDIVIDUALS IN THEIR TARGET COMMUNITY AND IS CONSIDERED A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B. Schedule H, Part V, Section B, Line 16a FAP website - TITUSVILLE AREA HOSPITAL: Line 16a URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - TITUSVILLE AREA HOSPITAL: Line 16b URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - TITUSVILLE AREA HOSPITAL: Line 16c URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment TITUSVILLE AREA HOSPITAL COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON A REGULAR BASIS TO DETERMINE HEALTH CARE NEEDS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN 2022. TITUSVILLE AREA HOSPITAL WORKS WITH MANY COMMUNITY PARTNERS INCLUDING HEALTH AND HUMAN SERVICE PROVIDERS, EDUCATION, GOVERNMENT, FAITH, LAW ENFORCEMENT, AND OTHER INTERESTED PARTIES IN COMPLETING THE ASSESSMENT OF THE COMMUNITY HEALTH NEEDS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE CHARITY CARE POLICY IS POSTED IN ADMISSIONS AND EMERGENCY ROOM AREAS. COPIES OF THE CHARITY CARE POLICY ARE AVAILABLE IN ADMISSIONS AREA AND EMERGENCY ROOM AREAS. IF A PERSON IS ADMITTED WITH NO INSURANCE THEY ARE VISITED BY A FINANCIAL AID COUNSELOR AND MADE AWARE OF THEIR OPTIONS. Schedule H, Part VI, Line 4 Community information TITUSVILLE AREA HOSPITAL SERVES RESIDENTS OF CRAWFORD, FOREST, WARREN, AND VENANGO COUNTIES IN PENNSYLVANIA. THE MAIN SERVICE AREA IS CRAWFORD COUNTY. CRAWFORD COUNTY IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 83,938. THE 2020 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $51,919, WHICH IS WELL BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $63,627. APPROXIMATELY 12.5% OF RESIDENTS LIVE IN POVERTY. Schedule H, Part VI, Line 5 Promotion of community health OUR STAFF IS COMMITTED TO THE CARE AND IMPROVEMENT OF LIFE. IN RECOGNITION OF THIS COMMITMENT, WE STRIVE TO DELIVER HIGH-QUALITY AND COST-EFFECTIVE HEALTHCARE WITH AN EMPHASIS ON COMPASSION, PERSONAL ATTENTION AND RESPECT. WE BELIEVE IN THE FOLLOWING VALUES: -WE WILL MEET OR EXCEED COMMUNITY STANDARDS FOR CARE EXPECTATIONS OF PATIENTS AND FAMILIES. -WE WILL MAINTAIN A POSITIVE AND FULFILLING WORKING ATMOSPHERE THAT BOTH MOTIVATES AND ALLOWS CAREGIVERS AND SUPPORT STAFF TO GIVE THEIR BEST. -WE WILL ENSURE THAT THE ORGANIZATION IS ADEQUATELY COMPENSATED FOR SERVICES PROVIDED, THEREBY MAINTAINING VIABILITY AS A CRITICAL REGIONAL HEALTHCARE AND ECONOMIC ASSET. -OUR VISION IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTHCARE SERVICES ENHANCED BY HIGH TECHNOLOGY APPROPRIATE TO COMMUNITY NEED. -WE WILL MAINTAIN A HIGHLY QUALIFIED MEDICAL AND SUPPORT STAFF IN A POSITIVE WORKING ENVIRONMENT FOCUSED ON EXCELLENCE. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS RESIDING IN PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS. THE ORGANIZATION USES SURPLUS FUNDS TO PROVIDE THE LATEST IN TECHNOLOGY TO IMPROVE PATIENT CARE. Schedule H, Part VI, Line 6 Affiliated health care system MEADVILLE MEDICAL CENTER (MMC) IS A CORPORATE MEMBER ALONG WITH TITUSVILLE AREA HEALTH CENTER. AS OF THE DATE OF ACQUISITION, MMC HAS DIRECT AUTHORITY OVER THE STRATEGIC, FINANCIAL, AND OPERATIONAL DIRECTION OF TITUSVILLE AREA HEALTH CENTER, INC. AND AFFILIATES. TITUSVILLE AREA HEALTH CENTER, INC. AND AFFILIATES (HEALTH CENTER) CONSISTS OF TITUSVILLE AREA HEALTH CENTER, INC. (PARENT), TITUSVILLE AREA HOSPITAL (HOSPITAL), THE TITUSVILLE AREA HEALTH CENTER FOUNDATION (FOUNDATION) AND TITUSVILLE AREA HEALTH SERVICES, INC. (HEALTH SERVICES). THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA. THE FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH CENTER AND AFFILIATES. HEALTH SERVICES OPERATES SEPARATELY FROM THE HOSPITAL OFFERING MULTISPECIALTY FAMILY MEDICINE PEDIATRICS TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA. X X X false false false false false true false false false LEE M CLINTON CEO/PRESIDENT 336550 48078 0 0 391 55 15006 2144 20045 2863 371992 53140 0 0 CORY F JACKSON MMC CONTROLLER/TREASURER 0 192871 0 0 0 579 0 16957 0 37163 0 247570 0 0 CHARLEY GATES PHYSICIAN 666995 0 0 0 410 0 7841 0 9509 0 684755 0 0 0 DWAIN M ROGERS MD PHYSICIAN 392147 0 0 0 1802 0 0 0 24982 0 418931 0 0 0 ROSE T COLT PHYSICIAN 278590 0 0 0 246 0 6630 0 9509 0 294975 0 0 0 MARIA L MUNOZ PHYSICIAN 276415 0 0 0 3468 0 6815 0 12009 0 298707 0 0 0 JILL A NEELY VICE PRESIDENT OF REVENUE CYCLE 181346 0 0 0 628 0 4050 0 26021 0 212045 0 0 0 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization THE 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, Line 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 AREA HOSPITAL. THE NUMBER OF 1099'S AND W2'S FILED FOR THE HOSPITAL HAS BEEN REPORTED ON LINES 1A AND 2A, RESPECTIVELY. THESE AMOUNTS ARE INCLUDED IN THE FORM 1096 AND FORM W-3 FILED BY MMC. THE AMOUNT OF SALARIES, PENSIONS, PAYROLL TAXES, AND EMPLOYEE BENEFITS REPORTED ON PART IX, LINES 5-10 HAVE BEEN ALLOCATED TO THE HOSPITAL BASED ON THE EMPLOYEES THAT WORK DIRECTLY FOR THE HOSPITAL. Form 990, Part VI, Line 15a & 15B - REVIEW OF CEO AND OTHER OFFICER COMPENSATION AN INDEPENDENT CONSULTING FIRM, MERCER, PERFORMED THE MOST RECENT COMPENSATION REVIEW IN JUNE 2023. THEY COMPILED THE SALARY ADMINISTRATION AND PERFORMANCE MANAGEMENT GUIDELINES WHICH THE HOSPITAL UTILIZES ANY TIME A NEW POSITION IS CREATED OR AN EXISTING POSITION'S DESCRIPTION CHANGES. A JOB FACTOR WORKSHEET IS COMPLETED WHICH EVALUATES 6 AREAS BASED ON A POINT SYSTEM. THE SIX AREAS ARE LISTED BELOW: 1.) EDUCATION 2.) EXPERIENCE 3.) CONTACTS 4.) GUIDELINES 5.) BUDGET ACCOUNTABILITY 6.) SUPERVISORY/ACCOUNTABILITY THE TOTAL POINTS ARE USED TO ARRIVE AT A PAY GRADE ON THE SALARY ADMINISTRATION POLICY MANAGEMENT PAY SCALE. THE MANAGEMENT PAY SCALE IS REVIEWED ANNUALLY, AND UPDATED IF NECESSARY, BASED ON THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA SURVEYS, WHICH PROVIDES COMPARABLE DATA OF OTHER HOSPITALS IN THE AREA. THE DELIBERATIONS AND DECISIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE COMMITTEE MINUTES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons STEPHEN COLEMAN, RICHARD CARR , & JASON REAGLE - Business relationship, LEE CLINTON & CORY JACKSON - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders TITUSVILLE AREA HOSPITAL HAS TWO CLASSES OF MEMBERSHIP. CORPORATE MEMBERSHIP CONSISTS OF ONE MEMBER, TITUSVILLE AREA HEALTH CENTER. COMMUNITY MEMBERSHIP SHALL CONSIST OF FORMER HOLDERS OF SHARES OF THE CORPORATION WHO ELECT TO CONTINUE AS SUCH MEMBERS AND OTHER PERSONS WHO ELECT TO BECOME SUCH MEMBERS OF THE CORPORATION. COMMUNITY MEMBERS SHALL NOT BE ENTITLED TO VOTE ON ANY MATTERS RESPECTING THE ACTIONS OR GOVERNANCE OF THE CORPORATION, SUCH ENTITLEMENT HAVING BEEN RESERVED SOLELY UNTO THE CORPORATION'S CORPORATE MEMBER, AND SHALL HAVE NO INTEREST IN THE PROPERTY, ASSETS OR BUSINESS OF THE CORPORATION. MEADVILLE MEDICAL CENTER IS A CORPORATE MEMBER ALONG WITH TITUSVILLE AREA HEALTH CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body A MAJORITY OF THE DIRECTORS SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER (TITUSVILLE AREA HEALTH CENTER, INC). MEADVILLE MEDICAL CENTER (MMC) SHALL APPOINT THE MMC BOARD APPOINTEE TO SERVE ON THE BOARD. Form 990, Part VI, Line 7b Decisions requiring 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, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED 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. Form 990, Part VI, Line 12c 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, Line 19 Required documents available to the public TITUSVILLE AREA HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. AT THIS TIME, TITUSVILLE AREA HOSPITAL 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 AREA HOSPITAL. 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 IX, Line 11g Other Fees MEDICAL PURCHASED SERVICE - Total Expense: 6657222, Program Service Expense: 6657222, Management and General Expenses: , Fundraising Expenses: ; NONMEDICAL PURCHASED SERVICE - Total Expense: 1724611, Program Service Expense: 1552149, Management and General Expenses: 172462, Fundraising Expenses: ; CONSULTING - Total Expense: 569571, Program Service Expense: 512614, Management and General Expenses: 56957, Fundraising Expenses: ; ASSOC. CLINICAL LABS - Total Expense: 395702, Program Service Expense: 395702, Management and General Expenses: , Fundraising Expenses: ; TEMPORARY SERVICES - Total Expense: 318803, Program Service Expense: 286923, Management and General Expenses: 31880, Fundraising Expenses: ; LAB OTHER - Total Expense: 178649, Program Service Expense: 178649, Management and General Expenses: , Fundraising Expenses: ; COLLECTION FEES - Total Expense: 150917, Program Service Expense: 135825, Management and General Expenses: 15092, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 170050, Program Service Expense: 153045, Management and General Expenses: 17005, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS FROM AFFILIATES - 600000; CHANGE IN BENEFICIAL INTEREST - 280129; TITUSVILLE AREA HEALTH CENTER INC 406 WEST OAK STREET TITUSVILLE PA 16354 251517855 HOLDING CO PA 501(c)(3) 7 MMC false TITUSVILLE HEALTH SERVICES INC 406 WEST OAK STREET TITUSVILLE PA 16354 251517865 COMM HLT CLNC 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) Type 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) Type I MMC false FRENCH CREEK INTERNAL MEDICINE 751 LIBERTY STREET MEADVILLE PA 16335 471870077 PHYS. OFFICES PA 501(c)(3) 10 MPS false PERPETUAL TRUST TRUST PA TAH Trust 3056 79984 true PERPETUAL TRUST TRUST PA TAH Trust 12124 317335 true PERPETUAL TRUST TRUST PA TAH Trust 1285 32803 true HOME CARE CONNECTIONS INC 751 LIBERTY STREET MEADVILLE PA 16335 251605314 HOLDING COMPANY PA MMC C Corporation false MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA PA MMC C Corporation false CHARITABLE TRUST 256196092 TRUST PA MMC Trust false CHARITABLE TRUST 066031521 TRUST PA MMC Trust false false false true true true false false false false true false false true true true false true false true