2025-05-15T19:21:26+00:00 2024-06-30 440160260 ForvisMazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 251517854 TITUSVILLE AREA HEALTH CENTER FOUNDATION TITU 8148271851 406 WEST OAK STREET TITUSVILLE PA 16354 LEE CLINTON CEO 2025-05-16 true true Brian Todd P00422601 4178658701 2025-05-07 2023 2025-03-06 01:10:19Z LEE M CLINTON 406 WEST OAK STREET TITUSVILLE PA 16354 481180 false X WWW.TITUSVILLEHOSPITAL.ORG X 1984 PA TO RAISE FUNDS ON BEHALF OF TITUSVILLE AREA HOSPITAL THROUGH VARIOUS EVENTS AND MAINTAIN ENDOWMENT AND FUNDED DEPRECIATION INVESTMENTS FOR THE HOSPITAL. 9 7 0 9 0 0 409651 454618 0 24361 21647 -2298 -14016 431714 462249 0 0 32138 42111 0 43019 27922 32252 60060 74363 371654 387886 2143464 2125892 0 38573 2143464 2087319 IT IS THE PURPOSE OF THE TITUSVILLE AREA HEALTH CENTER FOUNDATION TO PROVIDE FUNDS TO FURTHER SUPPORT THE OPERATION AND MAINTENANCE OF SERVICES AND PROGRAMS OF ITS AFFILIATED ENTITIES. THE TITUSVILLE AREA HEALTH CENTER FOUNDATION WILL RAISE AND MANAGE FUNDS NECESSARY FOR THE PROMOTION AND ADVANCEMENT OF HEALTHCARE WITHIN THE SERVICE AREAS SERVED BY THE TITUSVILLE AREA HOSPITAL. IT WILL ADMINISTER, INVEST, AND DISPERSE FUNDS IN CONJUNCTION WITH THE MISSION AND ESTABLISHED GOALS OF THE TITUSVILLE AREA HEALTH CENTER, INC., THE TITUSVILLE AREA HOSPITAL, AND THEIR AFFILIATES. false false 24070 FUNDRAISING PROGRAMS TO RAISE FUNDS ON BEHALF OF TITUSVILLE AREA HOSPITAL THROUGH VARIOUS EVENTS AND MAINTAINING ENDOWMENT AND FUNDED DEPRECIATION INVESTMENTS FOR THE HOSPITAL. 24070 true true false false false false false false false true false false false true false false true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false true X 0 0 0 false false false false false true true false false false false false false X 9 7 true false false false true true true true true false false false true true true true true false false false PA X CORY JACKSON 8143335766 704 N MAIN ST MEADVILLE PA 16335 KAREN RANDELL TREASURER END 07/23 1.0 0 X X 0 0 0 KEN WINGER CHAIRMAN 1.0 2.0 X X 0 0 0 LARRY FLEDDERMAN VICE CHAIRMAN/SECRETARY 1.0 2.0 X X 0 0 0 MARIEL HANELY TREASURER BEG 07/23 1.0 40.0 X X 0 80265 10745 ABBE POPESCU DIRECTOR 1.0 0 X 0 0 0 AMY FELTON DIRECTOR 1.0 0 X 0 0 0 BARBARA ENGLISH DIRECTOR 1.0 0 X 0 0 0 HOLLI WOLFE DIRECTOR 1.0 40.0 X 0 164882 14099 JOYCE MILBERG DIRECTOR 1.0 0 X 0 0 0 TIM GEIBEL DIRECTOR 1.0 3.0 X 0 0 0 LEE M CLINTON CEO/PRESIDENT 2.0 38.0 X 19253 365821 40058 19253 610968 64902 0 false true false 0 52900 401718 454618 0 0 0 0 0 21647 21647 0 0 0 0 2970 52900 18305 -15335 -15335 1945 626 1319 1319 0 0 0 0 0 462249 0 0 7631 34451 34451 825 825 4306 4306 2529 2529 928 715 213 0 2599 2001 598 27964 21252 6432 280 628 628 LICENSES, DUES, SUBSCRIPTION 133 102 31 0 0 0 0 74363 24070 7274 43019 788860 644334 35125 40296 0 0 0 0 0 47032 23110 17023 23922 1260055 1417340 0 0 42401 0 2143464 2125892 5254 0 0 0 33319 0 38573 X 1810916 1910580 332548 176739 2143464 2087319 2143464 2125892 X 387886 155968 -600000 X false true X true false X X 3 TITUSVILLE AREA HOSPITAL 250965579 3 true 600000 0 TITUSVILLE HEALTH SERVICES INC 251517865 3 true 0 0 TITUSVILLE AREA HEALTH CENTER INC 250965579 7 true 0 0 3 600000 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14816 14816 32216 23110 9106 23922 Due to Affiliates 33319 33319 792957 155968 600000 755968 36989 425260 425260 462249 93294 18931 18931 74363 0 0 74363 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 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 600000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED NET ASSETS - 444191 SPECIAL EVENTS EXPENSE - -18931 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Special Events Expense - 18931 GOLF OUTING 55870 52900 2970 1750 626 4480 5443 6632 0 0 55870 52900 2970 1750 626 4480 5443 6632 18931 -15961 false false false false false true false false false HOLLI WOLFE DIRECTOR 0 164614 0 0 0 268 0 3668 0 10431 0 178981 0 0 LEE M CLINTON CEO/PRESIDENT 19231 365397 0 0 22 424 858 16292 1145 21763 21256 403876 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 COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION 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, Line 1a REPORTING AGENT MEADVILLE MEDICAL CENTER (EIN: 25-1512436), A RELATED ORGANIZATION, FILES ALL INFORMATIONAL RETURNS ON BEHALF OF TITUSVILLE AREA HEALTH CENTER FOUNDATION AND RELATED ORGANIZATIONS WITHIN THE HEALTH SYSTEM. THE NUMBER OF 1099'S FILED FOR THE FOUNDATION HAS BEEN REPORTED AS ZERO ON PART V, LINE 1A AS THE FOUNDATION SHARES VENDORS WITH OTHER RELATED ENTITIES AND NO SEPARATE VENDORS WERE USED SOLELY FOR THE FOUNDATION. THESE SHARED VENDOR 1099S ARE REPORTED ON THE RELATED ORGANIZATIONS' FORM 990S AND ARE ALL INCLUDED ON THE FORM 1096 FILED BY MEADVILLE MEDICAL CENTER. Form 990, Part V, Line 2a REPORTING AGENT MEADVILLE MEDICAL CENTER ALSO FILES ALL EMPLOYMENT TAX RETURNS ON BEHALF OF THE FOUNDATION AND OTHER RELATED ORGANIZATIONS. THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES THAT WORK EXCLUSIVELY FOR THE FOUNDATION. EMPLOYEES OF OTHER RELATED ORGANIZATIONS SPEND PART OF THEIR TIME PERFORMING DUTIES FOR THE FOUNDATION. THE NUMBER OF W-2'S FILED ON BEHALF OF THE FOUNDATION ON PART V, LINE 2A HAS BEEN REPORTED AS ZERO. THE NUMBER OF W-2'S RELATED TO THESE SHARED EMPLOYEES HAS BEEN REPORTED ON THE FORM 990S OF THE RELATED ORGANIZATIONS THAT DIRECTLY EMPLOYEE THESE INDIVIDUALS. MEADVILLE MEDICAL CENTER INCLUDES ALL OF THESE EMPLOYEES ON THEIR FORM W-3 FILING. Form 990, Part VI, Line 15 LINES 15A & 15B: COMPENSATION DETERMINATION 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, A RELATED ORGANIZATION. AN INDEPENDENT BOARD DETERMINES THE COMPENSATION PACKAGES BY USING COMPARABILITY SURVEYS. THE DELIBERATIONS AND DECISIONS OF THE BOARD ARE DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons LEE CLINTON AND MARIEL HANELY ARE COMPENSATED BY MEADVILLE MEDICAL CENTER, A RELATED ORGANIZATION. - Business relationship, HOLLI WOLFE IS COMPENSATED BY TITUSVILLE AREA HOSPITAL, A RELATED ORGANIZATION. - Business relationship Form 990, Part VI, 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, Line 7a Members or stockholders electing members of governing body A MAJORITY OF THE DIRECTORS OF TITUSVILLE AREA HEALTH CENTER FOUNDATION SHALL BE DIRECTORS OF TITUSVILLE AREA HEALTH CENTER, INC AND SHALL INCLUDE THE CHAIRMAN OF TITUSVILLE AREA HEALTH CENTER, INC AND THE PRESIDENT OF SAID CORPORATION. ALL BUT ONE DIRECTOR SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF 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 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. THE COMPLETED 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR REVIEW AND QUESTIONS PRIOR TO SUBMISSION. 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 HEALTH CENTER FOUNDATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC. AT THIS TIME, TITUSVILLE AREA HEALTH CENTER FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. Form 990, Part VII, Section A COMPENSATION BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. MARIEL HANELY IS COMPENSATED FOR HER ROLE AS AN ACCOUNTANT FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER (MMC). HOLLI WOLFE IS COMPENSATED FOR HER ROLE AS VICE PRESIDENT AT RELATED ORGANIZATION TITUSVILLE AREA HOSPITAL (TAH). 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 5 LINES 5-10 THE AMOUNT OF SALARIES, PENSIONS, PAYROLL TAXES, AND EMPLOYEE BENEFITS REPORTED ON PART IX, LINES 5-10 HAVE BEEN ALLOCATED TO THE FOUNDATION BASED ON THE EMPLOYEES THAT WORK DIRECTLY FOR THE ORGANIZATION. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATES - -600000; 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 HEALTH CENTER false TITUSVILLE AREA HOSPITAL 406 WEST OAK STREET TITUSVILLE PA 16354 250965579 HOSPITAL PA 501(c)(3) 3 HEALTH CENTER 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 HOME CARE CONNECTIONS INC 251605314 HOLDING COMPANY PA MMC C Corporation false MEADVILLE HOUSING CORPORATION 934 B STREET MEADVILLE PA 16335 250657800 HOUSING PA MMC C Corporation false CHARITABLE TRUST 256196092 TRUST PA MMC Trust false CHARITABLE TRUST 066031521 TRUST PA MMC Trust false PERPETUAL TRUST 406 WEST OAK STREET TITUSVULLE PA 16354 TRUST PA TAH Trust false PERPETUAL TRUST 406 WEST OAK STREET TITUSVILLE PA 16354 TRUST PA TAH Trust false PERPETUAL TRUST 406 WEST OAK STREET TITUSVILLE PA 16354 TRUST PA TAH Trust false false false false true false false false false false false false true false true true true false true false