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Nonprofiteer
← TITUSVILLE HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by TITUSVILLE HEALTH SERVICES INC.

Totals

Total revenue
$177,053
Total expenses
$830,176
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$157,933
Investment income
$0
Other revenue
$19,120
Total assets, end of year
$494,279
Total liabilities, end of year
$1,469,316
Net assets or fund balances, end of year
-$975,037
Program services expenses (Part IX)
$663,651
Management and general expenses
$166,525
Fundraising expenses
$0
Program service expenses (Part III)
$663,651

Program services were 79.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $157,933 · related or exempt $157,933

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: INCOME/(LOSS) FROM EQUITY INVESTEE

    total $19,120 · related or exempt $19,120

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $19,120

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $198,314 · program services $65,444 · management and general $132,870

  • 8 · Pension plan contributions

    total $2,174 · program services $1,913 · management and general $261

  • 9 · Other employee benefits

    total $55,963 · program services $49,247 · management and general $6,716

  • 10 · Payroll taxes

    total $14,020 · program services $12,338 · management and general $1,682

  • 11g · Fees: other

    total $464,938 · program services $460,288 · management and general $4,650 · fundraising $0

  • 13 · Office expenses

    total $9,287 · program services $7,151 · management and general $2,136

  • 16 · Occupancy

    total $6,329 · program services $4,873 · management and general $1,456

  • 17 · Travel

    total $860 · program services $662 · management and general $198

  • 19 · Conferences, conventions and meetings

    total $200 · program services $154 · management and general $46

  • 22 · Depreciation, depletion and amortization

    total $70,496 · program services $54,282 · management and general $16,214

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $6,307 · program services $6,307

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $691 · program services $532 · management and general $159

  • 24c · Other expenses: LICENSES, DUES, SUBSCRIPTION

    total $597 · program services $460 · management and general $137

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $544,713 · end of year $265,175

  • 4 · Accounts receivable

    beginning of year $55,828 · end of year $47,194

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $269,276

  • 10b · Land, buildings and equipment: accumulated depreciation

    $267,045

  • 10c · Land, buildings and equipment, net

    beginning of year $2,528 · end of year $2,231

  • 12 · Investments: other securities

    beginning of year $160,559 · end of year $179,679

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $116,558 · end of year $243,977

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $968,984 · end of year $1,225,339

  • 27 · Net assets without donor restrictions

    beginning of year -$321,914 · end of year -$975,037

Mission and programs · 2023

Mission

TITUSVILLE HEALTH SERVICES, INC. IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES WITH AN EMPHASIS ON PERSONAL ATTENTION, COMPASSION AND RESPECT.

Activities or mission (Part I)

OPERATES PHYSICIAN CLINICS THAT SERVE THE HEALTHCARE NEEDS OF RURAL PATIENTS OF WARREN COUNTY, PENNSYLVANIA WITH 1,024 VISITS FOR THE YEAR.

  • OPERATES PHYSICIAN PRACTICE(S) THAT SERVE THE HEALTHCARE NEEDS OF RURAL PATIENTS OF WARREN COUNTY, PENNSYLVANIA WITH 1,024 VISITS FOR THE YEAR.

    Expenses $663,651 · Revenue $177,053

As filed on the 2023 return.

Listed in Part VII

  • JASON REAGLE

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LARRY FLEDDERMAN

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • STEPHEN COLEMAN

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • AMY RUOT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BRENDA BURNETT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOSEPH CARTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEN BULTER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KEN WINGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MICHAEL THOMSON

    DIRECTOR END 06/24

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NICOLA FISHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • PATRICIA WALKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RICHARD CARR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SCOTT MCALLISTER

    MEDICAL STAFF PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SHAWN SAMPSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • TIM GEIBEL

    DIRECTOR BEG 09/23

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CORY F JACKSON

    MMC CONTROLLER/TREASURER

    Total calculated
    $247,570
    From this org
    $0
    From related orgs
    $193,450
    Other
    $54,120
    Hours/week
    3 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $192,871 related
    Bonus
    $0
    Other
    $0 + $579 related
    Deferred
    $0 + $16,957 related
    Nontaxable benefits
    $0 + $37,163 related
    Filer's total
    $0 + $247,570 related

  • LEE M CLINTON

    CEO/PRESIDENT

    Total calculated
    $425,132
    From this org
    $28,880
    From related orgs
    $356,194
    Other
    $40,058
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $28,847 + $355,781 related
    Bonus
    $0
    Other
    $33 + $413 related
    Deferred
    $1,286 + $15,864 related
    Nontaxable benefits
    $1,718 + $21,190 related
    Filer's total
    $31,884 + $393,248 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HOME CARE CONNECTIONS INC

    C Corporation · HOLDING COMPANY · PA

    Directly controlled by MMC

  • MEADVILLE HOUSING CORPORATION

    C Corporation · HOUSING · PA

    Directly controlled by MMC

  • CHARITABLE TRUST

    Trust · TRUST · PA

    Directly controlled by MMC

  • CHARITABLE TRUST

    Trust · TRUST · PA

    Directly controlled by MMC

  • PERPETUAL TRUST

    Trust · TRUST · PA

    Directly controlled by TAH

  • PERPETUAL TRUST

    Trust · TRUST · PA

    Directly controlled by TAH

  • PERPETUAL TRUST

    Trust · TRUST · PA

    Directly controlled by TAH

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202541359349314879

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